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Exforge vs. Zestoretic

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

Key takeaways

Exforge (amlodipine/valsartan) and Zestoretic (lisinopril/hydrochlorothiazide) are both combination medications used to treat high blood pressure, but they work in different ways. Exforge combines amlodipine, a calcium channel blocker (CCB), with valsartan, an angiotensin II receptor blocker (ARB). Zestoretic, on the other hand, combines lisinopril, an angiotensin-converting enzyme (ACE), and hydrochlorothiazide, a diuretic. Both medications are available as lower-cost generics. One key difference is that Exforge can cause swelling in the arms and legs, while Zestoretic can cause a dry cough due to the ACE inhibitor component. Both medications are taken once daily and are not safe for use during pregnancy. Additionally, Zestoretic may make you urinate more often, whereas Exforge does not have this effect. Both medications require regular monitoring of blood pressure and kidney function.

Exforge

(amlodipine / valsartan)

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Zestoretic

(lisinopril / hydrochlorothiazide)

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Summary for Exforge

Prescription only

Exforge is a combination blood pressure medication for adults. It contains amlodipine (a calcium channel blocker, or CCB) and valsartan (an angiotensin receptor blocker, or ARB). It comes as a tablet that's taken by mouth, typically once per day. Some side effects of Exforge (amlodipine / valsartan) include swelling throughout the body and dizziness. This medication is available as generics.

Indications for Exforge

Pros and Cons for Exforge

Pros

  • Convenient to take a combination of two medications in one pill
  • Only taken once a day
  • Available as a lower-cost generic

Cons

  • Not safe to take while pregnant or breastfeeding
  • Might not be a good choice for people with liver problems
  • Can cause swelling in the arms and legs

Common Side Effects for Exforge

  • Swelling in legs or arms (5%)
  • Sore throat, runny nose, and other cold-like symptoms (3-4%)
  • Dizziness (2%)

Warnings for Exforge

  • Harm to unborn baby
  • Low blood pressure
  • Risk of heart attack or chest pain
  • Possible kidney damage in certain people
  • High potassium levels

Summary for Zestoretic

Prescription only

Zestoretic is a combination blood pressure medication for adults. It contains lisinopril (an angiotensin-converting enzyme (ACE) inhibitor) and hydrochlorothiazide (a thiazide diuretic). It comes as a tablet that's taken by mouth once per day. Your prescriber will determine your dosage based on how high your blood pressure is and if you're taking other blood pressure medications. Some of the more common side effects it can cause include dizziness, headache, and cough. Zestoretic (lisinopril / hydrochlorothiazide) is available as a generic.

Indications for Zestoretic

Pros and Cons for Zestoretic

Pros

  • Combines two medications in one pill
  • Taken by mouth
  • Taken once daily

Cons

  • Can make you urinate more often
  • Might not be appropriate for someone with a sulfa allergy
  • Shouldn't take during pregnancy or breastfeeding

Common Side Effects for Zestoretic

  • Dizziness (8%)
  • Headache (5%)
  • Cough (4%)
  • Extreme tiredness (4%)
  • Feeling lightheaded when standing after sitting or lying down (3%)

Warnings for Zestoretic

  • Not for use during pregnancy
  • Angioedema (swelling)
  • Low blood pressure
  • Kidney damage
  • Changes in electrolyte, blood sugar, and cholesterol levels
  • Vision problems
  • Lupus

Prices with our coupons for Exforge vs. Zestoretic

Price Card Drug Icon
Amlodipine/Valsartan90 tablets / 5mg/160mg
$53.35$281.74
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Price Card Drug Icon
Lisinopril/HCTZ90 tablets / 20mg/12.5mg
$16.90$68.24
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