{"id":631465,"date":"2025-03-03T09:30:44","date_gmt":"2025-03-03T14:30:44","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=631465"},"modified":"2025-09-04T14:51:37","modified_gmt":"2025-09-04T18:51:37","slug":"what-foods-to-avoid-while-taking-enalapril","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/what-foods-to-avoid-while-taking-enalapril\/","title":{"rendered":"6 foods to avoid when taking enalapril"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/enalapril-maleate\"><span style=\"font-weight: 400;\">Enalapril<\/span><\/a><span style=\"font-weight: 400;\"> is a prescription drug approved by the Food and Drug Administration (FDA) to <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/blood-pressure-medications\/\"><span style=\"font-weight: 400;\">treat high blood pressure<\/span><\/a><span style=\"font-weight: 400;\"> and heart failure. It can also be used off-label to treat kidney disease. Enalapril is sold under various brand names, such as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/epaned\"><span style=\"font-weight: 400;\">Epaned<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/vasotec\/what-is\"><span style=\"font-weight: 400;\">Vasotec<\/span><\/a><span style=\"font-weight: 400;\">. When taking enalapril, ask your healthcare provider or pharmacist if you should change your diet. You may be advised to avoid certain foods, such as alcohol, processed foods, and <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/high-potassium-foods-to-avoid\/\"><span style=\"font-weight: 400;\">foods high in potassium<\/span><\/a><span style=\"font-weight: 400;\">, sodium, or fat.<\/span><\/p>\n<h2 id=\"how-enalapril-works\"><span style=\"font-weight: 400;\">How enalapril works<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Enalapril belongs to a class of medications called angiotensin-converting enzyme (ACE) inhibitors. \u201cEnalapril is an <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/ace-inhibitors\"><span style=\"font-weight: 400;\">ACE inhibitor<\/span><\/a><span style=\"font-weight: 400;\"> and works by blocking the action of the enzyme that produces angiotensin II, a substance in the body that causes blood vessels to narrow and tighten,\u201d explains Supriya Rao, MD, an internist based in Boston, Massachusetts. \u201cWhen angiotensin II is reduced, blood vessels can relax and widen, leading to <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/ways-to-manage-high-blood-pressure-medication\/\"><span style=\"font-weight: 400;\">lower blood pressure<\/span><\/a><span style=\"font-weight: 400;\">.\u201d Enalapril can work as soon as one hour after taking the first <a href=\"https:\/\/www.singlecare.com\/prescription\/enalapril-maleate\/dosage\">dose<\/a>, but full effects may not be seen for several weeks, Dr. Rao says.<\/span><\/p>\n<h2 id=\"6-foods-to-avoid-with-enalapril\"><span style=\"font-weight: 400;\">6 foods to avoid with enalapril<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">When taking prescription drugs, your healthcare provider may advise you to make some dietary changes. In the case of ACE inhibitors like enalapril, there are some possible food interactions to know.<\/span><\/p>\n<h3 id=\"1-high-potassium-foods\"><span style=\"font-weight: 400;\">1. High potassium foods<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">ACE inhibitors like enalapril can cause too <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/high-potassium-causes\"><span style=\"font-weight: 400;\">high potassium<\/span><\/a><span style=\"font-weight: 400;\"> levels. Enalapril may lower aldosterone levels, which reduces the amount of potassium the kidneys eliminate from the body, explains <\/span><a href=\"https:\/\/entirelynourished.com\/about\"><span style=\"font-weight: 400;\">Michelle Routhenstein, RD<\/span><\/a><span style=\"font-weight: 400;\">, a registered dietitian in New York City who specializes in cardiology. \u201cThis increase may lead to serious health issues.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Eating too many potassium-rich foods or taking potassium supplements while taking this medication can exacerbate the problem and cause <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/hyperkalemia-symptoms\"><span style=\"font-weight: 400;\">hyperkalemia<\/span><\/a><span style=\"font-weight: 400;\">. \u201cHyperkalemia is a condition where the level of potassium in your blood is too high, which can impact heart and muscle function,\u201d <\/span><a href=\"https:\/\/www.gutsygirlmd.com\/about\"><span style=\"font-weight: 400;\">Dr. Rao<\/span><\/a><span style=\"font-weight: 400;\"> explains. According to an <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28158516\/\"><span style=\"font-weight: 400;\">observational study<\/span><\/a><span style=\"font-weight: 400;\">, high potassium levels in hypertensive patients were associated with a significantly higher risk of death. Hyperkalemia can also cause <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/diseases\/15184-hyperkalemia-high-blood-potassium\"><span style=\"font-weight: 400;\">side effects<\/span><\/a><span style=\"font-weight: 400;\">, including muscle weakness, paralysis, and electrical abnormalities in the heart. It is important to know that most people will not have symptoms of high potassium until the levels are dangerously high. Very high potassium levels can cause an irregular heartbeat and, in the worst-case scenario, cardiac arrest (sudden death).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The following are potassium-rich foods, according to the <\/span><a href=\"https:\/\/www.dietaryguidelines.gov\/food-sources-potassium\"><span style=\"font-weight: 400;\">Dietary Guidelines for Americans<\/span><\/a><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dark leafy greens, such as beet greens, swiss chard, and spinach<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Legumes, such as lima beans and adzuki beans<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fruits, such as avocados, bananas, and kiwifruit<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fruit juice, such as prune, orange, and grapefruit juice<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Root vegetables, such as carrots, potatoes, and sweet potatoes<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">While the general recommendation is to monitor potassium intake while taking enalapril, the amount of potassium-rich foods you should eat should ultimately be personalized. Routhenstein recommends regular lab testing to monitor your potassium levels while on enalapril.