Do not use enalapril if you are pregnant. If you become pregnant, stop taking this medicine and tell your doctor right away.
You should not use enalapril if you have ever had angioedema. Do not take enalapril within 36 hours before or after taking any medicine that contains sacubatril (such as Entresto).
If you have diabetes, do not use enalapril together with any medication that contains aliskiren (such as Tekturna or Tekamlo).
Enalapril can affect your heart or your electrolyte levels. Call your doctor if you have chest pain, pounding heartbeats or fluttering in your chest, a slow heart rate or weak pulse, a tingly feeling, muscle weakness, or muscle tightness or contraction.
Before taking this medicine
You should not use enalapril if you are allergic to it, or if you have:
you have a history of angioedema;
you recently took a heart medicine called sacubatril; or
if you are allergic to any other ACE inhibitor, such as benazepril, captopril, fosinopril, lisinopril, moexipril, perindopril, quinapril, ramipril, or trandolapril.
Do not take enalapril within 36 hours before or after taking medicine that contains sacubatril (such as Entresto).
If you have diabetes, do not use enalapril together with any medication that contains aliskiren (Amturnide, Tekturna, Tekamlo).
You may also need to avoid taking enalapril with aliskiren if you have kidney disease.
To make sure enalapril is safe for you, tell your doctor if you have:
kidney disease (or if you are on dialysis);
liver disease;
a history of blood clot or stroke (including TIA or "mini-stroke");
an electrolyte imbalance (such as high levels of potassium in your blood); or
heart disease.
Do not use if you are pregnant. If you become pregnant, stop taking this medicine and tell your doctor right away. Enalapril can cause injury or death to the unborn baby if you take the medicine during your second or third trimester.
Enalapril can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are using this medicine.
