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enalapril

enalapril
Brand names: Vasotec, Vasotec I.V.
Form Strength
SOLUTION, INTRAVENOUS 1.25 mg/mL
TABLET, ORAL 5 mg
Display Angiotensin-Converting Enzyme Inhibitors Class: 243204
Medication comments:
Per policy, these medications require cardiac and/or special monitoring.
(KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
generic (Brand) / Notes CCU, OR, PACU, CCL, ED PCU 2N (Tele) 1N (Tele), 3N (Tele) Med/Surg (1N w/o Tele, 3N w/o Tele, 4N, 5N) BirthPlace SNF ICS OPS
enalapril (Vasotec)
IV Push		 Y Y Y Y Y Y Y Y Y
2023 American Geriatrics Society Beers Criteria® for potentially inappropriate medication use in older adults.
Medication: enalapril (Vasotec)
Criteria 4: Potentially clinically important drug-drug interactions that should be avoided in older adults. (Table 5)
Interacting drug(s) or class(es) RAS inhibitors (ACEIs ARBs, ARNIs, aliskiren) ⇄ Another RAS inhibitor or a potassium-sparing diuretic
Risk Rationale Increased risk of hyperkalemia.
Recommendation Avoid routinely using 2 or more RAS inhibitors, or a RAS inhibitor and potassium-sparing diuretic, concurrently in those with chronic kidney disease Stage 3a or higher.
 Quality of evidence: Moderate, Strength of Recommendation: Strong
Last updated: Sep. 19, 2025
UpToDate Lexidrug

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