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What the FDA labels say about taking them together

Lisinopril and losartan

Lisinopril's FDA label of January 2, 2025 names losartan in its drug interactions section, and losartan's label names lisinopril too. The lisinopril label: “… 89.9 mL/min), randomized them to lisinopril or placebo on a background of losartan therapy and followed them for a median of 2.2 years.”

Check it at the source: the lisinopril FDA label on DailyMed (effective January 2, 2025, Upsher-Smith Laboratories, LLC); the losartan FDA label on DailyMed (effective January 20, 2026, Organon LLC).

What does the lisinopril label say about losartan?

Lisinopril label, drug interactions

The VA NEPHRON trial enrolled 1,448 patients with type 2 diabetes, elevated urinary-albumin-to-creatinine ratio, and decreased estimated glomerular filtration rate (GFR 30 mL/min to 89.9 mL/min), randomized them to lisinopril or placebo on a background of losartan therapy and followed them for a median of 2.2 years.

Source: FDA drug label (Qbrelis, NDA208401), Azurity Pharmaceuticals, Inc., effective December 16, 2025 (SPL set 9f6e4e57-a489-4b36-b093-b93865d3717c), via openFDA

Source: FDA drug label (Zestril), NDA019777 (Twi Pharms), as published by Upsher-Smith Laboratories, LLC, effective January 2, 2025 (SPL set 838c2d78-d2d8-4981-9ec9-e50ef9e1a5d8), via openFDA; the full label on DailyMed

What does the losartan label say about lisinopril?

Losartan label, drug interactions

The Veterans Affairs Nephropathy in Diabetes (VA NEPHRON-D) trial enrolled 1448 patients with type 2 diabetes, elevated urinary-albumin-to-creatinine ratio, and decreased estimated glomerular filtration rate (GFR 30 to 89.9 mL/min), randomized them to lisinopril or placebo on a background of losartan therapy and followed them for a median of 2.2 years.

Source: FDA drug label (Arbli, NDA218772), Scienture LLC, effective October 3, 2025 (SPL set afd2d1ba-e7af-4e4e-8b7e-a9f72612fc97), via openFDA

Source: FDA drug label (COZAAR), Organon LLC, effective January 20, 2026 (SPL set 9949448f-c3b9-44ee-94ed-c1aca8c90f39), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

36Lisinopril generic labelers
43Losartan generic labelers
LisinoprilLosartan
Labeled forHigh blood pressure, Heart attack and coronary artery disease, Heart failureHigh blood pressure, Chronic kidney disease, Stroke prevention
Boxed warningYesYes
Pharmacy cost (NADAC)$0.0254 per tablet 20 mg tablet$0.0327 per tablet 50 mg tablet
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?