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Zestoretic vs. Lopressor

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

Key takeaways

Zestoretic (lisinopril/hydrochlorothiazide) and metoprolol tartrate (Lopressor) are both used to treat high blood pressure, but they work in different ways and have different uses. Zestoretic is a combination of an ACE inhibitor and a diuretic, which helps relax blood vessels and remove extra water and electrolytes from your body. It's typically taken once daily. Metoprolol tartrate, on the other hand, is a beta blocker that slows down your heart rate and is usually taken twice daily. Besides high blood pressure, metoprolol tartrate is also used to treat chest pain and lower the risk of death after a heart attack. Zestoretic is not safe for use during pregnancy, while metoprolol tartrate can be an option for breastfeeding mothers. Common side effects of Zestoretic include dizziness and cough, whereas metoprolol tartrate can cause tiredness and dizziness. Both medications are available in generic forms, making them more affordable options.

Zestoretic

(lisinopril / hydrochlorothiazide)

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Metoprolol tartrate

(Lopressor)

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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 Lopressor

Prescription only

Metoprolol tartrate (Lopressor) is a beta blocker used to treat chest pain and high blood pressure in adults. It can also lower the risk of death after a heart attack. You take it by mouth, typically once or twice a day, but your dose depends on your condition. Side effects include dizziness, shortness of breath, and it can make you tired.

Indications for Lopressor

Pros and Cons for Lopressor

Pros

  • Fast-acting — works quickly after you take it
  • First choice treatment after a heart attack
  • Available in different strengths, so your dose can be adjusted easily
  • Possible option for those who are breastfeeding

Cons

Common Side Effects for Lopressor

  • Tiredness (10%)
  • Dizziness (10%)
  • Diarrhea (5%)
  • Rash (5%)
  • Depression (5%)

Warnings for Lopressor

  • Risks of stopping treatment suddenly
  • Worsening heart failure
  • Risk of difficulty breathing
  • Major surgery
  • Hiding symptoms of low blood sugar
  • Hiding symptoms of overactive thyroid
  • Severe allergic reactions

Prices with our coupons for Zestoretic vs. Lopressor

Price Card Drug Icon
Lisinopril/HCTZ90 tablets / 20mg/12.5mg
$20.33$50.07
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Metoprolol60 tablets / 25mg
$9.00$9.00
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