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Atacand vs. Zestril

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Candesartan (Atacand) and lisinopril (Zestril) are both medications used to treat high blood pressure and heart failure, but they belong to different classes. Candesartan is an angiotensin II receptor blocker (ARB), while lisinopril is an angiotensin-converting enzyme (ACE) inhibitor. Candesartan works by blocking the effects of angiotensin II, a hormone that raises blood pressure, whereas lisinopril blocks a protein that tightens blood vessels. One key difference is that lisinopril is more likely to cause a dry cough, a common side effect of ACE inhibitors. Both medications are taken orally, but lisinopril is available as both a tablet and a liquid, making it a good option for people who have trouble swallowing pills. Additionally, both medications should be avoided during pregnancy due to potential harm to the unborn baby and are available in lower-cost generic forms.

Candesartan

(Atacand)

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Lisinopril

(Zestril)

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Summary for Atacand

Prescription only

Candesartan (Atacand) is an angiotensin II receptor blocker (ARB). It's one of the first-choice medication for treating high blood pressure in adults and children. It can also help lower the risk of worsening heart failure in adults. Candesartan (Atacand) comes as a tablet that's taken by mouth, typically once or twice daily. Most people don't experience many side effects while taking this medication, but some can include upper respiratory tract infections, headache, and back pain.

Indications for Atacand

Pros and Cons for Atacand

Pros

Cons

Common Side Effects for Atacand

  • Upper respiratory tract infection (i.e., common cold; 6%)
  • Dizziness (4%)
  • Back pain (3%)

Warnings for Atacand

  • Harm to unborn baby
  • Low blood pressure
  • Kidney damage
  • High potassium levels

Summary for Zestril

Prescription only

Lisinopril (Zestril) is an angiotensin-converting enzyme inhibitor, or ACE inhibitor. It's used to treat high blood pressure in people 6 years and older. In adults, it's also approved to manage heart failure and to lower the risk of death after a heart attack. Lisinopril (Zestril) comes as a tablet that's taken by mouth once daily. There's also an oral solution available under the brand name Qbrelis. Some side effects include dizziness, cough, and headache.

Indications for Zestril

Pros and Cons for Zestril

Pros

  • Taken by mouth once per day
  • A first-choice medication for high blood pressure
  • Also helpful for heart failure and after a heart attack
  • Okay for children as young as 6 years old to take to treat high blood pressure

Cons

Common Side Effects for Zestril

  • Dizziness (up to 19%)
  • Low blood pressure (up to 11%)
  • Higher creatinine levels (up to 10%)

Warnings for Zestril

  • Harm to an unborn baby
  • Angioedema (swelling)
  • Low blood pressure
  • Possible worsening of kidney problems
  • High potassium levels
  • Liver problems

Prices with our coupons for Atacand vs. Zestril

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Candesartan30 tablets / 16mg
$26.04$52.73
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Lisinopril30 tablets / 20mg
$7.79$13.68
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