Compare Lisinopril vs. Altace

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

Zestril
(lisinopril)

Altace
(ramipril)

Lowers blood pressure. Zestril (Lisinopril) is a good blood pressure-lowering medicine that protects kidney function.Lowers blood pressure. Altace (Ramipril) is a good blood pressure-lowering medicine that protects kidney function. Easy to use if you can't swallow whole capsules.
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Prices and coupon for 30 (20mg) tablets of lisinopril
Coupons for
Prices and coupon for 30 (10mg) capsules of ramipril
Reviews & ratings
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5.17Lisinopril
Reviews for Zestril (lisinopril)
61%
of people (All ages) say Zestril (lisinopril) is worth it
51%
say it works well
14%
say it's a big hassle
687 reviews
Have you used Zestril (lisinopril)?
Worth itNot sureNot worth it

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Have you used Altace (ramipril)?
Worth itNot sureNot worth it
Side effects
LisinoprilAltace
  • Headache 4%
  • Dizziness 3%
  • Cough 3%
  • Diarrhea 1%
  • Fatigue 2%
  • Infection 2%
  • Low blood pressure 4%
  • Chest pain 2%
More Lisinopril side effects »
  • Low blood pressure 6%
  • Cough increased 4%
  • Cough 5%
  • Dizziness 1%
  • Heart-related chest pain 1%
  • Positional low blood pressure 1%
  • Fatigue 1%
  • Fainting 1%
  • Vomiting 1%
  • Vertigo 1%
More Altace side effects »
How it works
LisinoprilAltace
Zestril (Lisinopril) 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.Altace (Ramipril) is an angiotensin converting enzyme (ACE) inhibitor. By blocking a chemical that usually tightens blood vessels, it makes blood vessels relax. This lowers blood pressure and allows more blood and oxygen to get to your heart and other organs.
Type of medication
LisinoprilAltace
Prescription only
Prescription only
Available as
LisinoprilAltace
  • Pill
  • Pill
Used for
LisinoprilAltace
Risk factors for serious side effects
LisinoprilAltace
  • Women of childbearing age
    • African descent
    • Current kidney problems
    • Medicine that increase potassium
    • Use of salt substitute
    Detailed Zestril (lisinopril) risks & warnings »
    • Women of childbearing age
    • History of ACE inhibitor induced cough
    • African descent
    • Current kidney problems
    • Medicine that increase potassium
    • Use of salt substitute
    • History of kidney problems
    Detailed Altace (ramipril) 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 real people found harmful effects on unborn babies, but the benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

    Kidneys and liver
    LisinoprilAltace
    • Protects kidney function, which is especially useful for people with diabetes or mild-to-moderate kidney disease.
    • Requires routine blood tests to check kidney function.
    • Protects kidney function, which is especially useful for people with diabetes or mild-to-moderate kidney disease.
    • Requires routine blood tests to check how your kidneys are working.
    Upsides and benefits
    LisinoprilAltace
    • 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.
    • Recommended for anyone with heart failure since it lowers the risk of death and further damage to your heart.
    • 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.
    • Recommended for anyone with heart failure since it lowers the risk of death and further damage to your heart.
    • The only ACE inhibitor that comes in a capsule that you can sprinkle in applesauce or water.
    Downsides and risks
    LisinoprilAltace
    • 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 yearly blood test to see how the medicine is affecting your body.
    • Not safe to use if you're pregnant.
    • Up to 1 and 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 yearly blood test to see how the medicine is affecting your body.
    • Not safe to use if you're pregnant.
    Tips from our pharmacists for people taking the medication
    LisinoprilAltace
    • Can cause dizziness in the first few days.
    • Check your blood pressure 1 week after starting this medicine, and tell your doctor if it hasn't improved.
    • Tell your doctor about any dizziness, fatigue, cough, or throat irritation that doesn't go away.
    • Requires routine blood tests to check kidney function.
    • Don't take it if you're pregnant.
    • Can cause dizziness in the first few days.
    • Check your blood pressure one week after starting this medication, and tell your doctor if it hasn't improved.
    • Requires routine blood tests to check how your kidneys are working.
    • Don't take if you are pregnant.
    Learn more
    More about LisinoprilSide effectsReviews & ratingsAlternativesFDA package insert
    Have you used Zestril (lisinopril)?
    Worth itNot sureNot worth it
    More about AltaceSide effectsReviews & ratingsAlternativesFDA package insert
    Have you used Altace (ramipril)?
    Worth itNot sureNot worth it