Reported Reactions

Drugs › Angiotensin converting enzyme inhibitor

Generic name

Enalapril maleate: adverse event reports filed with FDA

4,087 reports list it as a suspect or interacting product, 2004–2026. Class: Angiotensin converting enzyme inhibitor. Also reported as Enalapril Maleate Tablets 10mg, Enalapril Maleate Tablets Usp, Enalapril Maleate Tablet.

4,087
reports as suspect product
0% of all reports · about 182 a year
77
reports, 12 months to June 2026
66 in the 12 months before
93.6%
marked serious by the reporter
83.4% across the class
10.1%
record death among outcomes, as reported
412 reports · not verified by FDA

Between January 2004 and June 2026, 4,087 adverse event reports received by FDA list enalapril maleate, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (14,951) are left out of every figure here.

In the 12 months to June 2026, 77 reports listed it, up 17% from 66 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 182 reports a year and 0% of the 20,646,523 reports in the database, and 4% of the reports for the angiotensin converting enzyme inhibitor class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded drug interaction (9.9%), hyperkalaemia (9.5%) and renal failure acute (7.8%). A report can list several reactions, so shares add to more than 100%; 962 different terms appear across these reports. Drug interaction is recorded in 9.9% of these reports, a larger share than in the median angiotensin converting enzyme inhibitor drug (5.1%).

93.6% of the reports are marked serious by the reporter (83.4% across the class); 10.1% record death among the outcomes and 56.1% record hospitalisation, as reported. 33.8% of the reports came from physicians, and the largest patient age group is 75 and over (27%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

01530Jul 2021: 11Aug 2021: 3Sep 2021: 16Oct 2021: 30Nov 2021: 15Dec 2021: 102022Jan 2022: 7Feb 2022: 8Mar 2022: 24Apr 2022: 11May 2022: 7Jun 2022: 8Jul 2022: 14Aug 2022: 16Sep 2022: 6Oct 2022: 17Nov 2022: 9Dec 2022: 142023Jan 2023: 17Feb 2023: 8Mar 2023: 13Apr 2023: 10May 2023: 15Jun 2023: 7Jul 2023: 11Aug 2023: 8Sep 2023: 14Oct 2023: 12Nov 2023: 8Dec 2023: 102024Jan 2024: 6Feb 2024: 16Mar 2024: 15Apr 2024: 11May 2024: 2Jun 2024: 1Jul 2024: 10Aug 2024: 6Sep 2024: 4Oct 2024: 6Nov 2024: 5Dec 2024: 82025Jan 2025: 4Feb 2025: 3Mar 2025: 7Apr 2025: 10May 2025: 2Jun 2025: 1Jul 2025: 4Aug 2025: 4Sep 2025: 7Oct 2025: 8Nov 2025: 1Dec 2025: 62026Jan 2026: 15Feb 2026: 8Mar 2026: 4Apr 2026: 2May 2026: 15Jun 2026: 3

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

02064122004: 18820042005: 1872006: 1792007: 24920072008: 2962009: 2492010: 41220102011: 4042012: 3772013: 11920132014: 1062015: 532016: 7520162017: 962018: 1842019: 18120192020: 1252021: 1392022: 14120222023: 1332024: 902025: 5720252026: 47

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Enalapril maleate reports recording the termmedian drug in angiotensin converting enzyme inhibitor

  1. Drug interactionan interaction between medicines9.9%404
  2. Hyperkalaemiahigh blood potassium9.5%387
  3. Hypotensionlow blood pressure6.3%259
  4. Dyspnoeashortness of breath5.7%231
  5. Angioedemadeep swelling of skin or mucous membranes5.6%230
  6. Acute kidney injurysudden loss of kidney function5.4%222
  7. Diarrhoealoose or frequent stools5.1%207
  8. Hypertensionhigh blood pressure4.3%175
  9. Nauseafeeling sick4.3%175
  10. Drug ineffectivethe medicine did not work as expected4.2%173
  11. Coughcough4.2%172
  12. Malaisegeneral feeling of being unwell3.6%149
  13. Dehydrationdehydration3.6%148
  14. Renal failurekidney failure3.6%148
  15. Cardiac failureheart failure3.5%142
  16. Dizzinesslight-headedness or unsteadiness3.5%142
  17. Hyponatraemialow blood sodium3.4%140
  18. Blood creatinine increasedraised creatinine, a kidney test3.4%138
  19. Vomitingbeing sick3.2%130
  20. Headachehead pain3.1%125
  21. Blood pressure increaseda raised blood pressure reading2.9%120
  22. Astheniaweakness or lack of energy2.7%111
  23. Falla fall2.7%111
  24. Rashskin rash2.7%109
  25. Drug hypersensitivityan allergic-type reaction to a medicine2.6%107
  26. Bradycardiaslow heart rate2.5%103
  27. Condition aggravatedthe condition being treated got worse2.5%103
  28. Syncopefainting2.4%97
  29. Lactic acidosisa build-up of lactic acid in the blood2.3%92

