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Micardis vs. Prinivil, Qbrelis, Zestoretic, and Zestril

Medical and Pharmacy Editor:

Are Micardis and Prinivil, Qbrelis, Zestoretic, and Zestril the Same Thing?

Micardis (telmisartan) and Prinivil, Qbrelis, Zestoretic, and Zestril (lisinopril) are used to treat high blood pressure (hypertension). Micardis and Prinivil, Qbrelis, Zestoretic, and Zestril also used to reduce the risk of stroke, heart attack, or death from heart problems in people who are at least 55 years old with risk factors for serious heart disorders.

Micardis is sometimes given together with other blood pressure medications.

Micardis and Prinivil, Qbrelis, Zestoretic, and Zestril belong to different drug classes. Micardis is an angiotensin receptor blocker (ARB) and Prinivil, Qbrelis, Zestoretic, and Zestril are long-acting angiotensin converting enzyme (ACE) inhibitors.

Side effects of Micardis and Prinivil, Qbrelis, Zestoretic, and Zestril that are similar include dizziness, cough, diarrhea, headache, or skin rash.

Side effects of Micardis that are different from Prinivil, Qbrelis, Zestoretic, and Zestril include lightheadedness, blurred vision, back pain, stuffy nose, sinus pain, stomach pain, tired feeling, or weakness.

Side effects of Prinivil, Qbrelis, Zestoretic, and Zestril that are different from Micardis include depressed mood, drowsiness, nausea, upset stomach, vomiting, and mild itching.

Both Micardis and Prinivil, Qbrelis, Zestoretic, and Zestril may interact with alcohol, potassium supplements or salt substitutes, diuretics (water pills), lithium, aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs), or other blood pressure medicines.

Micardis may also interact with digoxin.

Prinivil, Qbrelis, Zestoretic, and Zestril may also interact with gold injections or oral insulin or diabetes medications.

What Are Possible Side Effects of Micardis?

Common side effects of Micardis include:

  • dizziness,
  • lightheadedness,
  • blurred vision, or
  • back pain as your body adjusts to the medication.
  • Other side effects of Micardis include stuffy nose,
  • sinus pain,
  • cough,
  • stomach pain,
  • diarrhea,
  • headache,
  • tired feeling,
  • weakness, or
  • skin rash.

Tell your doctor if you have serious side effects of Micardis including:

  • fainting,
  • unusual change in the amount of urine, or
  • symptoms of a high potassium blood level (such as muscle weakness, slow/irregular heartbeat).

What Are Possible Side Effects of Prinivil, Qbrelis, Zestoretic, and Zestril?

Common side effects of Prinivil, Qbrelis, Zestoretic, and Zestril include:

  • Cough,
  • Headache,
  • Dizziness,
  • Depressed mood,
  • Drowsiness,
  • Nausea,
  • Upset stomach,
  • Vomiting,
  • Diarrhea, and
  • Mild itching or skin rash.

What Is Micardis?

Micardis (telmisartan) is an angiotensin II receptor antagonist used to treat high blood pressure (hypertension). Micardis is sometimes given together with other blood pressure medications. Micardis is also used to reduce the risk of stroke, heart attack, or death from heart problems in people who are at least 55 years old with risk factors for serious heart disorders.

What Is Prinivil, Qbrelis, Zestoretic, and Zestril?

Prinivil, Qbrelis, Zestoretic, and Zestril (lisinopril) long-acting angiotensin converting enzyme (ACE) inhibitor used to treat hypertension, heart failure, and supportive treatment in patients that suffer a myocardial infarction (heart attack).

What Drugs Interact With Micardis?

Micardis may interact with diuretics (water pills), or digoxin. Tell your doctor all medications you are taking.

What Drugs Interact With Prinivil, Qbrelis, Zestoretic, and Zestril?

Prinivil, Qbrelis, Zestoretic, and Zestril may interact with other blood pressure medications.

These medications may also interact with gold injections, lithium, potassium supplements, salt substitutes that contain potassium, oral insulin or diabetes medications, aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs), or diuretics (water pills).

How Should Micardis Be Taken?

Dosage of Micardis is individualized. The usual starting dose is 40 mg once a day.

How Should Prinivil, Qbrelis, Zestoretic, and Zestril Be Taken?

Prinivil, Qbrelis, Zestoretic, and Zestril are available in doses of 5, 10, and 20 mg tablets for oral use. Hypertensive patients usually start with 10 mg once a day and are often increased to 20 mg. Patients with renal failure or are on diuretics start at lower doses such as 2.5 to 5 mg.

Heart attack and heart failure patients also start out with low doses of 5 mg one per day.

Prinivil Qbrelis, Zestoretic, and Zestril are not recommended for use in children <6 years old or those that have a glomerular filtration rate <30 mL per min; pediatric doses are determined by weight.

Reviewed on 3/13/2019

References:
FDA. Micardis Prescribing Information.
https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/020850s032lbl.pdf
DailyMed. Prinivil Product Information.
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f6f3c339-2c9d-4d07-14a1-6d6c7daf26c6

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