Enalapril can manage hypertension due to renal artery stenosis, but ACE inhibitors like Enalapril may exacerbate kidney function decline in bilateral stenosis or a solitary kidney. Alternative treatments or careful monitoring is often recommended.

While Enalapril is generally effective for hypertension, its use in renal artery stenosis can lead to worsened renal function. Alternative approaches such as angioplasty or the use of Angiotensin II receptor blockers might be preferable.