{"id":632920,"date":"2025-07-31T09:30:00","date_gmt":"2025-07-31T13:30:00","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=632920"},"modified":"2025-09-04T14:53:11","modified_gmt":"2025-09-04T18:53:11","slug":"how-long-does-enalapril-stay-in-your-system","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/how-long-does-enalapril-stay-in-your-system\/","title":{"rendered":"How long does enalapril stay in your system?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">One of the most popular angiotensin-converting enzyme inhibitors, more commonly referred to as ACE inhibitors, is <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/enalapril-maleate\"><span style=\"font-weight: 400;\">enalapril<\/span><\/a><span style=\"font-weight: 400;\">. This generic medication, also sold under the brand name Vasotec, treats hypertension (high blood pressure) and helps to reduce your risk of heart attack, heart disease, and stroke.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Enalapril works by inhibiting the angiotensin-converting enzyme (ACE), which in turn relaxes blood vessels and makes it easier for the heart to pump blood throughout your body. Along with hypertension, enalapril can also help treat certain cardiovascular conditions, like congestive heart failure and left ventricular dysfunction.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Taken as an <a href=\"https:\/\/www.singlecare.com\/prescription\/enalapril-maleate\/dosage\">oral solution, tablet, or injection<\/a>, enalapril typically begins to take effect in about one hour after administration. However, it remains in your body for much longer. For most people, enalapril will be completely eliminated from the body in two to three days.<\/span><\/p>\n\t\t<div id=\"coupon-cta\" class=\"coupon-cta master-template\">\n\t\t\t<p id=\"headline\">Save up to 80% on Enalapril with SingleCare<\/p>\n\t\t\t<p id=\"subheadline\">Different pharmacies offer different prices for the same medication. SingleCare helps find the best price for you.<\/p>\n\t\t\t<div class=\"details-wrap\">\n\t\t\t\t<div class=\"details\">\n\t\t\t\t\tEnalapril 20 mg (30 Tablets)\t\t\t\t<\/div>\n\t\t\t\t<div class=\"address\">\n\t\t\t\t\t23666 - Hampton, VA\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"api-response\">\n\t\t\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-walmart-nbh-market.svg\" alt=\"Walmart Neighborhood Market\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$9.00<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/enalapril-maleate#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/enalapril-maleate#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-walmart.svg\" alt=\"Walmart Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$9.00<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/enalapril-maleate#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/enalapril-maleate#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/enalapril-maleate#blog-cta\" class=\"coupon-see-all-btn\">See Enalapril prices at all pharmacies<\/a>\n\t\t<\/div>\n\n\t\t\n<h2 id=\"how-long-does-enalapril-stay-in-your-system\"><span style=\"font-weight: 400;\">How long does enalapril stay in your system?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Before explaining how long <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/enalapril-maleate\/what-is\"><span style=\"font-weight: 400;\">enalapril<\/span><\/a><span style=\"font-weight: 400;\"> stays in the body, it\u2019s important to first understand how it\u2019s metabolized. \u201cAfter taking enalapril, your body converts it into its active form, enalaprilat, which lowers blood pressure,\u201d explains <\/span><a href=\"https:\/\/www.mytoolboxgenomics.com\/about-us\/erika-gray\/\"><span style=\"font-weight: 400;\">Erika Gray, Pharm.D.<\/span><\/a><span style=\"font-weight: 400;\">, pharmacist and founder of ToolBox Genomics. \u201cThe antihypertensive effects usually begin within an hour and can last for 12 to 24 hours, making it effective for once or twice daily dosing.\u201d\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The peak concentration of enalapril, or when the drug has the highest concentration in the bloodstream, is usually within one hour. The time it takes for the amount of enalapril within the body to decrease by half, or its half-life, is 11 hours for the average healthy adult.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you were to take enalapril in the morning, the amount of the drug left in your system will be reduced by that evening, but it likely won\u2019t be completely metabolized until a few days after. \u201cEnalapril levels typically start decreasing in your body around 11 hours, but it can take up to 3 to 5 days for the drug to fully leave your system,\u201d Dr. Gray says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">To determine how much enalapril is left in your system, researchers have found two enzyme-linked immunosorbent assay (ELISA) methods to detect enalapril and enalaprilat in plasma, though this testing is not commonly used.\u00a0<\/span><\/p>\n<h2 id=\"what-influences-how-long-enalapril-stays-in-your-system\"><span style=\"font-weight: 400;\">What influences how long enalapril stays in your system?