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Vasotec vs. Prinivil, Zestril, Qbrelis

Are Vasotec and Prinivil, Zestril the Same Thing?

Vasotec (enalapril maleate) and Prinivil and Zestril (lisinopril) are ACE (angiotensin converting enzyme) inhibitors used to treat high blood pressure (hypertension), congestive heart failure, and to improve survival after a heart attack.

Vasotec is also used to treat kidney problems caused by diabetes.

Side effects of Vasotec and Prinivil or Zestril that are similar include dizziness.

Side effects of Vasotec that are different from Prinivil or Zestril include lightheadedness or weakness as your body adjusts to the medication.

Side effects of Prinivil or Zestril that are different from Vasotec include cough, headache, depressed mood, drowsiness, nausea, upset stomach, vomiting, diarrhea, and mild itching or skin rash.

Both Vasotec and Prinivil or Zestril may interact with alcohol, gold injections to treat arthritis, lithium, potassium supplements, salt substitutes that contain potassium, aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs), or diuretics (water pills).

Prinivil or Zestril may interact with other blood pressure medications and oral insulin or diabetes medications.

What Are Possible Side Effects of Vasotec?

Common side effects of Vasotec include:

  • dizziness,
  • lightheadedness, or
  • weakness as your body adjusts to the medication.

Tell your doctor if you have unlikely but serious side effects of Vasotec including:

  • dry cough,
  • loss of taste sensation,
  • loss of appetite,
  • drowsiness,
  • headache,
  • sleep problems (insomnia),
  • dry mouth,
  • nausea,
  • vomiting,
  • diarrhea, or
  • skin itching or rash.
  • fainting,
  • symptoms of a high potassium blood level (such as muscle weakness, slow/irregular heartbeat, weak pulse, tingly feeling),
  • signs of infection (such as fever, chills, persistent sore throat, body aches, flu symptoms),
  • changes in the amount of urine,
  • swelling, rapid weight gain,
  • confusion, increased thirst, loss of appetite, vomiting, pounding heartbeats or fluttering in your chest,
  • pale skin, easy bruising or bleeding,
  • fast or uneven heartbeats,
  • chest pain, or
  • yellowing of the skin or eyes (jaundice).

What Are Possible Side Effects of Prinivil, Zestril?

Common side effects of Prinivil, Zestril include:

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

What Is Vasotec?

Vasotec (enalapril maleate) is an ACE (angiotensin converting enzyme) inhibitor used to treat high blood pressure (hypertension), congestive heart failure, kidney problems caused by diabetes, and to improve survival after a heart attack.

What Is Prinivil, Zestril?

Prinivil, 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).

QUESTION

Salt and sodium are the same. See Answer

What Drugs Interact With Vasotec?

Vasotec may interact with gold injections to treat arthritis, lithium, potassium supplements, salt substitutes that contain potassium, aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs), or diuretics (water pills). Tell your doctor all medications and supplements you use. Vasotec is not recommended for use during pregnancy. It may harm a fetus. This medication passes into breast milk but is unlikely to harm a nursing infant. Consult your doctor before breastfeeding.

What Drugs Interact With Prinivil, Zestril?

Prinivil, 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 Vasotec Be Taken?

Dose of Vasotec varies depending on the condition being treated.

How Should Prinivil, Zestril Be Taken?

Prinivil, 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 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.

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Reviewed on 5/17/2019
References


FDA. Vasotec Product Information.

https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/018998s076lbl.pdf

Merck. Prinivil Product Information.

https://www.merck.com/product/usa/pi_circulars/p/prinivil/prinivil_pi.pdf
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