aliskiren vs lisinopril

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Side-by-side comparison of aliskiren and lisinopril. Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

major Known Drug Interaction

Dual Blockade of the Renin-Angiotensin System (RAS): Dual blockade of the RAS with angiotensin receptor blockers, ACE inhibitors, or direct renin inhibitors (such as aliskiren) is associated with increased risk of hypotension, syncope, hyperkalemia, and changes in renal function (including acute renal failure) compared to monotherapy. Do not coadminister aliskiren with lisinopril and hydrochlorothiazide tablets in patients with diabetes. Avoid use of aliskiren with PRINZIDE in patients with renal impairment (GFR <60 ml/min).

Drug Class
aliskiren Direct Renin Inhibitor
lisinopril ACE Inhibitor
Type
aliskiren Prescription
lisinopril Prescription
Summary
aliskiren

Tekturna is a medicine used to treat high blood pressure. It helps lower blood pressure, which can reduce the risk of strokes and heart attacks.

lisinopril

No summary available.

What It Treats
aliskiren

Tekturna is used to treat high blood pressure in adults and children who weigh at least 110 pounds and are 6 years or older. Lowering your blood pressure helps prevent strokes and heart attacks. It is important to manage high blood pressure with a healthy lifestyle too.

lisinopril

Information not available.

How It Works
aliskiren

Tekturna works by blocking a substance in your body called renin. Renin helps to control your blood pressure. By blocking renin, Tekturna helps to lower your blood pressure.

lisinopril

Information not available.

Common Side Effects
aliskiren
  • Diarrhea
lisinopril
  • Dizziness
  • Headache
  • Cough
  • Feeling tired
  • Diarrhea
FAERS Reports
aliskiren
  • Asthenia 367
  • Fall 356
  • Nausea 336
  • Dyspnoea 315
  • Headache 301
lisinopril
  • Fatigue 19,346
  • Nausea 17,996
  • Diarrhoea 16,771
  • Dyspnoea 13,650
  • Pain 13,303
Serious Warnings
aliskiren

Tekturna can harm your unborn baby, even causing death. If you become pregnant, stop taking Tekturna right away and tell your doctor.

lisinopril

No specific warnings noted.

Pregnancy
aliskiren

Tekturna can cause serious harm or death to an unborn baby. If you are pregnant or plan to become pregnant, talk to your doctor about other blood pressure medicines. Breastfeeding is not recommended while taking Tekturna.

lisinopril

No pregnancy information available.

Also Compare, Nearby Drugs

How to Read This aliskiren vs lisinopril Comparison

aliskiren is classified in the Direct Renin Inhibitor drug class, while lisinopril sits within the ACE Inhibitor class. Drugs from different classes work through distinct mechanisms, so a head-to-head comparison illustrates trade-offs rather than equivalence. Both drugs are prescription-only, so a licensed provider must authorize use.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, aliskiren has 1,675 submissions while lisinopril has 81,066. Those figures reflect cumulative reporting volume, not per-patient risk, so older, widely dispensed drugs typically look worse on count alone. These two drugs have a known major interaction flagged in FDA labeling, attributed to both medicines target the same body system to lower blood pressure, which can lead to dangerously low blood pressure or kidney damage.. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot represent individual circumstances. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This registry does not provide medical, treatment, substitution, or medication-change directions for aliskiren or lisinopril.

Registry boundary: This comparison displays source-record fields and does not provide individualized medical direction.