Taking enalapril with other medicines and herbal supplements

Cautions with other medicines

There are some medicines that may affect the way enalapril works.

Tell your doctor or pharmacist if you're taking:

• any anti-inflammatory medicines such as ibuprofen, indomethacin or a high dose of aspirin for pain relief (daily low-dose aspirin of 75mg is safe to take with enalapril)
• medicines to treat low blood pressure (hypotension), heart failure, asthma or allergies, such as ephedrine, noradrenaline or adrenaline
• medicines to treat high blood pressure, such as aliskeren
• other medicines that can lower your blood pressure such as some antidepressants, nitrates (for chest pain), baclofen (a muscle relaxant), anaesthetics or medicines for an enlarged prostate gland
• medicines that calm down your body's immune system, such as ciclosporin or tacrolimus
• medicines that make you pee more (diuretics) such as furosemide
• medicines that can increase the amount of potassium in your blood, such as spironolactone, triamterene, amiloride, potassium supplements, trimethoprim (for infections) or heparin (for preventing blood clots)
• steroid medicines such as prednisolone
• allopurinol, for gout
• procainamide, for heartbeat problems
• medicines for diabetes
• racecadotril, for diarrhoea
• lithium, for mental health problems

Mixing enalapril with herbal remedies or supplements

There's not enough information to say that complementary medicines and herbal remedies are safe to take with enalapril. They're not tested in the same way as pharmacy and prescription medicines. They're generally not tested for the effect they have on other medicines.