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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)

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Ramipril

 

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Summary for Lisinopril

Prescription only

Lisinopril (Zestril) is an angiotensin-converting enzyme inhibitor, or ACE inhibitor. It's used to treat high blood pressure in people 6 years and older. In adults, it's also approved to manage heart failure and to lower the risk of death after a heart attack. Lisinopril (Zestril) comes as a tablet that's taken by mouth once daily. There's also an oral solution available under the brand name Qbrelis. Some side effects include dizziness, cough, and headache.

Indications for Lisinopril

Pros and Cons for Lisinopril

Pros

  • Taken by mouth once per day
  • A first-choice medication for high blood pressure
  • Also helpful for heart failure and after a heart attack
  • Okay for children as young as 6 years old to take to treat high blood pressure

Cons

Common Side Effects for Lisinopril

  • Dizziness (up to 19%)
  • Low blood pressure (up to 11%)
  • Higher creatinine levels (up to 10%)

Warnings for Lisinopril

  • Harm to an unborn baby
  • Angioedema (swelling)
  • Low blood pressure
  • Possible worsening of kidney problems
  • High potassium levels
  • Liver problems

Summary for Altace

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 for Altace

Pros and Cons for Altace

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

Common Side Effects for Altace

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 for Altace

  • 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

Price Card Drug Icon
Lisinopril30 tablets / 20mg
$7.79$13.70
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Ramipril90 capsules / 10mg
$10.00$10.00
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