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Verquvo vs. Entresto

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

Key takeaways

Verquvo (vericiguat) and Entresto (sacubitril / valsartan) are both medications used to treat heart failure, but they belong to different medication classes. Verquvo is a soluble guanylate cyclase (sGC) stimulator, while Entresto is an angiotensin receptor-neprilysin inhibitor (ARNI). Verquvo is taken once daily with food, while Entresto is taken twice daily. Additionally, Entresto is approved for both adults and children aged 1 year and older and Verquvo is only approved for adults. Both medications are only available as brand medications. Verquvo is available only as oral tablets, whereas Entresto is available as tablets, oral pellets, or a prepared oral solution. Common side effects of Verquvo include low blood pressure and anemia, while Entresto can cause low blood pressure, high potassium levels, and dizziness. Verquvo should not be taken with phosphodiesterase-5 inhibitors due to the risk of low blood pressure, whereas Entresto should not be combined with angiotensin II receptor blockers (ARBs), angiotensin-converting enzyme (ACE) inhibitors, or medications that raise potassium levels.

Verquvo

(vericiguat)

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Entresto

(sacubitril / valsartan)

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Summary for Verquvo

Prescription only

Verquvo (vericiguat) is used in adults with chronic (long-lasting) heart failure to lower the risk of dying and lessen the need to go to the hospital for heart complications. Verquvo (vericiguat) is an option for people who still experience symptoms after being recently hospitalized for heart failure or needing to use injectable heart failure medications. It's only available as a brand medication and can be expensive.

Indications for Verquvo

  • Chronic (long-lasting) heart failure

Pros and Cons for Verquvo

Pros

  • Helps you live longer with heart failure
  • Can lessen hospitalizations for heart failure
  • Can be crushed and mixed with water in people who have difficulty swallowing tablets
  • Taken once a day

Cons

  • Brand only, so can be expensive
  • Not safe in pregnancy or breastfeeding
  • Can't be used in children

Common Side Effects for Verquvo

  • Low blood pressure (16%)
  • Low red blood cell count (anemia, 10%)

Warnings for Verquvo

  • Harm to unborn baby

Summary for Entresto

Prescription only

Entresto (sacubitril / valsartan) is a combination medication called an angiotensin receptor-neprilysin inhibitor (ARNI). It's used for heart failure in adults and children ages 1 year and older. It helps lower the risk of hospital stays and heart-related death in adults with heart failure. You usually take the medication by mouth twice a day. Entresto is available as tablets. It also comes as Entresto Sprinkle, which are capsules you open and mix the pellets inside with soft food. Side effects include low blood pressure and cough. As of early 2025, there's no generic version of this medication.

Indications for Entresto

Pros and Cons for Entresto

Pros

  • First-choice treatment for some people with heart failure
  • Can lower the risk of hospital visits related to heart failure in adults
  • Combines two medications into one pill for convenience
  • Available as tablets, oral pellets, or a prepared oral solution

Cons

  • Need to take twice daily
  • Can cause dizziness and low blood pressure
  • Not safe during pregnancy

Common Side Effects for Entresto

Warnings for Entresto

  • Not safe during pregnancy
  • Swelling of face, tongue, or throat (angioedema)
  • Low blood pressure
  • Kidney problems
  • High potassium levels

Prices with our coupons for Verquvo vs. Entresto

Price Card Drug Icon
Verquvo30 tablets / 10mg
$688.99-
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Price Card Drug Icon
Sacubitril/Valsartan60 tablets / 24mg/26mg
$39.33$748.54
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