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Entresto vs. Valsartan

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

Key takeaways

Entresto (sacubitril/valsartan) and Diovan (valsartan) are both used to treat heart failure and high blood pressure, but they belong to different medication classes. Entresto is an angiotensin receptor-neprilysin inhibitor (ARNI), while Diovan is an angiotensin II receptor blocker (ARB). Entresto is specifically approved for heart failure in adults and children over 1 year old, whereas Diovan is also used for high blood pressure and to lower the risk of heart-related problems after a heart attack. Entresto is taken twice a day and is only available as a branded medication, while Diovan can be taken once or twice a day and is available as a lower-cost generic. Common side effects of Entresto include low blood pressure, high potassium levels, and dizziness, while Diovan may cause dizziness and fatigue. Both medications can raise potassium levels, so you should be cautious about taking them with other medications that do the same. Both medications should not be taken with other ARBs or ACE inhibitors.

Entresto

(sacubitril / valsartan)

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Valsartan

(Diovan)

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Summary for Entresto

Prescription only

Entresto (sacubitril / valsartan) is a combination medication called an angiotensin receptor-neprilysin inhibitor (ARNI). It's used for heart failure in adults and children ages 1 year and older. It helps lower the risk of hospital stays and heart-related death in adults with heart failure. You usually take the medication by mouth twice a day. Entresto is available as tablets. It also comes as Entresto Sprinkle, which are capsules you open and mix the pellets inside with soft food. Side effects include low blood pressure and cough. As of early 2025, there's no generic version of this medication.

Indications for Entresto

Pros and Cons for Entresto

Pros

  • First-choice treatment for some people with heart failure
  • Can lower the risk of hospital visits related to heart failure in adults
  • Combines two medications into one pill for convenience
  • Available as tablets, oral pellets, or a prepared oral solution

Cons

  • Need to take twice daily
  • Can cause dizziness and low blood pressure
  • Not safe during pregnancy

Common Side Effects for Entresto

Warnings for Entresto

  • Not safe during pregnancy
  • Swelling of face, tongue, or throat (angioedema)
  • Low blood pressure
  • Kidney problems
  • High potassium levels

Summary for Valsartan

Prescription only

Valsartan, also known by its brand name, Diovan, is an angiotensin II receptor blocker (ARB). It's used to treat high blood pressure in adults and children. It's also used to lower the risk of serious heart-related problems in adults with heart failure or in adults after a heart attack. Valsartan (Diovan) is available as a lower-cost generic and comes as a tablet and liquid. The dosage depends on your condition, but it's typically taken by mouth once or twice per day. Potential side effects of valsartan (Diovan) include dizziness and fatigue.

Indications for Valsartan

Pros and Cons for Valsartan

Pros

Cons

Common Side Effects for Valsartan

  • Dizziness (up to 8%)

Note: Side effects were reported by adults who took valsartan for high blood pressure.

Warnings for Valsartan

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

Prices with our coupons for Entresto vs. Valsartan

Price Card Drug Icon
Sacubitril/Valsartan60 tablets / 24mg/26mg
$39.33$749.50
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Valsartan30 tablets / 160mg
$13.31$27.46
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