Enalapril 10 mg + Hydrochlorothiazide 25 mg

Category- Allopathy

About Enalapril 10 mg + Hydrochlorothiazide 25 mg

Enalapril 10 mg + Hydrochlorothiazide 25 mg tablet is used for blood pressure and swelling, sometimes off label for kidney stones or resistant hypertension; it works by restricting the accumulation of salt in the kidneys, so more salt and water are flushed out, lowering pressure and fluid. Common side effects of Enalapril 10 mg + Hydrochlorothiazide 25 mg tablet include frequent urination, dizziness, headache, fatigue, nausea, constipation, low potassium, sun sensitivity, gout, and high blood sugar. Alcohol, NSAIDs, and lithium can interfere with its action, while low‑salt diets or potassium supplements may be advised. Extra care is needed in older adults, people with diabetes, gout, or liver/kidney problems. Overdose occurs at 100 mg and can cause severe dehydration, dangerously low blood pressure, electrolyte collapse, and heart rhythm disturbances requiring urgent medical care.

Medicine Highlights

Enalapril 10 mg + Hydrochlorothiazide 25 mg Uses

Enalapril 10 mg + Hydrochlorothiazide 25 mg tablet belonging to the category of antihypertensives. Enalapril 10 mg + Hydrochlorothiazide 25 mg is used to treat high blood pressure and to control swellings related to it.

Enalapril 10 mg + Hydrochlorothiazide 25 mg  side effects 

More Common

1. Urination  
2. Dizziness 
3. Headache 
4. Fatigue 
5. Nausea 
6. Constipation 
7. Hypokalemia 
8. Photosensitivity 
9. Gout 
10. Hyperglycemia 

Less Common 

1. Rash  
2. Itching 
3. Photosensitivity (skin reactions beyond sunburn) 
4. Muscle cramps 
5. Weakness 
6. Impotence 
7. Insomnia 
8. Restlessness 
9. Pancreatitis 
10. Jaundice 

How Enalapril 10 mg + Hydrochlorothiazide 25 mg works 

Enalapril 10 mg + Hydrochlorothiazide 25 mg tablet works by reducing the action of angiotensin, a chemical in the body that causes blood vessels to constrict. By lowering its effect, the blood vessels relax, helping to reduce high blood pressure. Another component, chlorthalidone, helps remove excess salt and water from the body, further aiding in blood pressure control.

Safety Measures and Warning 

Pregnancy

The safety of Enalapril 10 mg + Hydrochlorothiazide 25 mg in pregnancy is not established, and it can cause jaundice, low platelet counts, and diarrhea in patients. Inform your doctor if you are pregnant or planning to conceive.

Breastfeeding

Enalapril 10 mg + Hydrochlorothiazide 25 mg is not usually recommended during breastfeeding because there is no reliable information on whether it passes into breast milk or how it might affect a nursing infant. So, consult a doctor before using it.

Kidney and Liver Problems

Enalapril 10 mg + Hydrochlorothiazide 25 mg should be avoided in severe kidney or liver disease. Weak kidneys may cause dehydration and electrolyte imbalance. Severe liver problems may disturb fluid balance and trigger coma. So, consult a doctor before using it.

Enalapril 10 mg + Hydrochlorothiazide 25 mg  Interaction with Food Product 

Avoid consuming alcohol and smoking simultaneously together, as it may affect the drug’s action and show an effect on the brain, leading to severe drowsiness, sedation, and coma in severe cases.

Enalapril 10 mg + Hydrochlorothiazide 25 mg  Interaction with Other Medicines  

Avoid taking Enalapril 10 mg + Hydrochlorothiazide 25 mg with the following medicines, as it may increase or decrease the desired effect, or in worse cases, it could be fatal:

Enalapril 10 mg + Hydrochlorothiazide 25 mgChemical Structure

IUPAC (International Union of Pure and Applied Chemistry)/ Chemical name

Enalapril—(2S,3aS,6aS)-1-[(2S)-2-[[(2S)-1-ethoxy-1-oxo-4-phenylbutan-2-yl]amino]propanoyl]-3,3a,4,5,6,6a-hexahydro-2H-cyclopenta[b]pyrrole-2-carboxylic acid 

Hydrochlorothiazide- 6-chloro-1,1-dioxo-3,4-dihydro-2H-1λ6,2,4-benzothiadiazine-7-sulfonamide

Intake routine/cycle

Daily dose

Take Enalapril 10 mg + Hydrochlorothiazide 25 mg exactly as your doctor recommends. The dose may change based on your condition and how well you respond. Do not take more than prescribed without consulting your doctor.

