Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Irbesartan (Avapro) and perindopril (Aceon) are both medications used to treat high blood pressure, but they belong to different drug classes. Irbesartan is an angiotensin II receptor blocker (ARB), while perindopril is an angiotensin-converting enzyme (ACE) inhibitor. Irbesartan is also used to treat diabetic kidney disease, whereas perindopril is used to lower the risk of death or heart attack in people with coronary artery disease (CAD). One key difference is that irbesartan is less likely to cause a dry cough compared to perindopril, which commonly causes this side effect. Both medications are available as lower-cost generics and are typically taken once a day. However, both medications have the potential to raise potassium levels and requires regular blood work to monitor kidney health. Neither medication is safe to use during pregnancy.
Irbesartan (Avapro)
Perindopril
Irbesartan (Avapro)
Perindopril
Summary of Avapro vs. Aceon
Summary for ARB
Prescription only
Irbesartan (Avapro) is a medication that's used to treat high blood pressure; it's also used to treat diabetic kidney disease. It's a part of a drug class called angiotensin II receptor blockers (ARB). The dosage for irbesartan (Avapro) can differ if you've kidney problems or are taking diuretics ("water pills"). Common side effects include dizziness and tiredness. Irbesartan (Avapro) is available in both brand name (Avapro) and generic tablet.
Summary for ACE inhibitor
Prescription only
Perindopril is a prescription medication that's used to treat high blood pressure. It's also used to lower the risk of death or heart attack in certain people with coronary artery disease (CAD). The dosage for perindopril can differ if you're older, have kidney problems, or are taking diuretics ("water pills"). Common side effects include dry cough, dizziness, and back pain. Although the brand name for this medication, Aceon, is discontinued, perindopril is available as a lower-cost, generic tablet.
•Might cause severe swelling of the face, tongue, throat (angioedema)
Common Side Effects of Avapro vs. Aceon
Common Side Effects for
•Dizziness (up to 10%)
•Low blood pressure when going from sitting to standing position (5%)
•Feeling tired (4%)
•Diarrhea (3%)
•Heartburn (2%)
Please note: People who took irbesartan (Avapro) for high blood pressure were more likely to experience tiredness, diarrhea, and heartburn. People who took this medication for diabetic kidney disease were more likely to experience dizziness.