Compare Altace vs. Benicar

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Altace (ramipril)

Prescription only

Benicar (olmesartan)

Prescription only
Lowers blood pressure.

Altace (ramipril) is a good blood pressure-lowering medicine that protects your kidney function. It's also a good option if you have trouble swallowing pills since you can open the capsules.

Lowers blood pressure.

Benicar (olmesartan) is a good blood pressure-lowering medicine that protects your kidneys, but with fewer side effects.

3.9/ 5 average rating with 118 reviewsforBenicar
Upsides
  • Altace (ramipril) is a first-choice blood pressure treatment for many people.
  • It lowers your risk of heart attack and stroke.
  • Protects kidney function, which is especially useful for people with diabetes or mild-to-moderate kidney disease.
  • It's recommended for anyone with heart failure since it lowers the risk of death and further damage to your heart.
  • Altace (ramipril) is the only ACE inhibitor that you can open and sprinkle in applesauce or water.
  • A first-choice blood pressure treatment for many people.
  • Lowers the risk of heart attack and stroke.
  • Similar to ACE inhibitors (like lisinopril), with fewer side effects like cough and swelling.
  • Protects kidney function, which is especially useful for people with diabetes or mild-to-moderate kidney disease.
  • Available by itself and in combination with different blood pressure medicines in a single pill.
Downsides
  • Some people can get a dry cough while using this medicine. It ranges from a mild tickle in the throat to a persistent hacking cough.
  • You'll need to get routine blood tests to see how this medicine is affecting your body.
  • Women, be sure to use contraception while taking this medication since it can harm a fetus. It's also not safe to use if you're already pregnant.
  • Requires regular blood tests to see how the medicine is affecting your body.
  • Not safe to use if you're pregnant.
  • Recently became a generic, though still relatively expensive.
Used for
Dosage forms
  • Pill
  • Pill
Price
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Reviews
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118 reviews so far
65%
saidit'sworth it
63%
saiditworked well
12%
saidit'sa big hassle

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Side effects
9possible side effects
  • Low blood pressure
    11%
  • Increased cough
    8%
  • Dizziness
    4%
  • Chest pain
    3%
  • Nausea
    2%
  • Low blood pressure when standing up
    2%
  • Fainting
    2%
  • Vomiting
    2%
  • Vertigo
    2%
See more detailed side effects
The Benicar (olmesartan) FDA package insert doesn’t have numbers about how common side effects are.
Risks and risk factors
  • Harm to fetus
    • Women of childbearing age
  • Cough
  • Swelling of face and head
    • African descent
  • High potassium
    • Current kidney problems
    • Medicines that increase potassium
    • Using salt substitutes
  • Worsening kidney problems
    • History of kidney problems
  • Liver failure
See more detailed risks and warnings
  • Birth defects
    • Women of childbearing age
  • Worsening kidney problems
    • History of kidney problems
  • Swelling in the face and head
    • African descent
  • High potassium levels
    • Current kidney problems
    • Using medicines that increase potassium
    • Using salt substitutes
  • Low blood pressure
    • Taking with alcohol
    • Taking other medicines that lower your blood pressure
  • Severe diarrhea
See more detailed risks and warnings