<\/span><\/p>\n<h3 id=\"2-high-sodium-foods\"><span style=\"font-weight: 400;\">2. High-sodium foods<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">People with high blood pressure are often advised to avoid foods that contain high amounts of sodium, says <\/span><a href=\"https:\/\/manhattancardiology.com\/team\/karishma-patwa-md\/\"><span style=\"font-weight: 400;\">Karishma Patwa, MD<\/span><\/a><span style=\"font-weight: 400;\">, a board-certified cardiologist at Manhattan Cardiology in New York City. While this is generally a good idea for those with hypertension, it\u2019s also recommended for those who take enalapril.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Studies show that there\u2019s a close association between <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/salt-good-or-bad-for-you\/\"><span style=\"font-weight: 400;\">hypertension and sodium<\/span><\/a><span style=\"font-weight: 400;\"> intake. In one <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37950918\/\"><span style=\"font-weight: 400;\">clinical trial<\/span><\/a><span style=\"font-weight: 400;\">, older adults who followed a low-sodium diet experienced a significant reduction in blood pressure. Though enalapril is used to lower blood pressure, high-sodium foods can worsen blood pressure and reduce its effectiveness, Routhenstein says. She recommends avoiding the following foods that tend to be high in sodium:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bacon<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ham<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sausage<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Canned soups<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Packaged snacks<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pickled foods<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Fast food also tends to be high in sodium, Dr. Rao adds. A good rule of thumb is to limit your sodium intake to no more than 1,500 milligrams per day, in line with recommendations from the <\/span><a href=\"https:\/\/www.heart.org\/en\/health-topics\/high-blood-pressure\/changes-you-can-make-to-manage-high-blood-pressure\/shaking-the-salt-habit-to-lower-high-blood-pressure\"><span style=\"font-weight: 400;\">American Heart Association<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h3 id=\"3-salt-substitutes\"><span style=\"font-weight: 400;\">3. Salt substitutes<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If your healthcare provider recommends cutting down on sodium when taking prescription drugs like enalapril, you may resort to salt substitutes to add flavor to your meals. While it may seem like an easy swap, it\u2019s not recommended. \u201cSome salt substitutes contain potassium chloride, which is challenging for the kidneys to excrete,\u201d Routhenstein explains. \u201cThis could potentially lead to elevated blood potassium levels, especially when taking enalapril.\u201d Opt for spices and herbs instead to enhance the flavor of your meals.<\/span><\/p>\n<h3 id=\"4-fatty-foods\"><span style=\"font-weight: 400;\">4. Fatty foods<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Saturated fats and trans are considered a risk factor for high blood pressure, <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9669614\/\"><span style=\"font-weight: 400;\">research shows<\/span><\/a><span style=\"font-weight: 400;\">. \u201cFatty foods can slow down gastric mobility, which may reduce the absorption of medications,\u201d Dr. Patwa explains.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to the <\/span><a href=\"https:\/\/www.mayoclinic.org\/healthy-lifestyle\/nutrition-and-healthy-eating\/in-depth\/fat\/art-20045550\"><span style=\"font-weight: 400;\">Mayo Clinic<\/span><\/a><span style=\"font-weight: 400;\">, saturated and trans fats are found in:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Baked goods, such as packaged cookies and crackers<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fried foods<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Red meat and full-fat dairy products<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Partially hydrogenated oils, such as margarine and shortening<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Avoiding saturated and trans fats is beneficial for heart health, blood pressure, and possibly the effectiveness of enalapril.<\/span><\/p>\n<h3 id=\"5-alcohol\"><span style=\"font-weight: 400;\">5. Alcohol<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Chronic alcohol consumption can worsen high blood pressure. However, it may come as a surprise that in the short-term, \u201calcohol can temporarily lower your blood pressure,\u201d Dr. Patwa says. That effect contributes to side effects like dizziness when combined with blood pressure-lowering medications like enalapril.<\/span><\/p>\n<h3 id=\"6-processed-foods\"><span style=\"font-weight: 400;\">6. Processed foods<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If you\u2019re taking enalapril to manage your blood pressure, it\u2019s good practice to avoid highly processed foods, Dr. Rao says. In one <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35750049\/\"><span style=\"font-weight: 400;\">meta-analysis<\/span><\/a><span style=\"font-weight: 400;\">, researchers found that higher consumption of ultra-processed foods\u2014such as instant noodles, candy, or sugary cereal\u2014significantly increased the risk of hypertension. Highly processed foods can also worsen some of the gastrointestinal side effects of enalapril, such as nausea, diarrhea, and abdominal pain, Dr. Rao says.