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Capoten vs. Zestril

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

Key takeaways

Captopril (Capoten) and lisinopril (Zestril) are both ACE inhibitor medications used to treat high blood pressure and heart failure. They also help improve survival after a heart attack. However, there are some differences between them. Captopril is taken two to three times a day on an empty stomach, while lisinopril is usually taken once daily and can be taken with or without food. Captopril is only available as a generic tablet, whereas lisinopril is available as both a tablet and an oral solution. Lisinopril can be used in children as young as 6 years old for high blood pressure, but captopril is typically prescribed for adults. Common side effects of both medications include a dry cough and dizziness, but lisinopril may be more likely to cause headaches. Both medications should not be taken with NSAIDs like ibuprofen (Motrin) or naproxen (Aleve). Both medications are also not recommended during pregnancy.

Captopril

 

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Lisinopril

(Zestril)

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Summary for Capoten

Prescription only

Captopril is an angiotensin-converting enzyme (ACE) inhibitor. It's used in adults to treat high blood pressure, heart failure, and to prevent the worsening of kidney problems in people who have diabetes. Captopril is available as a tablet that's taken by mouth two to three times per day. Your healthcare team will help determine your dose based on different factors, such as how high your blood pressure is and what other medications you're taking. Side effects include a dry cough, changes in taste, and dizziness. Brand name Capoten has been discontinued; captopril is only available as a generic medication.

Indications for Capoten

Pros and Cons for Capoten

Pros

  • A first-choice medication for lowering blood pressure for many people
  • Taken by mouth
  • Available as a lower-cost generic

Cons

  • Taken two to three times per day
  • Need to take on an empty stomach, 1 hour before meals
  • Can't take during pregnancy

Common Side Effects for Capoten

  • Skin rash (up to 7%)
  • Changes in taste (up to 4%)
  • Dry cough (up to 2%)
  • Itching (2%)

Warnings for Capoten

  • Not safe during pregnancy
  • Angioedema (swelling) and serious allergic reactions
  • Risk of infection (lower white blood cell count)
  • Low blood pressure
  • Worsening kidney problems
  • High potassium levels
  • Risk of liver problems

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 Capoten vs. Zestril

Price Card Drug Icon
Captopril90 tablets / 25mg
$28.36$99.32
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Lisinopril30 tablets / 20mg
$7.79$13.69
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