Enalapril is generally well tolerated and in most cases does not cause side effects requiring the drug to be withdrawn.
Co cardiovascular system: excessive reduction in blood pressure, orthostatic collapse, rarely - chest pain, angina, myocardial infarction or stroke (usually associated with a marked decrease in blood pressure), extremely rare arrhythmias (atrial brady or tachycardia, atrial fibrillation), palpitations, thromboembolism of branches pulmonary artery, Raynaud's syndrome.
From the side of the central nervous system: dizziness, headache weakness insomnia, anxiety, confusion, increased fatigue, drowsiness (2-3%), very rarely with high doses - nervousness, depression, paresthesia.
From the sense organs: violations of the vestibular apparatus, hearing and vision impairment, tinnitus.
On the part of the digestive system: dry mouth, anorexia, dyspeptic disorders (nausea, diarrhea or constipation, vomiting, abdominal pain), intestinal obstruction, pancreatitis, liver and bile secretion, hepatitis (hepatocellular or cholestatic), jaundice.
On the part of the respiratory system: unproductive dry cough, sore throat, hoarseness, pulmonary infiltrates, interstitial pneumonitis, bronchospasm, dyspnea, rhinorrhea, pharyngitis.
Allergic reactions: skin rash, itching, urticaria, angioedema, extremely rare dysphonia, polymorphic erythema, exfoliative dermatitis, Stevens-Johnson syndrome, toxic epidermal necrolysis, pemphigus, photosensitivity, serositis, vasculitis, myositis, arthralgia, arthritis, stomatitis, glossitis, intestinal angioedema (rarely).
On the part of laboratory indicators: hypercreatininaemia, increased urea levels, increased activity of "liver" enzymes, hyperbilirubinemia, hyperkalemia, hyponatremia, hypoglycemia in patients suffering from diabetes mellitus, receiving hypoglycemic agents for ingestion or insulin. In some cases, a decrease in the concentration of hemoglobin and hematocrit, increased ESR, thrombocytopenia, neutropenia, agranulocytosis (in patients with autoimmune diseases), eosinophilia are noted.
On the part of the urinary system: a violation of kidney function, rarely proteinuria.
Other: alopecia, decreased libido, impotence, hot flashes.