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Captopril

An ACE inhibitor tablet for high blood pressure, heart failure and diabetic kidney disease.

Clinical information

Common uses

  • high blood pressure
  • heart failure
  • after heart attack with weakened heart
  • diabetic kidney disease (type 1 diabetes)

Common side effects

  • rash, often itchy
  • loss or change of taste
  • cough
  • dizziness from low blood pressure
  • protein in the urine

Cautions

  • stop as soon as pregnancy is detected — can harm the baby
  • swelling of face, lips or throat (angioedema) can be fatal
  • can lower white blood cells — report any infection or sore throat
  • very low blood pressure possible if dehydrated or on diuretics

Interactions

  • aliskiren — must not be combined in diabetes
  • sacubitril/valsartan — must not be combined (36-hour gap)
  • mTOR inhibitors (e.g. sirolimus) — higher angioedema risk
  • diuretics — risk of excessive blood pressure fall
  • allopurinol — linked with low white cells in kidney failure

Pregnancy: must not be used — discontinue as soon as pregnancy detected

Reference information, not medical advice — always follow your doctor or pharmacist. Source: DailyMed, dailymed.nlm.nih.gov, captopril tablet label, setid 563737c5-4d63-4957-8022-e3bc3112dfac (accessed 2026-08-16)

Approved brands & formulations4

Brand nameDosage formStrengthImporterCategory
CapotenTablet25 mgauthorized medicine importersPOM
CaptoprilTablet51 mgPOM
CaptoprilTablet25 mgPOM
CaptoprilTablet12.5 mgPOM
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