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hydrochlorothiazide vs lisinopril

Side-by-side comparison of hydrochlorothiazide 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

Monitor blood pressure, renal function, and electrolytes in patients on lisinopril and hydrochlorothiazide tablets and other agents that affect the RAS. Do not coadminister aliskiren with lisinopril and hydrochlorothiazide tablets in patients with diabetes. No meaningful clinically important pharmacokinetic interactions occurred when lisinopril was used concomitantly with propranolol, digoxin, or hydrochlorothiazide.

Recommendation: Your healthcare provider should regularly check your blood pressure, kidney function, and salt levels while you are on both medications.

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

No summary available.

lisinopril

No summary available.

What It Treats
hydrochlorothiazide

Information not available.

lisinopril

Information not available.

How It Works
hydrochlorothiazide

Information not available.

lisinopril

Information not available.

Common Side Effects
hydrochlorothiazide
  • Dizziness
  • Headache
  • Cough
  • Fatigue
lisinopril
  • Dizziness
  • Headache
  • Cough
  • Feeling tired
  • Diarrhea
FAERS Reports
hydrochlorothiazide
  • Tiredness 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

No specific warnings noted.

lisinopril

No specific warnings noted.

Pregnancy
hydrochlorothiazide

No pregnancy information available.

lisinopril

No pregnancy information available.

Also Compare, Nearby Drugs

How to Read This hydrochlorothiazide vs lisinopril Comparison

hydrochlorothiazide is classified in the Thiazide Diuretic 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 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 major interaction flagged in FDA labeling, attributed to these drugs work in different ways to lower blood pressure and do not interfere with how the body breaks each other down.. 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 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.