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What the FDA labels say about taking them together

Enalapril and indomethacin

Enalapril's FDA label of January 23, 2026 names indomethacin in its drug interactions section; indomethacin's label does not name enalapril itself but warns about its class (ACE inhibitors).

Check it at the source: the enalapril FDA label on DailyMed (effective January 23, 2026, Bausch Health US LLC); the indomethacin FDA label on DailyMed (effective December 19, 2025, Glenmark Pharmaceuticals Inc., USA).

What does the enalapril label say about indomethacin?

Enalapril label, drug interactions

In a clinical pharmacology study, indomethacin or sulindac was administered to hypertensive patients receiving VASOTEC.

Source: FDA drug label (Epaned, NDA208686), Azurity Pharmaceuticals, Inc., effective December 16, 2025 (SPL set e6dbda02-779e-420c-893d-d0fea09432be), via openFDA

Source: FDA drug label (Vasotec), Bausch Health US LLC, effective January 23, 2026 (SPL set 39631f1f-5d19-43c1-b504-bf56d991ed97), via openFDA; the full label on DailyMed

What does the indomethacin label say about enalapril?

Indomethacin's label does not name enalapril itself; it warns about its class (ACE inhibitors):

Indomethacin label, drug interactions

NSAIDs may diminish the antihypertensive effect of angiotensin converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), or beta-blockers (including propranolol).

Indomethacin label, drug interactions

NSAIDs may diminish the antihypertensive effect of angiotensin converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), or beta-blockers (including propranolol). In patients who are elderly, volume-depleted (including those on diuretic therapy), or have renal impairment, co-administration of an NSAID with ACE inhibitors or ARBs may result in deterioration of renal function, including possible acute renal failure.

Source: FDA drug label (Indomethacin), Glenmark Pharmaceuticals Inc., USA, effective December 19, 2025 (SPL set f7ed39e2-5431-4e47-935c-c7441d058f94), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

28Enalapril generic labelers
31Indomethacin generic labelers
EnalaprilIndomethacin
Labeled forHigh blood pressure, Heart failureRheumatoid arthritis, Osteoarthritis
Boxed warningYesYes
Pharmacy cost (NADAC)$0.0664 per tablet 10 mg tablet$0.210 per capsule 75 mg capsule
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?