Compare benazepril vs. Toprol XL

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

Lotensin
(benazepril)

Toprol XL
(metoprolol succinate)

Lowers blood pressure. Lotensin (benazepril) is a good blood pressure-lowering medicine that also protects kidney function.Lowers blood pressure and controls heart rate. Toprol XL (metoprolol succinate) is good for controlling chest pain, treating heart failure, and heart attack. It has the added benefit of being taken once a day.
Reviews & ratings
Filter group. All currently selected
Filter group. All currently selected
5.45benazepril
Reviews for benazepril
61%
of people (All ages) say benazepril is worth it
64%
say it works well
23%
say it's a big hassle
Have you used Lotensin (benazepril)?
Worth itNot sureNot worth it
Reviews for Toprol XL
60%
+1% better vs. benazepril
54%
+10% better vs. benazepril
13%
-10% worse vs. benazepril
164 reviews
Have you used Toprol XL (metoprolol succinate)?
Worth itNot sureNot worth it
Side effects
benazeprilToprol XL
  • Headache 2%
  • Dizziness 2%
  • Drowsiness 2%
  • Dizziness when standing up 2%
More benazepril side effects »
  • Tiredness 10%
  • Dizziness 10%
  • Low mood disorder 5%
  • Skin rash and itching 5%
  • Diarrhea 5%
  • Shortness of breath 3%
  • Slower heartbeat 3%
  • Dizziness/balance problems 1%
More Toprol XL side effects »
How it works
benazeprilToprol XL
Lotensin (benazepril) is an angiotensin converting enzyme (ACE) inhibitor. It blocks a chemical that tightens blood vessels. This makes blood vessels relax, which lowers blood pressure and allows more blood and oxygen to get to your heart and other organs.Toprol XL (metoprolol succinate) is a beta blocker. It lowers blood pressure by slowing heart rate, relaxing blood vessels, and lowering the body's fight-or-flight response.
Type of medication
benazeprilToprol XL
Prescription onlyPrescription only
Available as
benazeprilToprol XL
  • Pill
  • Extended release
Used for
benazeprilToprol XL
Risk factors for serious side effects
benazeprilToprol XL
  • Women of childbearing age
  • Infants less than one year old
  • African descent
  • Taking with alcohol
  • Taking other medicines that lower your blood pressure
Detailed Lotensin (benazepril) risks & warnings »
  • Sudden discontinuation of medicine
  • Coronary artery disease
  • Diabetes
  • Hyperthyroidsim
  • Heart failure
Detailed Toprol XL (metoprolol succinate) risks & warnings »
Pregnancy

Research studies with real people found harmful effects on unborn babies, but the benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

Interactions
benazeprilToprol XL
  • This drug interacts with other medications that affect potassium, so it needs to be dosed carefully.
No interactions related info.
Kidneys and liver
benazeprilToprol XL
  • Protects kidney function, which is especially useful for people with diabetes or mild-to-moderate kidney disease.
No kidneys and liver related info.
Upsides and benefits
benazeprilToprol XL
  • A first-choice blood pressure treatment for many people.
  • Lowers the risk of heart attack and stroke.
  • Protects kidney function, which is especially useful for people with diabetes or mild-to-moderate kidney disease.
  • A first-choice treatment to prevent chest pain (angina). It makes attacks less frequent and helps you be more active without having chest pain.
  • Toprol XL (metoprolol succinate) is a first-choice treatment for heart failure since it may prevent long-term heart damage.
  • It's also a first-choice for heart attack treatment since it lowers the risk of death during and after a heart attack.
  • Toprol XL (metoprolol succinate) is the extended release version of metoprolol tartrate and only needs to be taken once a day.
  • It's available as a generic and is relatively cheap.
Downsides and risks
benazeprilToprol XL
  • Up to 1 in 10 people can get a dry cough with this medicine. It ranges from a mild tickle in the throat to a persistent hacking cough.
  • Requires a regular blood test to see how the medicine is affecting your body.
  • Not safe to use if you're pregnant.
  • This drug interacts with other medications that affect potassium, so it needs to be dosed carefully.
  • Taking a beta blocker can make you feel more tired or out of breath during exercise or normal daily routines. This gets better for most people, but for some this may not go away.
  • It's not a first-choice treatment for high blood pressure according to the latest guidelines, except if you have heart failure or heart disease.
  • Toprol XL (metoprolol succinate) can hide symptoms of low blood sugar if you have diabetes.
  • You can't miss doses. Stopping Toprol XL (metoprolol succinate) suddenly can cause your blood pressure to go up quickly, which increases your risk of heart attack and stroke.
Tips from our pharmacists for people taking the medication
benazeprilToprol XL
  • Can cause dizziness in the first few days.
  • Check your blood pressure 1 week after starting this medicine, and tell your doctor if it doesn't get better.
  • Tell your doctor about any tiredness, cough, mouth swelling, or throat irritation that doesn't go away.
  • Requires blood tests to check potassium levels and kidney function.
  • Don't take it if you're pregnant.
  • Toprol XL (metoprolol succinate) cause dizziness in the first few days.
  • Check your blood pressure 1 week after starting this medicine and let your doctor know if it hasn't improved.
  • It can make you feel tired or give you headaches.
  • Can hide symptoms of low blood sugar, so be careful taking this if you have diabetes.
  • Don't stop taking this medicine suddenly.
  • This is the extended-release version, but it also comes in an immediate-release form, metoprolol tartrate.
Learn more
More about benazeprilSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Lotensin (benazepril)?
Worth itNot sureNot worth it
More about Toprol XLSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Toprol XL (metoprolol succinate)?
Worth itNot sureNot worth it