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Zestoretic vs. Diovan HCT

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

Key takeaways

Zestoretic (lisinopril/hydrochlorothiazide) and Diovan HCT (valsartan/hydrochlorothiazide) are both combination medications used to treat high blood pressure. They both contain hydrochlorothiazide, a diuretic (water pill). But their other components are different. Zestoretic contains lisinopril, an ACE inhibitor, while Diovan HCT contains valsartan, an ARB. Both are usually taken once daily and come as generics. Zestoretic is typically started at a dose of 10 mg/12.5 mg once daily, whereas Diovan HCT usually starts at 160 mg/12.5 mg once daily. Common side effects for Zestoretic include dizziness, headache, and cough, while Diovan HCT may cause dizziness and a common cold. Both medications interact with NSAIDs like ibuprofen. Neither medication is safe to use during pregnancy.

Zestoretic

(lisinopril / hydrochlorothiazide)

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Diovan HCT

(valsartan / hydrochlorothiazide)

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Summary for Zestoretic

Prescription only

Zestoretic is a combination blood pressure medication for adults. It contains lisinopril (an angiotensin-converting enzyme (ACE) inhibitor) and hydrochlorothiazide (a thiazide diuretic). It comes as a tablet that's taken by mouth once per day. Your prescriber will determine your dosage based on how high your blood pressure is and if you're taking other blood pressure medications. Some of the more common side effects it can cause include dizziness, headache, and cough. Zestoretic (lisinopril / hydrochlorothiazide) is available as a generic.

Indications for Zestoretic

Pros and Cons for Zestoretic

Pros

  • Combines two medications in one pill
  • Taken by mouth
  • Taken once daily

Cons

  • Can make you urinate more often
  • Might not be appropriate for someone with a sulfa allergy
  • Shouldn't take during pregnancy or breastfeeding

Common Side Effects for Zestoretic

  • Dizziness (8%)
  • Headache (5%)
  • Cough (4%)
  • Extreme tiredness (4%)
  • Feeling lightheaded when standing after sitting or lying down (3%)

Warnings for Zestoretic

  • Not for use during pregnancy
  • Angioedema (swelling)
  • Low blood pressure
  • Kidney damage
  • Changes in electrolyte, blood sugar, and cholesterol levels
  • Vision problems
  • Lupus

Summary for Diovan HCT

Prescription only

Diovan HCT (valsartan / hydrochlorothiazide) is a combination of two blood pressure medications. It's typically used when one medication alone doesn't lower your blood pressure enough. Diovan HCT (valsartan / hydrochlorothiazide) is taken by mouth, usually once daily. Keep in mind that it can take 1 to 2 weeks before you start to notice the effects of this medication on you blood pressure. The most common side effect of Diovan HCT (valsartan / hydrochlorothiazide) is dizziness, especially when you first start taking this medication or when your provider adjusts your dose.

Indications for Diovan HCT

  • High blood pressure

Pros and Cons for Diovan HCT

Pros

  • Contains two first-choice medications to lower blood pressure
  • Conveniently combines two medications into one tablet
  • Only taken once a day
  • Available as a lower-cost generic

Cons

  • Comes in fixed dosage strengths, so it might be harder for your provider to adjust the doses of the individual medications
  • Might require regular blood tests to see how it's affecting your electrolytes and kidneys
  • Not safe to use if you're pregnant or breastfeeding
  • Makes you urinate more

Common Side Effects for Diovan HCT

  • Dizziness (6%)
  • Common cold (2%)
  • Feeling lightheaded when standing up from a seated or lying down position (1%)

Warnings for Diovan HCT

  • Not for use during pregnancy
  • Low blood pressure
  • Worsening kidney problems
  • Severe allergic reaction
  • Changes in electrolytes
  • Vision problems
  • Lupus
  • Interactions with other medications

Prices with our coupons for Zestoretic vs. Diovan HCT

Price Card Drug Icon
Lisinopril/HCTZ90 tablets / 20mg/12.5mg
$16.90$68.24
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Valsartan/HCTZ30 tablets / 320mg/25mg
$18.64$36.74
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