Missed Dose

If you forget to take your medicine, take the medication as soon as you remember. If it’s nearly time for your next dose, skip the missed one and continue with your regular schedule. Always consult the doctor before making any changes to your dosage.

Overdose

It is not recommended to take more than 200 mg of Enalapril+ Hydrochlorothiazide per day, as it may cause severe overdosing effects like extreme drowsiness, confusion, unconsciousness, sweating, double vision, low blood pressure, and slurred speech. Immediately seek medical attention and meet the doctor if necessary. 

Storage

1. Store the medicine at room temperature. 
2. Keep away from sunlight and moisture. 
3. Keep out of reach of children 

Directions for use 

1. Take Enalapril 10 mg + Hydrochlorothiazide 25 mg exactly as prescribed by your doctor, at the same time each day. 
2. Do not stop taking Enalapril 10 mg + Hydrochlorothiazide 25 mg without your doctor’s approval, even if you feel better. 
3. If you forget to take Enalapril 10 mg + Hydrochlorothiazide 25 mg, take them as soon as you remember. If it’s almost time for your next dose, skip the missed dose.

FAQ’s

What are the uses of Enalapril 10 mg + Hydrochlorothiazide 25 mg tablets?

Enalapril 10 mg + Hydrochlorothiazide 25 mg tablets are mainly used to treat high blood pressure and reduce fluid buildup (edema) caused by heart failure, kidney disease, or liver problems. They may also be used off‑label for conditions like kidney stones or resistant hypertension under medical supervision.

What are the side effects of Enalapril 10 mg + Hydrochlorothiazide 25 mg tablets?

Enalapril 10 mg + Hydrochlorothiazide 25 mg tablets can cause frequent urination, dizziness, headache, fatigue, nausea, constipation, low potassium, sun sensitivity, gout, and raised blood sugar. Less common effects include rash, muscle cramps, weakness, impotence, insomnia, and liver or pancreas problems, all of which need medical attention if severe.

What is the Enalapril 10 mg + Hydrochlorothiazide 25 mg drug class?

Enalapril 10 mg + Hydrochlorothiazide 25 mg belongs to the drug class of angiotensin receptor blockers and thiazide diuretics and can show vascular effects.

What is Enalapril 10 mg + Hydrochlorothiazide 25 mg highest dose?

The maximum recommended dose of Enalapril 10 mg + Hydrochlorothiazide 25 mg is 100 mg once daily, though most patients respond well at lower doses. Higher doses increase the risk of side effects like dehydration and electrolyte imbalance without adding much extra benefit.

Reference  

1. Drugs.com. Hydrochlorothiazide: Uses, Dosage, Side Effects [Internet]. Drugs.com; 2024 Mar 21 [cited 2026 Apr 24]. Available from. 
2. PubChem [Internet]. Bethesda (MD): National Library of Medicine (US), National Center for Biotechnology Information; 2004-. PubChem Compound Summary for CID 3639, Hydrochlorothiazide; [cited 2026 Apr. 24]. Available from. 
3. Drugs.com. Enalapril: Uses, Dosage, Side Effects [Internet]. Drugs.com; 2024 Dec 12 [cited 2026 Apr 24]. Available from. 
4. PubChem [Internet]. Bethesda (MD): National Library of Medicine (US), National Center for Biotechnology Information; 2004-. PubChem Compound Summary for CID 5388962, Enalapril; [cited 2026 Apr. 24]. Available from. 

Siva Krishna Adithya Bhumireddy

Siva Krishna Adithya Bhumireddy completed a Bachelor of Pharmacy from GIET School of Pharmacy, affiliated with Andhra University, and from his 3rd year of graduation, he was working as a freelance medical and publication writer. Having expertise in systematic reviews and clinical research. With his keen interest and skills in research and documentation practices, he also reviewed more than 150 manuscripts from international journals like Elsevier, Springer Nature, and Sage Journals, and all the manuscripts were indexed and appeared in PubMed, Scopus, and Web of Science databases, and he received honorary recognition letters and certificates from all of them. Siva Krishna Adithya also published a few systematic, narrative reviews and a few chapters of international expertise.