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enalapril Side Effects

Also known as: Vasotec

Analysis of 54,355 adverse event reports submitted to the FDA from 2002 to 2025.

Total Reports

54,355

Death-Related

5,908

10.9% of reports

Hospitalizations

26,280

48.3% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DIARRHOEA
2,807
DYSPNOEA
2,659
NAUSEA
2,574
DRUG INEFFECTIVE
2,548
FATIGUE
2,377
DRUG INTERACTION
2,336
DIZZINESS
2,213
ACUTE KIDNEY INJURY
2,007
VOMITING
1,988
HEADACHE
1,819
PAIN
1,805
ASTHENIA
1,755
HYPERTENSION
1,695
OFF LABEL USE
1,695
MALAISE
1,673
HYPOTENSION
1,668
FALL
1,570
PYREXIA
1,550
PNEUMONIA
1,505
ANAEMIA
1,390

Who Reports Side Effects

Gender Distribution

Female 25,808 (50%)
Male 25,591 (50%)
Unknown 102

Age Distribution

0-17 1,988 (5%)
18-44 2,840 (7%)
45-64 13,057 (32%)
65-74 10,921 (27%)
75+ 11,899 (29%)

Reporting Trend by Year

2002 2025

Reactions in Death Reports

Top reactions reported in 5,908 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 1,101
PNEUMONIA 414
RENAL FAILURE 383
CARDIAC ARREST 331
DIARRHOEA 305
DYSPNOEA 305
CARDIAC FAILURE 285
RESPIRATORY FAILURE 284
SEPSIS 278
ACUTE KIDNEY INJURY 265
HYPOTENSION 261
MYOCARDIAL INFARCTION 245
VOMITING 239
PYREXIA 225
ASTHENIA 222
CARDIO-RESPIRATORY ARREST 222
NAUSEA 216
COMPLETED SUICIDE 215
CARDIAC FAILURE CONGESTIVE 199
ANAEMIA 195

Reactions in Hospitalization Reports

Top reactions in 26,280 reports where hospitalization was an outcome.

Reaction Reports
DYSPNOEA 1,558
DIARRHOEA 1,504
DRUG INTERACTION 1,469
ACUTE KIDNEY INJURY 1,335
VOMITING 1,290
NAUSEA 1,225
PNEUMONIA 1,189
HYPOTENSION 1,181
PYREXIA 1,087
ANAEMIA 1,037
FALL 1,019
DIZZINESS 1,013
FATIGUE 988
ASTHENIA 972
RENAL FAILURE 856
HYPERTENSION 851
DEHYDRATION 850
PAIN 831
MALAISE 829
DRUG INEFFECTIVE 828

Nearby — Related Medications

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What the FAERS Data Reveals About enalapril Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 54,355 voluntary reports linked to enalapril and its brand equivalents (Vasotec), spanning 2002 through 2025. Of those, 5,908 (10.9%) listed death as an outcome and 26,280 (48.3%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 50% were female and 50% male; age distribution skews toward 45-64, with 13,057 reports in that bracket. The single most reported reaction is diarrhoea with 2,807 submissions, followed by dyspnoea and nausea.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.