PlainMeds provides educational information only. This is not medical advice. Always consult your doctor or pharmacist.

fosinopril vs propranolol

Side-by-side comparison of fosinopril and propranolol. 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 dosage adjustments are generally required when using this combination of medications.

Drug Class
fosinopril ACE Inhibitor
propranolol Non-Selective Beta-Blocker
Type
fosinopril Prescription
propranolol Prescription
Summary
fosinopril

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

propranolol

Propranolol is a medicine that can help with high blood pressure, chest pain, and other conditions. It works by blocking the effects of certain natural chemicals in your body, like adrenaline, that affect the heart and blood vessels.

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.

propranolol

Propranolol tablets can treat high blood pressure. It can be used alone or with other medicines. Propranolol can also help with chest pain (angina), control fast heart rate with atrial fibrillation, improve survival after a heart attack, prevent migraine headaches, and reduce tremors. It can also help with symptoms of some tumors.

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.

propranolol

Propranolol is a beta-blocker. It works by blocking the effects of adrenaline on your heart and blood vessels. This helps to slow down your heart rate and lower your blood pressure.

Common Side Effects
fosinopril
  • Cough
  • Dizziness
  • Nausea
  • Vomiting
propranolol
  • Tiredness
  • Dizziness
  • Nausea
  • Vomiting
  • Diarrhea
FAERS Reports
fosinopril
  • Tiredness 239
  • Diarrhea 232
  • Difficulty breathing 210
  • Feeling sick to your stomach 205
  • Feeling lightheaded 180
propranolol
  • Feeling sick to your stomach 4,279
  • Pain in your head 3,784
  • Feeling very tired 3,752
  • Loose, watery stools 3,121
  • Feeling lightheaded or unsteady 3,102
Serious Warnings
fosinopril

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

propranolol

Propranolol is contraindicated in people with cardiogenic shock, very slow heart rate, asthma, or those who are allergic to it.

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.

propranolol

Tell your doctor if you are pregnant or plan to become pregnant. Propranolol may affect your baby. Talk to your doctor about the risks and benefits of taking propranolol during pregnancy or while breastfeeding.

Also Compare, Nearby Drugs

How to Read This fosinopril vs propranolol Comparison

fosinopril is classified in the ACE Inhibitor drug class, while propranolol sits within the Non-Selective Beta-Blocker 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 propranolol has 18,038. 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 these two drugs do not interfere with each other's levels in the body when they are taken together.. 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 propranolol - 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.