Compare benazepril vs. spironolactone

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

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Lotensin (benazepril)

Prescription only
Lowers blood pressure.

Lotensin (benazepril) is a good blood pressure-lowering medicine that also protects kidney function.

4.0/ 5 average rating with 44 reviewsforbenazepril
Removes extra water from your body.

Aldactone (spironolactone) should be used with other medicines to get rid of excess fluid in your body, especially if you have heart failure.

Upsides
  • 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.
  • Has a low risk of causing muscle problems from low potassium levels in your blood.
  • More useful when taken with another diuretic that'll also help your body get rid of extra fluids.
  • Can lower blood pressure.
  • Reduces the risk of death in people with heart failure.
Downsides
  • 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.
  • Aldactone (spironolactone) doesn't work well on its own. It should be used with another drug to help get rid of excess fluids.
  • Has many possible side effects, especially when higher doses are used.
  • Can increase the risk of tumor growth.
  • You'll need to have blood tests done regularly since Aldactone (spironolactone) can affect your potassium levels and kidneys.
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Dosage forms
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Price
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Reviews
44 reviews so far
61%
saidit'sworth it
64%
saiditworked well
23%
saidit'sa big hassle

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Side effects
4possible side effects
  • Headache
    6%
  • Dizziness
    4%
  • Somnolence
    2%
  • Dizziness when standing up
    2%
See more detailed side effects
The Aldactone (spironolactone) FDA package insert doesn’t have numbers about how common side effects are.
Risks and risk factors
  • Birth defect
    • Women of childbearing age
    • Infants less than one year old
  • Swelling of face and head
    • African descent
  • Low blood pressure
    • Taking with alcohol
    • Taking other medicines that lower your blood pressure
  • Liver failure
  • High potassium
    • Current kidney problems
    • Taking other medicines that increase potassium
    • Using salt substitutes
  • Worsening kidney problems
    • Kidney disease
See more detailed risks and warnings
  • Tumor development
  • Low blood pressure
    • Taking with alcohol
    • Taking other medicines that lower your blood pressure
  • Heart problems from high potassium
    • Current kidney problems
    • Taking other medicines that increase potassium
    • Use of salt substitutes
  • Breast pain or swelling
See more detailed risks and warnings