Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Trandolapril (generic, formerly branded as Mavik) and Olmesartan (generic, branded as Benicar) are both medications used to treat high blood pressure, but they belong to different drug classes. Trandolapril is an ACE inhibitor, which works by blocking a hormone called angiotensin II to relax blood vessels. Olmesartan, on the other hand, is an angiotensin II receptor blocker (ARB) that also relaxes blood vessels but does so by blocking the action of angiotensin II at its receptor directly on the blood vessels. Trandolapril is also approved to lower the risk of death and hospitalization in people with heart failure after a heart attack, while Olmesartan is not approved for this use but may be prescribed off-label for this purpose. Trandolapril is known to cause a dry cough in some people, a side effect less common with Olmesartan. Both medications can cause dizziness and high potassium levels, but Olmesartan can also lead to severe diarrhea in rare cases. Both are available as lower-cost generics and are taken once daily.
Trandolapril
Olmesartan (Benicar)
Trandolapril
Olmesartan (Benicar)
Summary of Mavik vs. Benicar
Summary for ACE inhibitor
Prescription only
Trandolapril is a prescription medication that's used to treat high blood pressure (hypertension). It's also used to lower the risk of death and hospitalization in people with heart failure after a heart attack. Trandolapril is taken by mouth, typically once daily. Although the brand name for this medication (Mavik) has been discontinued, trandolapril is available as a lower-cost generic tablet. Common side effects include dry cough and dizziness.
Summary for ARB
Prescription only
Olmesartan medoxomil (Benicar) is a medication that lowers blood pressure in adults and children ages 6 years and older. It's an angiotensin II receptor blocker (ARB) and works mainly by widening and relaxing your blood vessels to lower pressure. This medication is taken by mouth, typically once per day. People don't usually experience much side effects from olmesartan (Benicar), though some people have reported mild and temporary dizziness.
Indications of Mavik vs. Benicar
Indications for
•Treatment of high blood pressure
•Lowering the risk of death and hospitalization in people with certain types of heart failure after a recent heart attack
Please note: The side effects above were reported by people taking this medication to lower the risk of death and hospitalization in certain heart failures after recent heart attack.
Common Side Effects for
•Dizziness (3%)
Warnings of Mavik vs. Benicar
Common Side Effects for
•Harm to unborn baby
•Angioedema (swelling)
•Low blood pressure
•Liver problems
•Worsening kidney problems
•High levels of potassium
•Dry cough
Common Side Effects for
•Harm to unborn babies
•Low blood pressure (in people who are dehydrated)