Summary
More frequently reported side effects include: cough and skin rash. Continue reading for a comprehensive list of adverse effects.
Applies to captopril: oral tablets.
Warning
- May cause fetal and neonatal morbidity and mortality if used during pregnancy.401 402 (See Fetal/Neonatal Morbidity and Mortality under Cautions.)
- If pregnancy is detected, discontinue captopril as soon as possible.115 402
Side effects include:
Rash, pruritus, cough, dysgeusia, proteinuria, tachycardia, chest pain, palpitations.
For Healthcare Professionals
Applies to captopril: compounding powder, oral tablet.
General
The most common side effect is rash.[Ref]
Dermatologic
Very common (10% or more): Rash (up to 13.1%)
Common (1% to 10%): Pruritus, alopecia
Uncommon (0.1% to 1%): Angioedema
Very rare (less than 0.01%): Urticaria, Stevens-Johnson syndrome, erythema multiforme, photosensitivity, erythroderma, pemphigoid reactions, exfoliative dermatitis[Ref]
Gastrointestinal
Common (1% to 10%): Nausea, vomiting, abdominal pain, dry mouth, diarrhea, constipation, gastric irritation
Rare (0.01% to 0.1%): Stomatitis/aphthous ulceration, mouth ulcers, intestinal angioedema
Very rare (less than 0.01%): Glossitis, peptic ulcer, pancreatitis[Ref]
Nervous system
Common (1% to 10%): Dizziness, taste impairment, loss of taste
Rare (0.01% to 0.1%): Paresthesia, headache, drowsiness
Very rare (less than 0.01%): Cerebrovascular incidents
Frequency not reported: Syncope, ataxia, somnolence[Ref]
Respiratory
Common (1% to 10%): Cough, dyspnea
Rare (0.01% to 0.1%): Bronchospasm
Very rare (less than 0.01%): Rhinitis, allergic alveolitis/eosinophilic pneumonia[Ref]
Cardiovascular
Common (1% to 10%): Hypotension
Uncommon (0.1% to 1%): Tachycardia or tachyarrhythmia, angina pectoris, palpitations, Raynaud's syndrome, flushing, pallor, myocardial infarction, congestive heart failure
Very rare (less than 0.01%): Cardiac arrest, cardiogenic shock
Frequency not reported: Rhythm disturbances, orthostatic hypotension[Ref]
Genitourinary
Common (1% to 10%): Proteinuria
Uncommon (0.1% to 1%): Polyuria, oliguria, urinary frequency
Rare (less than 0.1%): Impotence[Ref]
Psychiatric
Common (1% to 10%): Sleep disorder
Rare (0.01% to 0.1%): Loss of libido
Very rare (less than 0.01%): Confusion, depression
Frequency not reported: Nervousness[Ref]
Other
Uncommon (0.1% to 1%): Chest pain, fatigue, malaise
Very rare (less than 0.01%): Gynecomastia, fever
Frequency not reported: Asthenia, alkaline phosphatase elevated[Ref]
Renal
Uncommon (0.1% to 1%): Renal insufficiency, acute renal failure, nephrotic syndrome
Very rare (less than 0.01%): BUN elevated, serum creatinine elevated
Frequency not reported: Glomerulopathy[Ref]
Metabolic
Rare (0.01% to 0.1%): Anorexia, weight loss, loss of appetite
Very rare (less than 0.01%): Hyperkalemia, hypoglycemia, serum potassium increased, serum sodium decreased
Frequency not reported: Hyponatremia[Ref]
Ocular
Rare (0.01% to 0.1%): Disturbed vision, dry eye, itchy eye
Very rare (less than 0.01%): Blurred vision[Ref]
Hematologic
Very rare (less than 0.01%): Neutropenia/agranulocytosis, pancytopenia, anemia, thrombocytopenia, lymphadenopathy, eosinophilia, hemoglobin decreased, hematocrit decreased, leukocytes decreased, thrombocytes decreased, erythrocyte sedimentation rate elevated[Ref]
Hepatic
Very rare (less than 0.01%): Liver enzymes elevated, bilirubin elevated, impaired hepatic function, cholestasis, hepatitis
Frequency not reported: Jaundice[Ref]
Immunologic
Very rare (less than 0.01%): Autoimmune disease, positive antinuclear antibody titer
Frequency not reported: Serum sickness-like syndrome, anaphylactoid reactions[Ref]
Musculoskeletal
Very rare (less than 0.01%): Myalgia, arthralgia
Frequency not reported: Myasthenia[Ref]
