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What the FDA labels say about taking them together

Enalaprilat and indomethacin

Enalaprilat's FDA label of June 7, 2024 names indomethacin in its drug interactions section; indomethacin's label does not name enalaprilat itself but warns about its class (ACE inhibitors).

Check it at the source: the enalaprilat FDA label on DailyMed (effective June 7, 2024, Dr. Reddys Laboratories Inc); the indomethacin FDA label on DailyMed (effective December 19, 2025, Glenmark Pharmaceuticals Inc., USA).

What does the enalaprilat label say about indomethacin?

Enalaprilat label, drug interactions

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

Source: FDA drug label (Enalaprilat), Dr. Reddys Laboratories Inc, effective June 7, 2024 (SPL set 5d398da1-020c-ccb1-a775-ce8e0b29d621), via openFDA; the full label on DailyMed

What does the indomethacin label say about enalaprilat?

Indomethacin's label does not name enalaprilat 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

3Enalaprilat generic labelers
31Indomethacin generic labelers
EnalaprilatIndomethacin
Labeled forHigh blood pressureRheumatoid arthritis, Osteoarthritis
Boxed warningYesYes
Pharmacy cost (NADAC)n/a$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?