Enalapril and pregnancy
Enalapril is not recommended in pregnancy. It can reduce the level of fluid around your baby, particularly if you take it in the second and third trimesters. This can result in long-term damage to your baby's kidneys and lungs and a number of other problems.
If you're already pregnant, stop taking enalapril and talk to your doctor straight away. Usually your doctor will be able to prescribe a different medicine that is safe to take in pregnancy. Enalapril should be stopped by the time you're 12 weeks pregnant.
It's important to use contraception if you're taking enalapril and carefully plan any pregnancy with your doctor or a specialist. They will want to review your condition and medicine before you get pregnant.
Most women stop taking enalapril before getting pregnant, but some may continue up until they have a positive pregnancy test and then stop. Your doctor will discuss what's best for you, based on your condition and the risks and benefits of enalapril.
Enalapril and breastfeeding
It is OK to take enalapril while breastfeeding, but talk to your doctor or pharmacist first. If your baby was born prematurely, other medicines might be better, but your doctor will help you decide.
Only tiny amounts of enalapril pass into breast milk, which is unlikely to cause side effects in your baby. However, there is a very small risk that it could also lower your baby's blood pressure.
If you notice that your baby is not feeding as well as usual, seems unusually sleepy, seems much paler than usual, or if you have any other concerns about your baby, talk to your health visitor, midwife or doctor as soon as possible.
Enalapril and fertility
There's no clear evidence to suggest that taking enalapril reduces fertility in either men or women.
Speak to a pharmacist or your doctor if you're trying to get pregnant. They will want to review your treatment with you.
Non-urgent advice: Tell your doctor if you're:
- trying to get pregnant
- pregnant
- breastfeeding