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Data updated: May 26, 2026

ENALAPRIL MALEATE AND HYDROCHLOROTHIAZIDE (enalapril maleate)

Cardiovascular Approved 2001-09-18

ENALAPRIL MALEATE AND HYDROCHLOROTHIAZIDE is indicated for the treatment of Hypertension; Angioedema.

Source: FDA Label • IVAX SUB TEVA PHARMS • Thiazide Diuretic

How ENALAPRIL MALEATE AND HYDROCHLOROTHIAZIDE Works

Enalapril, converted to enalaprilat, inhibits angiotensin-converting enzyme (ACE), preventing the conversion of angiotensin I to the vasoconstrictor angiotensin II. This results in decreased vasopressor activity and reduced aldosterone secretion. While ACE inhibition typically increases serum potassium, the concomitant use of the thiazide diuretic hydrochlorothiazide offsets this effect, maintaining potassium balance. The combination provides broad efficacy across various patient populations, including those with low-renin hypertension.

5
Indications
--
Phase 3 Trials
24
Years on Market

Details

Status
Discontinued
First Approved
2001-09-18
Routes
ORAL
Dosage Forms
TABLET

ENALAPRIL MALEATE AND HYDROCHLOROTHIAZIDE Approval History

2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
104 FDA actions from 2001 to 2025
Jul 2025 SUPPL
Label · Labeling
Aug 2024 SUPPL
Label · Labeling
May 2022 SUPPL
Label · Labeling

What ENALAPRIL MALEATE AND HYDROCHLOROTHIAZIDE Treats

2 indications

ENALAPRIL MALEATE AND HYDROCHLOROTHIAZIDE is approved for 2 conditions since its original approval in 2001. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Hypertension
  • Angioedema
Source: FDA Label

ENALAPRIL MALEATE AND HYDROCHLOROTHIAZIDE Boxed Warning

FETAL TOXICITY See full prescribing information for complete boxed warning. When pregnancy is detected, discontinue enalapril maleate and hydrochlorothiazide as soon as possible. Drugs that act directly on the renin-angiotensin system can cause injury and death to the developing fetus. See WARNINGS: Fetal Toxicity...

ENALAPRIL MALEATE AND HYDROCHLOROTHIAZIDE Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

Drugs Similar to ENALAPRIL MALEATE AND HYDROCHLOROTHIAZIDE

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VASERETIC
ENALAPRIL MALEATE
2 shared
BAUSCH
Shared indications:
HypertensionAngioedema
ACEBUTOLOL HYDROCHLORIDE
ACEBUTOLOL HYDROCHLORIDE
1 shared
PHARMOBEDIENT
Shared indications:
ALDACTONE
SPIRONOLACTONE
1 shared
Pfizer
Shared indications:
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Clinical Trial Registry

4 trials
Trial Sponsor ID Phase Status Title
NCT03466333 PICk-UP R04725 Ph 2 completed Postnatal Enalapril to Improve Cardiovascular fUnction Following Preterm Pre-eclampsia
NCT03667131 EEVA Ph 2 completed Enalapril Maleate on Arterial Stiffness in Rheumatoid Arthritis.
NCT01871740 CSPPT-CKD Ausa-CSPPT-CKD Ph 4 withdrawn CSPPT- Chronic Kidney Diseases Study
NCT00794885 CSPPT Ausa-CSPPT Ph 4 completed China Stroke Primary Prevention Trial
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Active Pipeline

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Key Completed Trials

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

ENALAPRIL MALEATE AND HYDROCHLOROTHIAZIDE FDA Label Details

Indications & Usage

FDA Label (PDF)

ENALAPRIL MALEATE AND HYDROCHLOROTHIAZIDE is indicated for the treatment of Hypertension; Angioedema.

⚠️ BOXED WARNING

WARNING: FETAL TOXICITY See full prescribing information for complete boxed warning. When pregnancy is detected, discontinue enalapril maleate and hydrochlorothiazide as soon as possible. Drugs that act directly on the renin-angiotensin system can cause injury and death to the developing fetus. See ...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.