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Two medicines, side by side

Valsartan vs quinapril

Valsartan and quinapril are both labeled for high blood pressure and heart failure. Drugs@FDA records approvals of valsartan since 1996 and of quinapril since 1991. In FDA's classes, valsartan is an angiotensin 2 receptor blocker and quinapril an angiotensin converting enzyme inhibitor.

Check it at the source: the valsartan FDA label on DailyMed (effective August 5, 2026); the quinapril FDA label on DailyMed (effective December 14, 2023).

Highlights of the valsartan record

Valsartan (Diovan) · label of August 5, 2026

Boxed warning

FETAL TOXICITY

When pregnancy is detected, discontinue valsartan tablets as soon as possible. ( 5.1 )

Drugs that act directly on the renin-angiotensin system can cause injury and death to the developing fetus. ( 5.1 ) WARNING: FETAL TOXICITY See full prescribing information for complete boxed warning. When pregnancy is detected, discontinue valsartan tablets as soon as possible. ( 5.1 ).

Used for

From the label: indications

Valsartan tablets are an angiotensin II receptor blocker (ARB) indicated for: • Hypertension, to lower blood pressure in adults and children 6 years and older. […]

On the market

Earliest approval on file
December 23, 1996
Generic labelers
34 labelers
Pharmacy cost
$0.0963 per tablet

Supply and safety

Shortage
A presentation being discontinued
Recalls
58

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

Source: FDA drug labels via openFDA (Valsartan label of August 5, 2026, Quinapril label of December 14, 2023); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do valsartan and quinapril differ on the record?

In FDA's classes, valsartan is an angiotensin 2 receptor blocker and quinapril an angiotensin converting enzyme inhibitor.

Half-life, in each label's words: Valsartan, “Valsartan shows bi-exponential decay kinetics following intravenous administration, with an average elimination …”; Quinapril, “Following multiple oral dosing of quinapril, there is an effective accumulation half-life of quinaprilat of …”

Both labels carry a boxed warning; the records quote them.

Generics: valsartan since 2014; quinapril since 2004 (Drugs@FDA).

ValsartanQuinapril
Labeled forHigh blood pressure, Heart failureHigh blood pressure, Heart failure
Pharmacologic classAngiotensin 2 Receptor BlockerAngiotensin Converting Enzyme Inhibitor
How it works (label)Angiotensin II is formed from angiotensin I in a reaction catalyzed by angiotensin-converting enzyme (ACE, kininase II).n/a
Half-life (label)Valsartan shows bi-exponential decay kinetics following intravenous administration, with an average elimination half-life of about 6 hours.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.
Earliest approval on file (Drugs@FDA)December 23, 1996November 19, 1991
First generic approvedJune 26, 2014December 15, 2004
Generic labelers (NDC)34 labelers9 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0963 per tablet (Valsartan 40 mg tablet)n/a
12-month price change-21%n/a
Boxed warningYesYes
Shortage nowA presentation being discontinuedIn shortage
Recalls recorded587
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)104,4907,842
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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