<\/span><\/p>\n<h2 id=\"what-should-you-eat-while-taking-enalapril\"><span style=\"font-weight: 400;\">What should you eat while taking enalapril?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Enalapril is used to treat hypertension and heart failure, so a heart-healthy diet is typically recommended. The best <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/high-blood-pressure-diet\/\"><span style=\"font-weight: 400;\">diet for high blood pressure<\/span><\/a><span style=\"font-weight: 400;\"> is usually the DASH diet (dietary approaches to stop hypertension), which <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10551663\/\"><span style=\"font-weight: 400;\">has been shown<\/span><\/a><span style=\"font-weight: 400;\"> to effectively manage hypertension and lower the risk of heart disease.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Created by the <\/span><a href=\"https:\/\/www.nhlbi.nih.gov\/education\/dash-eating-plan\"><span style=\"font-weight: 400;\">National Heart, Lung, and Blood Institute<\/span><\/a><span style=\"font-weight: 400;\">, the DASH diet recommends eating the following foods to improve blood pressure:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fat-free or low-fat dairy products<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fish<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fruits and vegetables<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Legumes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Poultry<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Whole grains<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vegetable oils<\/span><\/li>\n<\/ul>\n<h2 id=\"gastrointestinal-side-effects-of-enalapril\"><span style=\"font-weight: 400;\">Gastrointestinal side effects of enalapril<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">As with any prescription drug, enalapril may have some side effects. Per the <\/span><a href=\"https:\/\/medlineplus.gov\/druginfo\/meds\/a686022.html\"><span style=\"font-weight: 400;\">National Library of Medicine<\/span><\/a><span style=\"font-weight: 400;\">, the general side effects of enalapril include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cough<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dizziness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rash<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Weakness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lightheadedness<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Common gastrointestinal side effects of enalapril include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nausea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diarrhea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Abdominal pain<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Enalapril can also cause more serious and potentially life-threatening side effects, including difficulty breathing, swelling of the lips and tongue, yellowing of the skin, fever, or fainting. If you experience any of these serious side effects of enalapril, you should <\/span><b>get emergency medical care immediately.<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Additionally, enalapril has numerous drug interactions. According to the <\/span><a href=\"https:\/\/www.mayoclinic.org\/drugs-supplements\/enalapril-oral-route\/description\/drg-20069221\"><span style=\"font-weight: 400;\">Mayo Clinic<\/span><\/a><span style=\"font-weight: 400;\">, enalapril shouldn\u2019t be taken with certain <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/diuretics\"><span style=\"font-weight: 400;\">diuretics<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/angiotensin-ii-receptor-blockers\"><span style=\"font-weight: 400;\">angiotensin II receptor blockers (ARBs)<\/span><\/a><span style=\"font-weight: 400;\">, and other prescription drugs. Share a full list of all medications and over-the-counter supplements you take with your healthcare provider or pharmacist before taking enalapril.<\/span><\/p>\n<h2 id=\"tips-for-maximizing-enalapril-benefits\"><span style=\"font-weight: 400;\">Tips for maximizing enalapril benefits<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Your diet can exacerbate some of the side effects of enalapril. A good time to take enalapril is about an hour before eating, Dr. Patwa suggests. However, if the medication upsets your stomach, taking it with food can help.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s important to take enalapril on a consistent schedule. Make sure to take it at the same time every day, Dr. Rao says. Taking enalapril at the same time each day can help you remember to take it, per the <\/span><a href=\"https:\/\/medlineplus.gov\/druginfo\/meds\/a686022.html\"><span style=\"font-weight: 400;\">National Library of Medicine<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It is also good for your health to stay hydrated and monitor your blood pressure levels regularly, Routhenstein says.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Enalapril is a prescription drug approved by the Food and Drug Administration (FDA) to treat high blood pressure and heart failure. It can also be used off-label to treat kidney disease. Enalapril is sold under various brand names, such as Epaned and Vasotec. When taking enalapril, ask your healthcare provider or pharmacist if you should [&hellip;]<\/p>\n","protected":false},"author":135,"featured_media":631466,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[814,737,20951,8905],"coauthors":[20941],"class_list":["post-631465","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-drug-interactions","tag-heart-health","tag-high-blood-pressure","tag-seasonal","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Foods to avoid when taking enalapril<\/title>\n<meta name=\"description\" content=\"Learn which foods to avoid while taking enalapril to ensure optimal effectiveness and prevent potential side effects. 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