Top 30 of 962 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 13 drugs in the angiotensin converting enzyme inhibitor class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death10.1%412
Life-threatening12.1%494
Hospitalisation (initial or prolonged)56.1%2,292
Disability2.4%100
Congenital anomaly1%39
Other serious40.6%1,661
Not serious6.4%261

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 102,327 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 21%39
2 to 111.5%61
12 to 171.6%67
18 to 444.9%202
45 to 6421.6%884
65 to 7419.8%811
75 and over27%1,105
Age not given22.5%918

Patient sex

Female47.3%1,935
Male44.8%1,833
Not given7.8%319

Who reported

Physician33.8%1,380
Pharmacist11.1%452
Other health professional30.2%1,236
Lawyer0.1%3
Consumer or non-health professional13.5%553
Not given11.3%463

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 20.2% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hypertension1,63940.1%
Cardiac failure1453.5%
Essential hypertension1162.8%
Cardiac failure chronic411%
Cardiac failure congestive411%
Proteinuria220.5%

The indication field is filled in by the reporter and is often blank; shares are of all 4,087 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Enalapril maleate reports
Furosemide58814.4%
Aspirin49112%
Simvastatin3087.5%
Hydrochlorothiazide2857%
Spironolactone2636.4%
Omeprazole2526.2%
Amlodipine2446%
Atenolol2215.4%
Carvedilol2145.2%
Allopurinol1764.3%

Other products listed in reports where Enalapril maleate is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureEnalapril maleateAngiotensin converting enzyme inhibitorAll reports
Reports as suspect product4,087102,32720,646,523
Share of that pool—4%0%
Reports, latest 12 months77—1,332,454
Marked serious93.6%83.4%57.4%
Death recorded among outcomes, per 1,000 reports10111891
Hospitalisation recorded, per 1,000 reports561476213
Consumer-filed share13.5%22.6%45.8%
Top term, share of reportsDrug interaction 9.9%median 5.1%0.8%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the angiotensin converting enzyme inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Lisinoprilgeneric44,4371,59471.3%
Ramiprilgeneric37,2022,25095.6%
Enalaprilgeneric6,75429495.5%
Zestrilbrand1,92018171.9%
Captoprilgeneric1,6724792.7%
Quinaprilgeneric1,2311259.7%
Perindopril erbuminegeneric1,1663698.6%
Lotrelbrand1,0461379.2%
Quinapril hydrochloridegeneric9411989.3%
Benazepril hydrochloridegeneric7915767.6%
Vasotecbrand558270.6%
Lotensinbrand5226474.5%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Enalapril maleate reports

How many adverse event reports has FDA received for Enalapril maleate?

4,087 reports list Enalapril maleate as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 77 of them arrived in the latest 12 months. Another 14,951 list it only as a concomitant medication.

What reactions are recorded in Enalapril maleate reports?

drug interaction (9.9%), hyperkalaemia (9.5%), renal failure acute (7.8%), hypotension (6.3%) and dyspnoea (5.7%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Enalapril maleate was responsible.

How serious are the reports?

93.6% are marked serious by the reporter. Among the outcomes recorded, 10.1% of reports include death and 56.1% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

physician (33.8%), other health professional (30.2%) and consumer or non-health professional (13.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Enalapril maleate rising?

77 reports in the 12 months to June 2026, up 17% from 66 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Enalapril maleate was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Enalapril maleate?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Enalapril maleate as a suspect or interacting product; reports listing it only as a concomitant medication (14,951) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.