ENALAPRIL

82/100 · Critical

Manufactured by Amneal Pharmaceuticals NY LLC

Enalapril Adverse Events: High Seriousness and Diverse Reactions

97,976 FDA adverse event reports analyzed

Last updated: 2026-05-12

About ENALAPRIL

ENALAPRIL is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Amneal Pharmaceuticals NY LLC. Based on analysis of 97,976 FDA adverse event reports, ENALAPRIL has a safety score of 82 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for ENALAPRIL include DIARRHOEA, DYSPNOEA, NAUSEA, DRUG INEFFECTIVE, FATIGUE. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for ENALAPRIL.

AI Safety Analysis

Enalapril has a safety concern score of 82 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 97,976 adverse event reports for this medication, which is primarily manufactured by Amneal Pharmaceuticals Ny Llc.

The most commonly reported adverse events include Diarrhoea, Dyspnoea, Nausea. Of classified reports, 84.3% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Enalapril reports show a high percentage of serious adverse events, particularly kidney and cardiovascular issues.

The drug is associated with a wide range of reactions, indicating potential for diverse side effects. Reports indicate a significant number of cases involving falls and respiratory issues, which may be related to dizziness and hypotension.

Patients taking Enalapril should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Enalapril can cause hypotension and dizziness, increasing the risk of falls. It may also interact with other drugs, particularly those affecting blood pressure and electrolyte levels. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 82/100

Enalapril received a safety concern score of 82/100 (high concern). This is based on a 84.3% serious event ratio across 54,343 classified reports. The score accounts for 97,976 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

DIARRHOEA2,805 reports
DYSPNOEA2,660 reports
NAUSEA2,574 reports
DRUG INEFFECTIVE2,547 reports
FATIGUE2,375 reports
DRUG INTERACTION2,336 reports
DIZZINESS2,214 reports
ACUTE KIDNEY INJURY2,007 reports
VOMITING1,987 reports
HEADACHE1,819 reports
PAIN1,803 reports
ASTHENIA1,753 reports
HYPERTENSION1,698 reports
OFF LABEL USE1,695 reports
MALAISE1,674 reports
HYPOTENSION1,669 reports
FALL1,572 reports
PYREXIA1,551 reports
PNEUMONIA1,504 reports
ANAEMIA1,389 reports
RENAL FAILURE1,382 reports
ARTHRALGIA1,365 reports
WEIGHT DECREASED1,222 reports
COUGH1,212 reports
PAIN IN EXTREMITY1,208 reports
DEATH1,104 reports
DECREASED APPETITE1,103 reports
CARDIAC FAILURE1,065 reports
BLOOD PRESSURE INCREASED1,062 reports
MYOCARDIAL INFARCTION1,055 reports
HYPERKALAEMIA1,047 reports
CONDITION AGGRAVATED1,046 reports
RASH1,017 reports
DEHYDRATION1,015 reports
CHEST PAIN1,011 reports
ABDOMINAL PAIN977 reports
PRURITUS956 reports
RENAL FAILURE ACUTE924 reports
BLOOD GLUCOSE INCREASED917 reports
SYNCOPE911 reports
BACK PAIN898 reports
OEDEMA PERIPHERAL895 reports
GAIT DISTURBANCE888 reports
CONFUSIONAL STATE879 reports
HYPONATRAEMIA877 reports
CARDIAC FAILURE CONGESTIVE874 reports
ABDOMINAL PAIN UPPER843 reports
URINARY TRACT INFECTION839 reports
ANXIETY812 reports
CHRONIC KIDNEY DISEASE793 reports
BLOOD CREATININE INCREASED790 reports
CEREBROVASCULAR ACCIDENT778 reports
RENAL IMPAIRMENT767 reports
ATRIAL FIBRILLATION762 reports
SOMNOLENCE756 reports
INSOMNIA750 reports
DEPRESSION730 reports
CONSTIPATION726 reports
WEIGHT INCREASED691 reports
ANGIOEDEMA683 reports
HYPOGLYCAEMIA659 reports
FEELING ABNORMAL646 reports
GENERAL PHYSICAL HEALTH DETERIORATION623 reports
LOSS OF CONSCIOUSNESS617 reports
MYALGIA604 reports
HAEMOGLOBIN DECREASED602 reports
TREMOR593 reports
ERYTHEMA581 reports
MUSCULAR WEAKNESS581 reports
DIABETES MELLITUS580 reports
BLOOD PRESSURE DECREASED579 reports
BRADYCARDIA574 reports
TOXICITY TO VARIOUS AGENTS570 reports
HYPERSENSITIVITY563 reports
MUSCLE SPASMS559 reports
ABDOMINAL DISCOMFORT557 reports
PARAESTHESIA555 reports
GASTROINTESTINAL HAEMORRHAGE547 reports
HYPOAESTHESIA528 reports
THROMBOCYTOPENIA523 reports
CARDIAC ARREST522 reports
SEPSIS518 reports
PERIPHERAL SWELLING512 reports
RESPIRATORY FAILURE510 reports
HYPERHIDROSIS509 reports
DRUG HYPERSENSITIVITY478 reports
VISION BLURRED464 reports
LACTIC ACIDOSIS463 reports
TACHYCARDIA462 reports
CARDIAC DISORDER451 reports
NASOPHARYNGITIS445 reports
PLATELET COUNT DECREASED436 reports
HYPOKALAEMIA435 reports
DYSPHAGIA428 reports
PRODUCT USE ISSUE415 reports
RHABDOMYOLYSIS411 reports
INFLUENZA408 reports
MEMORY IMPAIRMENT404 reports
EPISTAXIS401 reports
PLEURAL EFFUSION401 reports

