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Compare Lisinopril vs. Altace

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

Key takeaways

Lisinopril (Zestril) and ramipril (Altace) are both angiotensin-converting enzyme (ACE) inhibitors used to treat high blood pressure and heart failure. Lisinopril is available in both tablet and liquid forms, making it easier for people who have trouble swallowing pills. Ramipril is only available as a capsule that can be opened and sprinkled on food. Lisinopril is typically taken once daily, whereas Ramipril might need to be taken once or twice daily depending on the dose. Lisinopril can be prescribed to children aged 6 and older for high blood pressure, but Ramipril is only for adults. Both medications can cause a dry cough, which is a common side effect of ACE inhibitors. Neither medication should be used during pregnancy due to the risk of harm to the unborn baby. Both Lisinopril and Ramipril are available as lower-cost generics.

  • Lisinopril (Zestril)
    Ramipril
  • Lisinopril (Zestril)
    Ramipril

  • Summary of Lisinopril vs. Altace

    Summary for ACE inhibitor
    Prescription only

    Lisinopril (Zestril) is an angiotensin-converting enzyme (ACE) inhibitor that's a first-choice medication used for lowering blood pressure. It's also approved to treat symptoms of heart failure and also to lower the risk of death after a heart attack. Lisinopril (Zestril) is a tablet that's taken by mouth, typically once daily. It's also available as an oral solution. Some common side effects of this medication include cough, dizziness, and headache.

    Summary for ACE inhibitor
    Prescription only

    Ramipril is an angiotensin-converting enzyme (ACE) inhibitors. This medication treats high blood pressure by relaxing blood vessels. It can also ease heart failure symptoms after a heart attack. Ramipril is taken by mouth, typically once or twice daily, by adults. Some of the more common side effects of this medication include headache, dizziness, and feeling tired. Ramipril is generic only because the brand name Altace is no longer available.

  • Indications of Lisinopril vs. Altace

    Indications for
    •High blood pressure
    •Heart failure
    •Lower the risk for death after a heart attack
    Indications for
    •High blood pressure
    •Heart failure after heart attack

  • Pros and Cons of Lisinopril vs. Altace

    Pros and Const for ACE inhibitor
    Pros
    •A first-choice blood pressure medication
    •Taken by mouth once per day
    •Can be taken by children as young as 6 years old for treatment of high blood pressure
    •Available as a liquid (Qbrelis), good option for people who've difficulty swallowing tablets
    Cons
    •More likely to cause a dry cough, compared to ARBs
    •Can't be taken during pregnancy or breastfeeding
    •Might not work as well for lowering high blood pressure in black people
    Pros and Const for ACE inhibitor
    Pros
    •Taken by mouth
    •Capsules can be opened and sprinkled on applesauce or water for those with trouble swallowing
    •Available as a lower-cost generic
    Cons
    •More likely to cause a dry cough, compared to ARBs
    •Not safe to use if you're pregnant
    •Might not work as well for lowering blood pressure in Black people

  • Common Side Effects of Lisinopril vs. Altace

    Common Side Effects for
    •Dizziness (up to 19%)
    •Low blood pressure (7-11%)
    •Higher creatinine levels (7-10%)
    •Headache (6%)
    Common Side Effects for

    High blood pressure

    •Headache (5%)
    •Dizziness (2%)
    •Feeling tired or weak (2%)

    Heart failure after heart attack

    •Low blood pressure (11%)
    •Cough (8%)
    •Dizziness (4%)

  • Warnings of Lisinopril vs. Altace

    Common Side Effects for
    •Not for use during pregnancy
    •Angioedema (swelling)
    •Low blood pressure
    •Worsening kidney problems
    •Heart problems due to high potassium
    •Liver problems
    Common Side Effects for
    •Not for use during pregnancy
    •Angioedema (swelling)
    •Severe allergic reaction
    •Liver problems
    •Worsening kidney problems
    •Lower blood cell counts
    •Low blood pressure
    •Heart problems due to high potassium
    •Cough

  • Prices with our coupons for Lisinopril vs. Altace

    Learn more about Lisinopril
    Learn more about Ramipril

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