Shipping with this method takes 3-5 days
Vasotec® Tablets for Hypertension
Stock up and Save - Get 20% off when you buy 3 or more of any one product. Use code SAVE20 at checkout.
Coupon code cannot be combined with other offers. Sale applies to all products originating from Canada. Maximum allowable quantity equal to a 90 day supply per single order.
Price range: $67.99 through $92.99
Secure Encrypted Payments
Enalapril is an ACE inhibitor used for high blood pressure and certain heart conditions. Many people use enalapril 20 mg as part of a long-term plan set by a prescriber. This page explains how it works, dosing basics, and how to arrange US delivery from Canada, including ways to save without insurance.
YouDrugstore is a licensed Canadian pharmacy in Manitoba. Pharmacists review prescriptions before dispensing.
What Vasotec Is and How It Works
Vasotec® is the original brand name for enalapril, an angiotensin-converting enzyme (ACE) inhibitor. It reduces the formation of angiotensin II, which helps relax blood vessels and lowers aldosterone effects. The treatment may reduce blood pressure, decrease afterload in heart failure, and support heart function over time. See our Hypertension page for related therapies.
Who It’s For
This medicine is prescribed for adults with hypertension. Some patients with symptomatic heart failure or asymptomatic left ventricular dysfunction may also receive it as part of a broader plan. In certain cases, clinicians may consider Vasotec 20 mg for ongoing control when appropriate. It is not suitable during pregnancy and should not be used if you have a history of angioedema with ACE inhibitors.
People with severe kidney problems, bilateral renal artery stenosis, or high potassium need careful monitoring. Those taking aliskiren who have diabetes should avoid this combination. Learn more about related care on our Heart Failure page.
Dosage and Usage
Follow your prescriber’s instructions and the official label. For hypertension, dosing often starts low and is adjusted based on response and tolerability. With diuretics, a lower initial dose may be considered to reduce the chance of low blood pressure. Take it with or without food, preferably at the same time each day. Swallow enalapril 20 mg tablets whole with water unless told otherwise on the label.
For heart failure, lower starting doses are common, with careful up-titration as tolerated. Kidney function and potassium are usually checked periodically. Do not change how you take this medicine unless your prescriber tells you to do so.
Strengths and Forms
Common presentations include oral tablets in 2.5 mg, 5 mg, 10 mg, and 20 mg strengths. Combination products such as enalapril with hydrochlorothiazide may be available in several tablet strengths, like 10/25 mg and 20/12.5 mg. Availability varies by country and manufacturer. When a stable regimen is set, some patients take 20 mg enalapril daily or in divided doses as directed by their prescriber.
Missed Dose and Timing
If you miss a dose, take it when you remember unless it is nearly time for the next dose. If it is close to your next dose, skip the missed one and resume your regular schedule. Do not double up. Try to take doses at the same time each day to support adherence. If frequent misses occur, speak with a healthcare professional about reminder tools that fit your routine.
Storage and Travel Basics
Store tablets in a dry place, in their original container, and away from excess heat and moisture. Keep out of reach of children and pets. When traveling, carry your medicines in your hand luggage with a copy of your prescription. A pill organizer can help, but keep at least one labeled container. If time zones change, aim for consistent spacing between doses. For documentation and tips, review your prescriber’s guidance.
Labeling generally supports room-temperature storage for an enalapril 20 mg oral tablet. Avoid storing it in bathrooms or glove boxes where heat and humidity may fluctuate.
Benefits
ACE inhibitors can help lower blood pressure and reduce strain on the heart. They may be used alone or combined with other classes when more than one medicine is needed. Once- or twice-daily schedules can simplify routines for many adults. Generic versions can support affordability while maintaining labeled quality standards.
Side Effects and Safety
- Common: dizziness, headache, cough, fatigue, nausea
- Less common: low blood pressure, chest discomfort, rash
- Lab-related: increased potassium, changes in kidney function
Serious but uncommon risks include angioedema, severe allergic reactions, significant kidney issues, or liver-related problems. Seek urgent care if you notice swelling of the face, lips, tongue, or throat, trouble breathing, or fainting. The risk of low blood sugar may increase when used with certain diabetes treatments like insulin or sulfonylureas. Always read the official patient information that comes with your medicine.
Drug Interactions and Cautions
Tell your prescriber about all medicines you take. Potassium-sparing diuretics, potassium supplements, and salt substitutes can increase potassium. NSAIDs may reduce the blood pressure effect and impact kidneys. Lithium levels can rise with ACE inhibitors; monitoring may be required. Do not use aliskiren with enalapril if you have diabetes. Avoid starting sacubitril/valsartan within 36 hours of your last ACE inhibitor dose due to angioedema risk. Alcohol can amplify dizziness or low blood pressure in some people.
What to Expect Over Time
Blood pressure often improves gradually with steady use. You may not feel different day to day, so routine checks matter. Cough can occur and may persist; speak with a clinician if it affects your quality of life. In heart failure, the therapy may support symptoms and exercise tolerance when combined appropriately. Your prescriber will review kidney function, electrolytes, and blood pressure to optimize therapy over time.
Compare With Alternatives
Some patients respond well to this ACE inhibitor, while others may be switched to another agent if targets are not reached or side effects occur. Those comparing enalapril 20 mg generic with other options can discuss class peers with their prescriber. Options we offer include Benazepril and Fosinopril. If a diuretic is also needed, your prescriber may add a separate medicine or consider a fixed-dose combination when appropriate.
