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hydrochlorothiazide/lisinopril vs lisinopril

Side-by-side comparison of hydrochlorothiazide/lisinopril and lisinopril. 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

Drug Interactions Lisinopril Hypotension - Patients on Diuretic Therapy: Patients on diuretics and especially those in whom diuretic therapy was recently instituted, may occasionally experience an excessive reduction of blood pressure after initiation of therapy with lisinopril. The possibility of hypotensive effects with lisinopril can be minimized by either discontinuing the diuretic or increasing the salt intake prior to initiation of treatment with lisinopril. If it is necessary to continue the diuretic, initiate therapy with lisinopril at a dose of 5 mg daily, and provide close...

Recommendation: Your doctor may need to adjust your salt intake or change your dose to prevent your blood pressure from falling too low.

Drug Class
hydrochlorothiazide/lisinopril Thiazide Diuretic / ACE Inhibitor Combination
lisinopril ACE Inhibitor
Type
hydrochlorothiazide/lisinopril Prescription
lisinopril Prescription
Summary
hydrochlorothiazide/lisinopril

Zestoretic is a drug that combines lisinopril and hydrochlorothiazide. It is used to treat high blood pressure.

lisinopril

No summary available.

What It Treats
hydrochlorothiazide/lisinopril

Zestoretic is used to treat high blood pressure. Lowering blood pressure reduces the risk of heart problems and strokes. Controlling high blood pressure should also include managing cholesterol, diabetes, and quitting smoking. Many people need more than one medicine to control their blood pressure.

lisinopril

Information not available.

How It Works
hydrochlorothiazide/lisinopril

Zestoretic contains two medicines. Lisinopril is an ACE inhibitor that widens blood vessels. Hydrochlorothiazide is a diuretic that helps your body get rid of extra salt and water, which also lowers blood pressure.

lisinopril

Information not available.

Common Side Effects
hydrochlorothiazide/lisinopril
  • Dizziness
  • Headache
  • Cough
  • Feeling tired
lisinopril
  • Dizziness
  • Headache
  • Cough
  • Feeling tired
  • Diarrhea
FAERS Reports
hydrochlorothiazide/lisinopril
  • Feeling tired 10,013
  • Feeling sick to your stomach 9,706
  • Loose stools 8,311
  • Discomfort 7,665
  • Difficulty breathing 7,584
lisinopril
  • Feeling tired 19,347
  • Feeling sick to your stomach 17,995
  • Loose stools 16,772
  • Difficulty breathing 13,649
  • Discomfort 13,304
Serious Warnings
hydrochlorothiazide/lisinopril

This drug can cause serious harm or death to an unborn baby. Stop taking Zestoretic as soon as you find out you are pregnant.

lisinopril

No specific warnings noted.

Pregnancy
hydrochlorothiazide/lisinopril

Do not take Zestoretic if you are pregnant. It can harm your unborn baby. Talk to your doctor about other blood pressure medicines if you are breastfeeding.

lisinopril

No pregnancy information available.

Also Compare, Nearby Drugs

How to Read This hydrochlorothiazide/lisinopril vs lisinopril Comparison

hydrochlorothiazide/lisinopril is classified in the Thiazide Diuretic / ACE Inhibitor Combination 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, hydrochlorothiazide/lisinopril has 43,279 submissions while lisinopril has 81,067. 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 taking these medicines together can cause your blood pressure to drop to an unsafe level, especially when you first start the treatment.. 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 hydrochlorothiazide/lisinopril and lisinopril - 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.