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Zestoretic vs. Hydrochlorothiazide

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

Key takeaways

Lisinopril/hydrochlorothiazide (Zestoretic) and hydrochlorothiazide (Microzide) are both medications used to treat high blood pressure. They both contain hydrochlorothiazide, a diuretic that works by helping you get rid of water and electrolytes from your body. However, Zestoretic is a combination medication that also includes lisinopril, an ACE inhibitor that relaxes blood vessels, while Microzide contains only hydrochlorothiazide. Zestoretic is taken once daily, while Microzide can be taken once or twice daily, depending on your condition. Both medications can cause dizziness and increased urination, but the lisinopril in Zestoretic may also cause a dry cough. Zestoretic is not recommended during pregnancy. Both medications can interact with other drugs, so be sure your prescriber and pharmacist have a complete list of your medications.

Zestoretic

(lisinopril / hydrochlorothiazide)

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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 Hydrochlorothiazide

Prescription only

Hydrochlorothiazide is a diuretic or water pill. It helps lower blood pressure. It also helps with swelling from fluid buildup (edema) caused by some health conditions, like heart failure and kidney problems. People of all ages can take hydrochlorothiazide tablets and capsules. But children typically take much smaller, weight-based doses. You typically take your dose by mouth once (sometimes twice) daily, but avoid nighttime dosing so you won't wake up to urinate. Some common side effects are dizziness and urinating more often.

Indications for Hydrochlorothiazide

Pros and Cons for Hydrochlorothiazide

Pros

  • Helps getting rid of extra fluid in your body
  • A first-choice treatment option if you have high blood pressure or heart failure
  • Dose can be adjusted based on how well it's working for you

Cons

  • Can make you urinate more often
  • Can cause electrolytes and fluid levels to be out of balance, which can be dangerous
  • Might not be a good option for people with a sulfa allergy

Common Side Effects for Hydrochlorothiazide

  • Dizziness
  • Weakness
  • Headache
  • Blurry vision
  • Low blood pressure
  • Change in electrolyte levels

Warnings for Hydrochlorothiazide

  • Low fluid and electrolyte levels in the body
  • Possibly higher calcium levels
  • Higher blood sugar
  • Risk of gout
  • Risk of vision problems and glaucoma
  • Use with caution in people with kidney problems

Prices with our coupons for Zestoretic vs. Hydrochlorothiazide

Price Card Drug Icon
Lisinopril/HCTZ90 tablets / 20mg/12.5mg
$16.90$68.24
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Hydrochlorothiazide30 tablets / 25mg
$4.00$4.00
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