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There is one main factor that influences how long enalapril will stay in your system: kidney function.<\/span><\/p>\n<h3 id=\"kidney-function\"><span style=\"font-weight: 400;\">Kidney function<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">\u201c<\/span><span style=\"font-weight: 400;\">Kidney functioning is a huge indicator of how long enalapril stays in your system,\u201d explains <\/span><a href=\"https:\/\/www.integrative-psych.org\/experts\/dr-ryan-sultan\"><span style=\"font-weight: 400;\">Ryan Sultan, MD<\/span><\/a><span style=\"font-weight: 400;\">, a healthcare provider based in New York, New York. <\/span><span style=\"font-weight: 400;\">\u201c<\/span><span style=\"font-weight: 400;\">Because it is excreted through the renal system, people with kidney issues may take longer to clear the drug.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">To further explain, approximately two-thirds of enalapril is excreted through the urine as it leaves the body. This begins in the kidneys, which play a key role in filtration as part of the urinary tract. Those with kidney disease have impaired renal function and will take longer to filter the drug effectively.<\/span><\/p>\n<h2 id=\"side-effects-and-risks-of-enalapril\"><span style=\"font-weight: 400;\">Side effects and risks of enalapril<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There are various reasons someone may want to discontinue taking enalapril, a big one being unwanted side effects. That being said, the side effects of enalapril are typically mild and go away over time. Common side effects of enalapril include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dry cough<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lightheadedness or dizziness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headaches<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diarrhea\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Itching<\/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;\">Blurred vision<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Increase in blood potassium levels<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hypotension (low blood pressure)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">It\u2019s also possible to experience more serious side effects that can be life-threatening. This can include liver problems, chest pain, pancreatitis (an inflamed pancreas), and kidney problems. Some individuals may also experience a serious and sometimes life-threatening reaction called angioedema (swelling of the tissues of the lips, mouth, and tongue). It is important to know that if you experience any swelling of the lips, mouth, or tongue while on enalapril, you should seek emergency medical care. You should not take enalapril if you have had an allergic reaction to it in the past.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\t\t<div class=\"singlecare-dynamic-newsletter-wrapper sin-newsletter-wrapper\">\n\t\t\t<span class=\"heading\">Get our heart health newsletter<\/span>\n\t\t\t<form class=\"form-wrapper\" data-newsletter-form=\"1\" data-subsource=\"Wordpress Newsletter\">\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<label for=\"dynamic-email\">Email<\/label>\n\t\t\t\t\t<input type=\"email\" id=\"dynamic-email\" class=\"email\" required>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<input class=\"submit-form-btn\" type=\"submit\" value=\"Click to sign up\">\n\t\t\t\t<\/div>\n\t\t\t<\/form>\n\t\t\t<p class=\"success-message\" aria-live=\"polite\"><\/p>\n\t\t<\/div>\n\t<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Before starting enalapril, you should give your healthcare provider and pharmacist a complete list of the prescription and over-the-counter medications you currently take, as there are possible drug interactions. Some medications that interact with enalapril include aliskiren, diuretics (like hydrochlorothiazide and furosemide), sacubitril, lithium, and nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin and ibuprofen. It\u2019s also important to inform your healthcare provider about any supplements you\u2019re taking, as certain vitamins, such as potassium supplements and salt substitutes, can interact with enalapril.\u00a0<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/what-foods-to-avoid-while-taking-enalapril\/\"><b>6 foods to avoid when taking enalapril<\/b><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Enalapril can also cause blood sugar to drop more frequently, so those with diabetes may need to monitor their blood glucose levels more often when taking it. Patients with a history of angioedema or allergic reactions to ACE inhibitors in the past are also not good candidates for this drug, as well as those who are pregnant or breastfeeding.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Enalapril is generally safe for long-term use. However, one possible long-term side effect is decreased kidney function. Your healthcare professional can monitor how well your body is tolerating the drug by checking electrolyte and potassium levels with regular blood tests.