Lisinopril (Zestril) and digoxin (Lanoxin) are both prescription medications, but they serve different purposes and belong to different drug classes. Lisinopril is an ACE inhibitor used primarily to lower blood pressure, treat heart failure, and reduce the risk of death after a heart attack. It works by relaxing blood vessels. On the other hand, digoxin is an antiarrhythmic medication used to treat heart failure and atrial fibrillation (AFib) by helping the heart pump more effectively and controlling heart rate. Lisinopril is typically taken once daily and is available in both tablet and liquid forms, while digoxin can be taken once or twice daily, depending on the form and dosage. Common side effects of lisinopril include cough, dizziness, and headache, whereas digoxin can cause vision changes, stomach upset, and dizziness. Additionally, digoxin has a narrow therapeutic index, meaning small changes in dosage can lead to serious side effects, making regular blood tests necessary. Both medications are available in lower-cost generic forms.