Diclofenac and Enalapril: Drug Interaction Guide
Quick answer: This combination requires caution. Diclofenac and Enalapril can be used together with adjustments and monitoring.
How Diclofenac interacts with Enalapril
Diclofenac inhibits renal prostaglandin synthesis while enalapril dilates the efferent arteriole, reducing glomerular filtration and potentially attenuating antihypertensive efficacy.
What you should do
Use the lowest NSAID dose for the shortest duration. Monitor blood pressure, serum creatinine, and potassium, particularly in older or volume-depleted patients.
Key facts
Severity
Moderate — caution required
Mechanism
Diclofenac inhibits renal prostaglandin synthesis while enalapril dilates the efferent arteriole, reducing glomerular fi...
Action
Use the lowest NSAID dose for the shortest duration. Monitor blood pressure, serum creatinine, and potassium, particular...
Frequently asked questions
Can I take Diclofenac and Enalapril together?
With caution. Use the lowest NSAID dose for the shortest duration. Monitor blood pressure, serum creatinine, and potassium, particularly in older or volume-depleted patients.
What is the severity of this interaction?
The interaction between Diclofenac and Enalapril is classified as Moderate — caution required. Diclofenac inhibits renal prostaglandin synthesis while enalapril dilates the efferent arteriole, reducing glomerular filtration and potentially attenuating antihypertensive efficacy.
What should I do if I'm prescribed both?
Use the lowest NSAID dose for the shortest duration. Monitor blood pressure, serum creatinine, and potassium, particularly in older or volume-depleted patients. Always consult your prescribing clinician — do not stop or change medications without medical guidance.
Last reviewed: by iMedic Medical Editorial Team. Our editorial process.