Once a diagnosis of essential hypertension is made, blood pressure
should be optimally managed. As the women wishes to
conceive you may consider switching her to an alternative agent
(see later section on management of hypertension) as enalopril,
an Angiotensin Converting Enzyme (ACE) inhibitor is contraindicated
in pregnancy due to teratogenesis (increased risk of
cardiovascular and neurological malformations if used in the first
trimester).