One possibility is nervous itching which is not uncommon, especially as the scrotum is an erogenous zone where the nerves are very sensitive. The scrotum can itch with or without any skin lesions, as can the scalp, back, legs, arms and buttocks.
The most common side effects of enalapril include increased serum creatinine (20%), dizziness (2â8%), low blood pressure (1â7%), syncope (2%), and dry cough (1â2%). The most serious common adverse event is angioedema (swelling) (0.68%) which often affects the face and lips, endangering the patientâs airway.
Following absorption, enalapril is hydrolyzed to enalaprilat, which is a more potent angiotensin converting enzyme inhibitor than enalapril; enalaprilat is poorly absorbed when administered orally. Peak serum concentrations of enalaprilat occur three to four hours after an oral dose of enalapril maleate.