Enalapril is a highly specific, competitive inhibitor of Angiotensin-I Converting Enzyme (ACE), belonging to the category of ACE inhibitors. The beneficial effects of ACE inhibitors appear to result primarily from the suppression of the plasma renin-angiotensin-aldosterone system.
It is used for treatment of hypertension, treatment of symptomatic heart failure and prevention of symptomatic heart failure in patients with asymptomatic left ventricular dysfunction (ejection fraction ≤35%).
In the treatment of hypertension, the initial dose is 5 to maximally 20 mg once daily, depending on the degree of hypertension and the condition of the patient.
Enalapril is available in the EU under the following trade names: Converten, Crinoren, Enaloc, Enapren, Innovace, Mepril, Naprilene, Pres, Presitan, Racen, Renitec, Xanef and Vitobel