<\/span><\/p>\n<h2 id=\"how-long-does-it-take-for-side-effects-to-go-away-after-stopping-enalapril\"><span style=\"font-weight: 400;\">How long does it take for side effects to go away after stopping enalapril?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Mild side effects of enalapril may go away as your body adjusts to the new medication. Generally, side effects will lessen as the amount of the drug decreases in your body, so they should start to clear up within a day.\u00a0<\/span><\/p>\n<h2 id=\"enalapril-alternatives\"><span style=\"font-weight: 400;\">Enalapril alternatives<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Enalapril is one of the most popular antihypertensive drugs because the benefits typically outweigh the risks. But that doesn\u2019t mean it\u2019s for everyone. \u201cIf enalapril is not well tolerated due to side effects like coughing or swelling, there are alternative options available,\u201d Dr. Gray explains.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Possible blood pressure-lowering alternatives for enalapril include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>ACE inhibitor drugs,<\/b><span style=\"font-weight: 400;\"> such as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/lisinopril\"><span style=\"font-weight: 400;\">lisinopril<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/ramipril\"><span style=\"font-weight: 400;\">ramipril<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/perindopril-erbumine\"><span style=\"font-weight: 400;\">perindopril<\/span><\/a><span style=\"font-weight: 400;\">, and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/captopril\"><span style=\"font-weight: 400;\">captopril<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Angiotensin receptor blockers (ARBs),<\/b><span style=\"font-weight: 400;\"> like <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/losartan-potassium\"><span style=\"font-weight: 400;\">losartan<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/candesartan-cilexetil\"><span style=\"font-weight: 400;\">candesartan<\/span><\/a><span style=\"font-weight: 400;\">, or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/valsartan\"><span style=\"font-weight: 400;\">valsartan<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Calcium channel blockers,<\/b><span style=\"font-weight: 400;\"> including <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/amlodipine-besylate\"><span style=\"font-weight: 400;\">amlodipine<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/diltiazem-hcl\"><span style=\"font-weight: 400;\">diltiazem<\/span><\/a><span style=\"font-weight: 400;\">, or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/verapamil-hcl\"><span style=\"font-weight: 400;\">verapamil<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Diuretics,<\/b><span style=\"font-weight: 400;\"> such as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/hydrochlorothiazide\"><span style=\"font-weight: 400;\">hydrochlorothiazide<\/span><\/a><span style=\"font-weight: 400;\"> or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/spironolactone\"><span style=\"font-weight: 400;\">spironolactone<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Beta blockers,<\/b><span style=\"font-weight: 400;\"> like <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/atenolol\"><span style=\"font-weight: 400;\">atenolol<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/metoprolol-tartrate\"><span style=\"font-weight: 400;\">metoprolol<\/span><\/a><span style=\"font-weight: 400;\">, or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/propranolol-hcl\"><span style=\"font-weight: 400;\">propranolol<\/span><\/a><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u201cThe best alternative depends on your overall health and specific treatment needs,\u201d Dr. Gray adds.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Abruptly ending the use of most blood-pressure-lowering drugs can cause a rapid rise in blood pressure, though these effects have not been seen with enalapril. Regardless, you should not discontinue your medication before seeking medical advice from your healthcare team.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>One of the most popular angiotensin-converting enzyme inhibitors, more commonly referred to as ACE inhibitors, is enalapril. This generic medication, also sold under the brand name Vasotec, treats hypertension (high blood pressure) and helps to reduce your risk of heart attack, heart disease, and stroke.\u00a0 Enalapril works by inhibiting the angiotensin-converting enzyme (ACE), which in [&hellip;]<\/p>\n","protected":false},"author":135,"featured_media":632639,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[737,20951,12752,8905],"coauthors":[15090],"class_list":["post-632920","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-heart-health","tag-high-blood-pressure","tag-medication-side-effects","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>How long does enalapril stay in your system?<\/title>\n<meta name=\"description\" content=\"The effects of enalapril can last up to 24 hours, but it stays in your system for longer, especially if you have kidney function disorders. 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