Pricing and Access
See current enalapril 20 mg price and check available pack sizes on this page. You can review Canadian pricing details and arrange US delivery from Canada after your prescription is received. For savings ideas, visit our Promotions page. We use encrypted checkout to protect your information. For broader context, you can read our article Treat Hypertension or explore Cardiovascular options for related therapies.
Availability and Substitutions
Supply can vary by strength, manufacturer, and country. If a specific strength or brand is unavailable, a prescriber may recommend an equivalent alternative. Pharmacies dispense the product that matches your prescription and local regulations. If your therapy includes a thiazide diuretic, your prescriber may consider a separate tablet or a fixed-dose combination when suitable.
Patient Suitability and Cost-Saving Tips
Not everyone is a candidate. Do not use this therapy during pregnancy; ACE inhibitors can cause harm to an unborn baby. Breastfeeding considerations vary by region and patient factors; discuss with a clinician. People with prior angioedema, severe kidney disease, or high potassium require special caution. Those taking multiple blood pressure medicines should watch for dizziness or lightheadedness, especially at the start.
To manage costs, ask your prescriber about multi-month fills that match your plan. Align refills with routine checkups so monitoring labs are current. Setting reminders can help avoid gaps that lead to extra visits. Review our educational articles, like Bystolic Works and Caduet Medication, for condition insights. Category pages such as Hypertension can also help you compare classes.
Questions to Ask Your Clinician
- Starting plan: What dose and schedule will I begin with?
- Targets: What blood pressure goals should we aim for?
- Monitoring: How often should kidney function and potassium be checked?
- Combinations: Should I add a diuretic, calcium channel blocker, or other class?
- Side effects: What symptoms mean I should call or seek urgent care?
- Lifestyle: Which changes could enhance the medicine’s effect?
- Travel: How should I manage dosing across time zones?
Authoritative Sources
DailyMed: Enalapril Maleate Tablets
Health Canada Product Monograph: Enalapril
Ready when your prescription is? Start your order for US delivery from Canada, and choose prompt, express shipping with temperature-controlled handling when required. This information is not a substitute for professional medical advice; always follow your clinician’s guidance and the official label.
Express Shipping - from $25.00
Prices:
- Dry-Packed Products $25.00
- Cold-Packed Products $35.00
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
Standard Shipping - $15.00
Shipping with this method takes 5-10 days
Prices:
- Dry-Packed Products $15.00
- Not available for Cold-Packed products
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
What conditions does enalapril treat?
Enalapril is an ACE inhibitor used to manage high blood pressure in adults and some pediatric patients under specialist care. It is also prescribed to support people with symptomatic heart failure and those with asymptomatic left ventricular dysfunction. By reducing the effects of angiotensin II, it helps blood vessels relax. Your care team may combine it with other classes if one medicine is not enough to reach blood pressure goals.
How soon might I notice an effect?
Some people observe lower readings after their prescriber starts or adjusts therapy, while others notice gradual changes. It may work steadily in the background without obvious day-to-day differences. Consistent use and regular checks are important. If you feel dizzy or lightheaded, especially after dose changes or when adding a diuretic, speak with a healthcare professional. Never adjust your dose without medical guidance.
Can I take enalapril with diuretics or potassium?
Many patients take this medicine with a diuretic, but the combination can increase the chance of low blood pressure at the start. Your clinician may set a lower initial dose and monitor closely. Avoid potassium supplements, salt substitutes with potassium, and potassium-sparing diuretics unless your prescriber has reviewed your labs and advised it. High potassium can be dangerous. Report muscle weakness or irregular heartbeat right away.
What if I develop a cough?
A dry, persistent cough can occur with ACE inhibitors. It is usually harmless but may be bothersome. Do not stop your medicine on your own. Discuss symptoms with your prescriber. They may confirm that the cough is drug-related and consider alternatives if it affects sleep or daily activities. If you also notice swelling of the face, lips, tongue, or throat, seek urgent care because that can signal angioedema, which needs immediate attention.
Is enalapril safe during pregnancy or breastfeeding?
Enalapril and other ACE inhibitors should not be used during pregnancy because they can harm an unborn baby. If you become pregnant, contact your clinician promptly. Breastfeeding considerations depend on local guidance, the age of the infant, and maternal health. Your prescriber will weigh benefits and risks and may recommend an alternative. Do not start or stop any medicine during pregnancy or breastfeeding without professional advice.
What should I do if I miss a dose?
If you miss a dose, take it when you remember unless it is nearly time for the next dose. Skip the missed dose in that case and take the next dose at the regular time. Do not double up. Keeping a routine, using reminders, and aligning doses with daily habits can help prevent missed doses. If missed doses are frequent, ask your healthcare professional about strategies to improve adherence.
What monitoring is recommended with enalapril?
Your prescriber may check blood pressure readings, kidney function, and potassium at regular intervals, especially after starting or changing doses. Monitoring helps ensure the treatment remains effective and safe. Let your care team know about new medicines, over-the-counter products, or herbal supplements. Report symptoms such as dizziness, swelling, or decreased urination. These steps help your clinician adjust therapy and address concerns early.
