Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Lisinopril (Zestril) and nimodipine (Nymalize) are both prescription medications, but they serve different purposes and belong to different drug classes. Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used primarily to lower blood pressure, treat heart failure, and reduce the risk of death after a heart attack. It is taken once daily, either as a tablet or an oral solution. Common side effects include dry cough, dizziness, and headache. On the other hand, nimodipine is a calcium channel blocker used to prevent brain damage after a specific type of brain bleed called an aneurysmal subarachnoid hemorrhage. It is taken every 4 hours for 3 weeks, either as a capsule or an oral liquid. The most common side effect of nimodipine is low blood pressure. Nimodipine requires more frequent dosing than lisinopril and must be taken on an empty stomach. Additionally, nimodipine has specific interactions with certain medications and foods like grapefruit, which can impact its effectiveness and safety.
Lisinopril (Zestril)
Nimodipine (Nymalize)
Lisinopril (Zestril)
Nimodipine (Nymalize)
Summary of Lisinopril vs. Nimodipine
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 Calcium channel blocker (CCB)
Prescription only
Nimodipine (Nymalize) is used to help prevent brain damage after an aneurysmal subarachnoid hemorrhage (a type of brain bleed). Your provider will typically start this medication in the hospital as soon as possible, but usually within 4 days of a subarachnoid hemorrhage. Nimodipine (Nymalize) is taken by mouth or given through a feeding tube every 4 hours for 3 weeks. Generic nimodipine comes as an oral capsule, while brand name Nymalize (nimodipine) comes as an oral liquid. The most common side effect of nimodipine (Nymalize) is low blood pressure, so your provider will check your blood pressure regularly while you're taking this medication.
Indications of Lisinopril vs. Nimodipine
Indications for
•High blood pressure
•Heart failure
•Lower the risk for death after a heart attack
Indications for
•Prevention of brain damage after a type of brain bleed called an aneurysmal subarachnoid hemorrhage (aSAH)
Pros and Cons of Lisinopril vs. Nimodipine
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