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fosinopril vs hydrochlorothiazide

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

minor Known Drug Interaction

In separate single or multiple dose pharmacokinetic interaction studies with chlorthalidone, nifedipine, propranolol, hydrochlorothiazide, cimetidine, metoclopramide, propantheline, digoxin, and warfarin, the bioavailability of fosinoprilat was not altered by coadministration of fosinopril with any one of these drugs.

Recommendation: No special changes or precautions are usually needed when taking these two drugs at the same time.

Drug Class
fosinopril ACE Inhibitor
hydrochlorothiazide Thiazide Diuretic
Type
fosinopril Prescription
hydrochlorothiazide Prescription
Summary
fosinopril

Fosinopril is a medicine that lowers blood pressure. It can also help manage heart failure.

hydrochlorothiazide

No summary available.

What It Treats
fosinopril

Fosinopril is used to treat high blood pressure. It can be used alone or with a water pill (diuretic). Fosinopril also helps manage heart failure when used with other medicines.

hydrochlorothiazide

Information not available.

How It Works
fosinopril

Fosinopril belongs to a class of drugs called ACE inhibitors. It works by blocking a substance in your body that tightens blood vessels. This helps your blood vessels relax and lowers your blood pressure.

hydrochlorothiazide

Information not available.

Common Side Effects
fosinopril
  • Cough
  • Dizziness
  • Nausea
  • Vomiting
hydrochlorothiazide
  • Dizziness
  • Headache
  • Cough
  • Fatigue
FAERS Reports
fosinopril
  • Tiredness 239
  • Diarrhea 232
  • Difficulty breathing 210
  • Feeling sick to your stomach 205
  • Feeling lightheaded 180
hydrochlorothiazide
  • Tiredness 10,013
  • Feeling sick to your stomach 9,706
  • Loose stools 8,311
  • Discomfort 7,665
  • Difficulty breathing 7,584
Serious Warnings
fosinopril

Fosinopril can harm your unborn baby, even causing death. Stop taking fosinopril as soon as you know you are pregnant.

hydrochlorothiazide

No specific warnings noted.

Pregnancy
fosinopril

Do not take fosinopril if you are pregnant. It can cause serious harm or death to your unborn baby. Talk to your doctor about other blood pressure medicines if you are breastfeeding.

hydrochlorothiazide

No pregnancy information available.

Also Compare, Nearby Drugs

How to Read This fosinopril vs hydrochlorothiazide Comparison

fosinopril is classified in the ACE Inhibitor drug class, while hydrochlorothiazide sits within the Thiazide Diuretic 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, fosinopril has 1,066 submissions while hydrochlorothiazide has 43,279. 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 minor interaction flagged in FDA labeling, attributed to studies show that taking these two medications together does not change how much of the medicine is absorbed into your bloodstream.. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot substitute for clinical judgment. Effectiveness, tolerability, drug-drug interactions with your other medications, kidney and liver function, pregnancy status, insurance formulary, and price all feed into a decision that only a licensed prescriber can make responsibly. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This page is for educational purposes only, is not medical advice, and should not be used to self-switch between fosinopril and hydrochlorothiazide - always consult your physician or pharmacist first.

Important: This comparison is for informational purposes only. Drug effects vary between individuals. Always consult your doctor or pharmacist for personalized medical advice.