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Hyzaar vs. Lopressor HCT

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

Key takeaways

Hyzaar (losartan/hydrochlorothiazide) and metoprolol/hydrochlorothiazide (Lopressor HCT) are both combination medications used to lower blood pressure, but they work in different ways. Hyzaar combines an angiotensin II receptor blocker (losartan) with a thiazide diuretic (hydrochlorothiazide), while metoprolol/hydrochlorothiazide combines a beta blocker (metoprolol tartrate) with the same thiazide diuretic. Hyzaar is typically taken once daily, whereas metoprolol/hydrochlorothiazide can be taken once or twice daily with food. Hyzaar is not recommended for use during pregnancy due to risks to the unborn baby, while metoprolol/hydrochlorothiazide should be used cautiously in people with certain heart conditions and breathing problems. Both medications can cause dizziness and increased urination, but metoprolol/hydrochlorothiazide also has a risk of masking symptoms of low blood sugar and overactive thyroid. Additionally, Hyzaar is available in generic form, while the brand name for metoprolol/hydrochlorothiazide, Lopressor HCT, is no longer available.

Hyzaar

(losartan / hydrochlorothiazide)

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Metoprolol/hydrochlorothiazide

 

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Summary for Hyzaar

Prescription only

Hyzaar (losartan / hydrochlorothiazide) is a combination medication that contains two first-choice options for lowering blood pressure. This medication is taken by mouth once daily. Like other blood pressure medications, Hyzaar (losartan / hydrochlorothiazide) can cause you to feel dizzy, especially when you first start this medication or when your provider raises your dose.

Indications for Hyzaar

Pros and Cons for Hyzaar

Pros

  • Contains two first-choice blood pressure medications
  • Convenient to take a combination of two medications in one pill taken just once a day
  • Protects your kidneys, which is especially useful for people with diabetes or mild-to-moderate kidney disease
  • Taken by mouth once per day

Cons

  • Can make you urinate more often
  • Must be avoided in pregnant females
  • More difficult to customize the dose since Hyzaar (losartan / hydrochlorothiazide) is a combination of two medications
  • Only available as a tablet

Common Side Effects for Hyzaar

  • Upper respiratory tract infection (i.e., common cold; 6%)
  • Dizziness (6%)
  • Back pain (2%)

Warnings for Hyzaar

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

Summary for Lopressor HCT

Prescription only

Metoprolol/hydrochlorothiazide is a combination medication that's used to lower blood pressure in adults. It contains a beta blocker (metoprolol tartrate) that slows down the heart and a thiazide diuretic (hydrochlorothiazide) that removes extra fluids through your kidneys. Metoprolol/hydrochlorothiazide is taken by mouth, typically once or twice daily with food. Some of the more common side effects of this medication include dizziness and tiredness. The brand name, Lopressor HCT, is no longer available.

Indications for Lopressor HCT

Pros and Cons for Lopressor HCT

Pros

  • Taken by mouth just once or twice daily
  • Lowers risk of heart attack and stroke
  • Combines 2 medications into 1 pill for convenience

Cons

  • Can make you urinate more often
  • Stopping suddenly can raise risk of chest pain and heart attack
  • Fixed dosing, so not as easy to adjust the dose (compared to taking each medication separately)

Common Side Effects for Lopressor HCT

  • Tiredness
  • Dizziness
  • Weakness
  • Sun sensitivity

Note: Side effects listed are from people who took metoprolol tartrate or hydrochlorothiazide in clinical studies.

Warnings for Lopressor HCT

  • Risk of chest pain and heart attack
  • Heart failure
  • Risk of difficulty breathing
  • Slow heart rate
  • Greater risk during surgery
  • Hiding symptoms of low blood sugar
  • Hiding symptoms of overactive thyroid
  • Fluid, electrolyte, and kidney problems
  • Eye problems
  • Lupus
  • Serious allergic reactions

Prices with our coupons for Hyzaar vs. Lopressor HCT

Price Card Drug Icon
Losartan/HCTZ30 tablets / 100mg/25mg
$12.59$21.39
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Metoprolol/HCTZ90 tablets / 50mg/25mg
$32.28$129.57
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