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Enalapril vs. Lopressor

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

Key takeaways

Enalapril (Vasotec) and Metoprolol (Lopressor) are both used to treat high blood pressure, but they belong to different medication classes and have different uses. Enalapril is an ACE inhibitor that also treats heart failure, while Metoprolol is a beta blocker that treats chest pain and lowers the risk of death after a heart attack. Enalapril is typically taken once or twice daily and can be used in children as young as 1 month old. Metoprolol is usually taken twice daily with food and is available in both short-acting (tartrate) and long-acting (succinate) forms. Metoprolol succinate is typically taken once daily, and it's also FDA approved for heart failure. Common side effects of Enalapril include tiredness and dizziness, while Metoprolol can cause tiredness, dizziness, and diarrhea. Enalapril can cause a dry cough, which is not expected with Metoprolol. Both medications are available in generic forms.

Enalapril

(Vasotec)

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Metoprolol tartrate

(Lopressor)

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Summary for Enalapril

Prescription only

Enalapril (Vasotec) is a first-choice medication used for treating high blood pressure. It's also approved for heart failure. Enalapril (Vasotec) belongs to a class of medications called angiotensin-converting enzyme (ACE) inhibitors. It's taken by mouth, once or twice daily. Enalapril (Vasotec) doesn't cause many side effects, but some include tiredness, dizziness, and cough.

Indications for Enalapril

  • High blood pressure
  • Heart failure

Pros and Cons for Enalapril

Pros

  • A first-choice blood pressure lowering medication for many people
  • Taken by mouth
  • Can be taken by children as young as 1 month old (high blood pressure only)
  • Available as a liquid for people who have trouble swallowing pills

Cons

Common Side Effects for Enalapril

  • Feeling tired (3%)

Warnings for Enalapril

  • Not for use during pregnancy
  • Angioedema (swelling)
  • Low blood pressure
  • Worsening kidney problems
  • Heart problems due to high potassium
  • Liver problems

Summary for Lopressor

Prescription only

Metoprolol tartrate (Lopressor) is a beta blocker used to treat chest pain and high blood pressure in adults. It can also lower the risk of death after a heart attack. You take it by mouth, typically once or twice a day, but your dose depends on your condition. Side effects include dizziness, shortness of breath, and it can make you tired.

Indications for Lopressor

Pros and Cons for Lopressor

Pros

  • Fast-acting — works quickly after you take it
  • First choice treatment after a heart attack
  • Available in different strengths, so your dose can be adjusted easily
  • Possible option for those who are breastfeeding

Cons

Common Side Effects for Lopressor

  • Tiredness (10%)
  • Dizziness (10%)
  • Diarrhea (5%)
  • Rash (5%)
  • Depression (5%)

Warnings for Lopressor

  • Risks of stopping treatment suddenly
  • Worsening heart failure
  • Risk of difficulty breathing
  • Major surgery
  • Hiding symptoms of low blood sugar
  • Hiding symptoms of overactive thyroid
  • Severe allergic reactions

Prices with our coupons for Enalapril vs. Lopressor

Price Card Drug Icon
Enalapril60 tablets / 20mg
$15.36$74.03
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Metoprolol60 tablets / 25mg
$7.79$24.33
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