Key Safety Signals

  • Acute kidney injury and renal failure are frequent and serious adverse events.
  • Cardiac failure and myocardial infarction are also common, highlighting cardiovascular risks.
  • Drug interactions and ineffective drug performance are reported, suggesting potential issues with efficacy and compatibility.

Patient Demographics

Adverse event reports by sex: Female: 25,807, Male: 25,587, Unknown: 102. The most frequently reported age groups are age 67 (1,154 reports), age 72 (1,139 reports), age 70 (1,136 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 54,343 classified reports for ENALAPRIL:

  • Serious: 45,815 reports (84.3%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 8,528 reports (15.7%)
Serious 84.3%Non-Serious 15.7%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Female25,807 (50.1%)
Male25,587 (49.7%)
Unknown102 (0.2%)

Reports by Age

Age 671,154 reports
Age 721,139 reports
Age 701,136 reports
Age 711,127 reports
Age 751,093 reports
Age 731,082 reports
Age 771,082 reports
Age 741,074 reports
Age 691,063 reports
Age 661,061 reports
Age 681,045 reports
Age 641,043 reports
Age 651,033 reports
Age 781,011 reports
Age 62982 reports
Age 60981 reports
Age 63971 reports
Age 76931 reports
Age 59876 reports
Age 79872 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Enalapril can cause hypotension and dizziness, increasing the risk of falls. It may also interact with other drugs, particularly those affecting blood pressure and electrolyte levels.

What You Should Know

If you are taking Enalapril, here are important things to know. The most commonly reported side effects include diarrhoea, dyspnoea, nausea, drug ineffective, fatigue. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Monitor blood pressure and electrolyte levels regularly, especially in elderly patients. Inform healthcare providers about all medications to avoid potential drug interactions. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

Regulatory oversight is ongoing, with a focus on monitoring serious adverse events and ensuring patient safety, especially in elderly populations.

Frequently Asked Questions

How many adverse event reports has the FDA received for Enalapril?

The FDA has received approximately 97,976 adverse event reports associated with Enalapril. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Enalapril?

The most frequently reported adverse events for Enalapril include Diarrhoea, Dyspnoea, Nausea, Drug Ineffective, Fatigue. By volume, the top reported reactions are: Diarrhoea (2,805 reports), Dyspnoea (2,660 reports), Nausea (2,574 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Enalapril.

What percentage of Enalapril adverse event reports are serious?

Out of 54,343 classified reports, 45,815 (84.3%) were classified as serious and 8,528 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Enalapril (by sex)?

Adverse event reports for Enalapril break down by patient sex as follows: Female: 25,807, Male: 25,587, Unknown: 102. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Enalapril?

The most frequently reported age groups for Enalapril adverse events are: age 67: 1,154 reports, age 72: 1,139 reports, age 70: 1,136 reports, age 71: 1,127 reports, age 75: 1,093 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Enalapril?

The primary manufacturer associated with Enalapril adverse event reports is Amneal Pharmaceuticals Ny Llc. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Enalapril?

Beyond the most common reactions, other reported adverse events for Enalapril include: Drug Interaction, Dizziness, Acute Kidney Injury, Vomiting, Headache. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Enalapril?

You can report adverse events from Enalapril to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Enalapril's safety score and what does it mean?

Enalapril has a safety concern score of 82 out of 100 (high concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. Enalapril reports show a high percentage of serious adverse events, particularly kidney and cardiovascular issues.

What are the key safety signals for Enalapril?

Key safety signals identified in Enalapril's adverse event data include: Acute kidney injury and renal failure are frequent and serious adverse events.. Cardiac failure and myocardial infarction are also common, highlighting cardiovascular risks.. Drug interactions and ineffective drug performance are reported, suggesting potential issues with efficacy and compatibility.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Enalapril interact with other drugs?

Enalapril can cause hypotension and dizziness, increasing the risk of falls. It may also interact with other drugs, particularly those affecting blood pressure and electrolyte levels. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Enalapril.

What should patients know before taking Enalapril?

Monitor blood pressure and electrolyte levels regularly, especially in elderly patients. Inform healthcare providers about all medications to avoid potential drug interactions.

Are Enalapril side effects well-documented?

Enalapril has 97,976 adverse event reports on file with the FDA. The drug is associated with a wide range of reactions, indicating potential for diverse side effects. The volume of reports for Enalapril reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Enalapril?

Regulatory oversight is ongoing, with a focus on monitoring serious adverse events and ensuring patient safety, especially in elderly populations. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to ENALAPRIL based on therapeutic use, drug class, or shared indications:

LosartanHydralazineFurosemide
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.