Compare Zestoretic vs. Benicar HCT

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

Zestoretic
(Lisinopril / Hydrochlorothiazide)

Benicar Hct
(Olmesartan / Hydrochlorothiazide)

Lowers blood pressure. Lisinopril/hydrochlorothiazide is a good 2-in-1 blood pressure-lowering medicine that protects kidney function.Lowers blood pressure. Benicar HCT is a good 2-in-1 blood pressure-lowering medicine that protects kidney function like an ACE inhibitor, but with fewer side effects.
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Reviews & ratings
Button Group. All currently active
Button Group. All currently active
4.63265306122449Zestoretic
Reviews for Zestoretic (Lisinopril / Hydrochlorothiazide)
51%
of people say Zestoretic (Lisinopril / Hydrochlorothiazide) is worth it
40%
say it works well
17%
say it's a big hassle
Reviews for Benicar Hct (Olmesartan / Hydrochlorothiazide)
58%
+7% vs. Zestoretic (Lisinopril / Hydrochlorothiazide)
45%
+5% vs. Zestoretic (Lisinopril / Hydrochlorothiazide)
30%
13% vs. Zestoretic (Lisinopril / Hydrochlorothiazide)
Side effects
ZestoreticBenicar HCT
  • Dizziness 6%
  • Headache 3%
  • Cough 3%
  • Fatigue 3%
  • Orthostatic effects 2%
  • Muscle weakness 1%
  • Diarrhea 1%
More Zestoretic side effects »
  • Dizziness 7%
  • Hyperuricemia 2%
More Benicar HCT side effects »
How it works
ZestoreticBenicar HCT
Lisinopril/hydrochlorothiazide is a combination medicine. Lisinopril (an ACE inhibitor) lowers blood pressure by making blood vessels relax. Hydrochlorothiazide (a diuretic or water pill) lowers blood pressure and swelling by removing extra fluid from your body.Benicar HCT is a combination medicine. Olmesartan (an angiotensin receptor blocker) lowers blood pressure by making blood vessels relax. Hydrochlorothiazide (a diuretic or water pill) lowers blood pressure and swelling by removing extra fluid from your body.
Type of medication
ZestoreticBenicar HCT
Antihypertensive
ACE inhibitor
Diuretic
Prescription only
Antihypertensive
Angiotensin receptor blocker
Diuretic
Prescription only
Available as
ZestoreticBenicar HCT
  • Pill
  • Pill
Used for (click to learn more)
ZestoreticBenicar HCT
Risk factors for serious side effects
ZestoreticBenicar HCT
  • Women of childbearing age
  • African descent
  • People requiring high flux dialysis
  • History of kidney disease
  • Current kidney problems
  • Medicine that increase potassium
  • Use of salt substitute
    Detailed Zestoretic (Lisinopril / Hydrochlorothiazide) risks & warnings »
    • Women of childbearing age
    • African descent
      • History of lupus
      • Allergies to penicillin or sulfonamides
      • Prior history of impaired liver function
      • History of gout
      • Current kidney problems
      • Prior history of impaired liver function
      Detailed Benicar Hct (Olmesartan / Hydrochlorothiazide) risks & warnings »
      Pregnancy category
      ZestoreticBenicar HCT
      DFDA pregnancy category (Weigh risks vs. benefits)

      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.

      See the FDA package insert
      DFDA pregnancy category (Weigh risks vs. benefits)

      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.

      See the FDA package insert
      Alcohol
      No specific alcohol-related info.No specific alcohol-related info.
      Food
      No specific food-related info.No specific food-related info.
      Kidneys and liver
      • Doesn't work as well in people with severe kidney problems.
      • 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.
      • Zestoretic (Lisinopril / Hydrochlorothiazide) can cause severe allergic reactions, including death, to patients who required certain types of kidney dialysis. Talk to your prescriber if you are undergoing dialysis to discuss possible alternative medications.
      • Zestoretic (Lisinopril / Hydrochlorothiazide) can cause kidney damage, especially if you already have a history of kidney disease. Talk to your doctor to discuss possible alternatives if this is a concern.
      • Doesn't work as well in people with severe kidney problems.
      • 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.
      Sex
      No specific sex-related info.No specific sex-related info.
      Sleep
      No specific sleep-related info.No specific sleep-related info.
      Weight
      No specific weight-related info.No specific weight-related info.
      Upsides and benefits
      ZestoreticBenicar HCT
      • The two drugs in Lisinopril/hydrochlorothiazide work together to lower blood pressure, remove extra water from your body, and lower your risk of heart attack and stroke.
      • Combination medicine for people with high blood pressure. Doctors might prescribe it when you need more than one medicine to control your blood pressure.
      • 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 two drugs in Benicar HCT work together to lower blood pressure and remove extra water from your body.
      • Lowers the risk of heart attack and stroke.
      • Combination medicine for people with high blood pressure. Doctors might prescribe it when you need more than one medicine to control your blood pressure.
      • 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.
      Downsides and risks
      ZestoreticBenicar HCT
      • 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.
      • Comes in fixed dosage strengths, so it's harder for your doctor to adjust your dose.
      • Makes you urinate more often.
      • Doesn't work as well in people with severe kidney problems.
      • Requires a yearly blood test to see how the medicine is affecting your body.
      • Not safe to use if you're pregnant.
      • Not available in less expensive generic form.
      • Comes in fixed dosage strengths, so it's harder for your doctor to adjust your dose.
      • Makes you urinate more often.
      • Doesn't work as well in people with severe kidney problems.
      • 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
      ZestoreticBenicar HCT
      • Makes you urinate more often, so avoid taking it at bedtime.
      • 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.
      • Makes you urinate more often, so avoid taking it at bedtime.
      • 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.
      Learn more
      More about ZestoreticSide effectsReviews & ratingsAlternativesFDA package insert
      More about Benicar HCTSide effectsReviews & ratingsAlternativesFDA package insert