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Two medicines, side by side

Aliskiren vs benzonatate

Aliskiren is labeled for high blood pressure; benzonatate for cough and cold. Their labels share no use, so they are not alternatives to each other. Drugs@FDA records approvals of aliskiren since 2007 and of benzonatate since 1958. Pharmacies paid $3.94 per aliskiren 150 mg tablet and $0.0656 per benzonatate 100 mg capsule (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, aliskiren is a renin inhibitor and benzonatate a non-narcotic antitussive.

Check it at the source: the aliskiren FDA label on DailyMed (effective March 7, 2024); the benzonatate FDA label on DailyMed (effective August 3, 2026).

Highlights of the aliskiren record

Aliskiren (Tekturna) · label of March 7, 2024

Boxed warning

FETAL TOXICITY When pregnancy is detected, discontinue Tekturna as soon as possible. ( 5.1 , 8.1 ) Drugs that act directly on the renin-angiotensin system can cause injury and death to the developing fetus. ( 5.1 , 8.1 ) WARNING: FETAL TOXICITY See full prescribing information for complete boxed warning. When pregnancy is detected, discontinue Tekturna as soon as possible. ( 5.1 , 8.1 ) Drugs that act directly on the renin-angiotensin system can cause injury and death to the developing fetus.

Used for

From the label: indications

Tekturna is a renin inhibitor (RI) indicated for the treatment of hypertension in adults and in pediatric patients weighing 50 kg or greater who are at least 6 years of age, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. […]

On the market

Earliest approval on file
March 5, 2007
Generic labelers
1 labeler
Pharmacy cost
$3.94 per tablet

Supply and safety

Shortage
No current entry
Recalls
0

Highlights of the benzonatate record

Benzonatate (Tessalon) · label of August 3, 2026

Used for

From the label: indications

Benzonatate capsules, USP are indicated for the symptomatic relief of cough.

On the market

Earliest approval on file
February 10, 1958
Generic labelers
45 labelers
Pharmacy cost
$0.0656 per capsule

Supply and safety

Shortage
No current entry
Recalls
7

Source: FDA drug labels via openFDA (Aliskiren label of March 7, 2024, Benzonatate label of August 3, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do aliskiren and benzonatate differ on the record?

In FDA's classes, aliskiren is a renin inhibitor and benzonatate a non-narcotic antitussive.

Only the aliskiren label carries a boxed warning.

Generics: aliskiren since 2019; benzonatate since 1993 (Drugs@FDA).

AliskirenBenzonatate
Labeled forHigh blood pressureCough and cold
Pharmacologic classRenin InhibitorNon-narcotic Antitussive
How it works (label)Renin is secreted by the kidney in response to decreases in blood volume and renal perfusion. Renin cleaves angiotensinogen to form the inactive decapeptide angiotensin I (Ang I).n/a
Half-life (label)12.3 Pharmacokinetics Aliskiren is poorly absorbed (bioavailability about 2.5%) with an approximate accumulation half-life of 24 hours.n/a
Earliest approval on file (Drugs@FDA)March 5, 2007February 10, 1958
First generic approvedMarch 22, 2019January 29, 1993
Generic labelers (NDC)1 labeler45 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$3.94 per tablet (Aliskiren 150 mg tablet)$0.0656 per capsule (Benzonatate 100 mg capsule)
12-month price change-2%-8%
Boxed warningYesNo
Shortage nowNo current entryNo current entry
Recalls recorded07
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)5,99916,446
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

Alternatives to aliskiren
every medicine labeled for the same conditions