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Two medicines, side by side

Quinapril vs clonidine

Quinapril and clonidine are both labeled for high blood pressure. Drugs@FDA records approvals of quinapril since 1991 and of clonidine since 1974. In FDA's classes, quinapril is an angiotensin converting enzyme inhibitor and clonidine a central alpha-2 adrenergic agonist.

Check it at the source: the quinapril FDA label on DailyMed (effective December 14, 2023); the clonidine FDA label on DailyMed (effective March 30, 2026).

Highlights of the quinapril record

Quinapril (Accupril) · label of December 14, 2023

Boxed warning

FETAL TOXICITY

When pregnancy is detected, discontinue quinapril tablets as soon as possible.

Drugs that act directly on the renin-angiotensin system can cause injury and death to the developing fetus. See WARNINGS : Fetal Toxicity

Used for

From the label: indications

Hypertension Quinapril tablets USP are indicated for the treatment of hypertension, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. […]

On the market

Earliest approval on file
November 19, 1991
Generic labelers
9 labelers
Pharmacy cost
Not in the survey

Supply and safety

Shortage
In shortage
Recalls
7

Highlights of the clonidine record

Clonidine (Catapres) · label of March 30, 2026

Used for

From the label: indications

Clonidine hydrochloride tablets are indicated in the treatment of hypertension. Clonidine hydrochloride tablets may be employed alone or concomitantly with other antihypertensive agents.

On the market

Earliest approval on file
September 3, 1974
Generic labelers
43 labelers
Pharmacy cost
$0.0241 per tablet

Supply and safety

Shortage
No current entry
Recalls
16

Source: FDA drug labels via openFDA (Quinapril label of December 14, 2023, Clonidine label of March 30, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do quinapril and clonidine differ on the record?

In FDA's classes, quinapril is an angiotensin converting enzyme inhibitor and clonidine a central alpha-2 adrenergic agonist.

Half-life, in each label's words: Quinapril, “Following multiple oral dosing of quinapril, there is an effective accumulation half-life of quinaprilat of …”; Clonidine, “Following intravenous administration, clonidine displays biphasic disposition with a distribution half-life of about 20 …”

Only the quinapril label carries a boxed warning.

Generics: quinapril since 2004; clonidine since 1986 (Drugs@FDA).

QuinaprilClonidine
Labeled forHigh blood pressure, Heart failureHigh blood pressure, ADHD, Pain
Pharmacologic classAngiotensin Converting Enzyme InhibitorCentral alpha-2 Adrenergic Agonist
How it works (label)n/an/a
Half-life (label)Following multiple oral dosing of quinapril, there is an effective accumulation half-life of quinaprilat of approximately 3 hours, and peak plasma quinaprilat concentrations are observed approximately 2 hours post-dose.Following intravenous administration, clonidine displays biphasic disposition with a distribution half-life of about 20 minutes and an elimination half-life ranging from 12 to 16 hours.
Earliest approval on file (Drugs@FDA)November 19, 1991September 3, 1974
First generic approvedDecember 15, 2004July 1, 1986
Generic labelers (NDC)9 labelers43 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)n/a$0.0241 per tablet (Clonidine HCl 0.1 mg tablet)
12-month price changen/a-3%
Boxed warningYesNo
Shortage nowIn shortageNo current entry
Recalls recorded716
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)7,84257,116
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

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