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Which is better lisinopril or amlodipine?

Author

James Craig

Published Jan 17, 2026

The ALLHAT investigators attributed at least part of the better cardiovascular outcome on amlodipine compared with lisinopril to the more pronounced blood pressure reduction on the CCB, particularly in women and black patients.

Which is better for high blood pressure lisinopril or amlodipine?

Amlodipine showed more consistent control of BP over the 24-h period in contrast to lisinopril which exerted its greatest effect during the daytime.

Is amlodipine similar to lisinopril?

Norvasc (amlodipine) and Prinivil (lisinopril) are both used to treat high blood pressure (hypertension). Norvasc is also prescribed for the prevention and treatment of heart pain or chest pain from angina.

What is the first drug of choice for hypertension?

The strongest body of evidence indicates that for most patients with hypertension, thiazide diuretics are the best proven first-line treatment in reducing morbidity and mortality.

What is the best and safest medication for high blood pressure?

Safe medications to use include methyldopa and potentially some diuretics and beta-blockers, including labetalol.

19 related questions found

Is amlodipine a good blood pressure medicine?

Amlodipine is an oral medication that doctors prescribe to treat high blood pressure, coronary artery disease, and angina. It is generally a safe and effective drug, but it may cause side effects in some people.

Why you should not take lisinopril?

This drug can cause dangerously high potassium. This can lead to arrhythmia (heart rate or rhythm problems). Your risk may be higher if you have kidney disease or diabetes, or if you're taking other drugs that increase potassium levels.

Why is amlodipine being recalled?

Citing defective bottles that may not seal appropriately and protect from moisture, Pfizer Inc. is recalling two lots of Caduet (amlodipine besylate/atorvastatin calcium) tablets. The recall was announced in the February 19, 2020, US Food and Drug Administration (FDA) Enforcement Report.

What medication can replace lisinopril?

Top 5 lisinopril alternatives

  • Lotensin (benazepril) Benazepril belongs to the same drug class as lisinopril of ACE inhibitors. ...
  • Diovan (valsartan) ...
  • Hydrochlorothiazide (HCTZ) ...
  • Norvasc (amlodipine) ...
  • Toprol XL (extended-release metoprolol)

What is the second drug of choice for hypertension?

The preferred second drugs in patients who are treated with a beta blocker are a thiazide diuretic or a dihydropyridine calcium channel blocker [71].

What blood pressure medicine is better than lisinopril?

In general, losartan causes fewer side effects than does lisinopril (losartan doesn't cause a nagging cough and has a lower risk for facial swelling).

Can lisinopril be taken with amlodipine?

Conclusions: The results of the present study indicate that: amlodipine and lisinopril in combination have a marked additional effect on blood pressure compared with either given as a monotherapy; their potentiation of action is long-acting; Black patients tend not to respond to the monotherapy with lisinopril as well ...

Is amlodipine well tolerated?

Amlodipine was tolerated very well; only 17% of the patients reported side effects, most of which were either mild or moderate and were tolerated or disappeared with continued treatment. No clinically significant changes were noted in clinical laboratory or ECG examinations.

Why are amlodipine and lisinopril taken together?

11 In the present study, the combination of long acting drugs of the two classes, namely amlodipine and lisinopril, reduced blood pressure more than either drug alone even 24 hours after dosing. This clearly shows that the combination has a marked additional and long lasting effect on blood pressure.

What are the side effects of amlodipine and lisinopril?

Side Effects of AMLODIPINE+LISINOPRIL

  • Confusion.
  • Sweating.
  • Tiredness.
  • Dizziness.
  • Headache.
  • Blurred vision.
  • Stomach upset.
  • Swelling of the ankles or feet.

Is lisinopril a good blood pressure medicine?

Lisinopril is a common treatment option for high blood pressure. It also has many other benefits — like improving survival after a heart attack. Lisinopril works by blocking the production of a hormone called angiotensin II. This relaxes blood vessels and lowers blood pressure.

What is the most common side effect of lisinopril?

The most common side effects in people taking lisinopril for high blood pressure are dry cough, dizziness, and headache. People taking lisinopril for heart failure or heart attack tend to experience low blood pressure, fainting, and kidney problems as the most common side effects.

Is lisinopril hard on your kidneys?

Lisinopril is an angiotensin converting enzyme (ACE) inhibitor. ACE-inhibitors are used in chronic kidney disease (CKD) to protect kidneys, slow progression of CKD and to treat protein in the urine. Hence, Lisinopril is generally a safe and effective treatment of CKD.

Why you should not take amlodipine?

If you have severe heart disease, using Norvasc (amlodipine) might increase your risk of chest pain or heart attack during the time right after starting the medication or raising the dosage. Norvasc (amlodipine) is not a good choice if you have heart failure or liver disease.

Who should not take amlodipine?

Conditions: severe narrowing of the aortic heart valve. significantly low blood pressure. severe liver disease.

What are the dangers of amlodipine?

Amlodipine side effects

  • swelling of your legs or ankles.
  • tiredness or extreme sleepiness.
  • stomach pain.
  • nausea.
  • dizziness.
  • hot or warm feeling in your face (flushing)
  • irregular heart rate (arrhythmia)
  • very fast heart rate (palpitations)

Should you take lisinopril in the morning or night?

You'll usually take lisinopril once a day. Your doctor may suggest that you take your first dose before bedtime because it can make you dizzy. After the very first dose, you can take lisinopril at any time of day. Try to take it at the same time every day.

Is 20mg of lisinopril a lot?

Lisinopril dosages can range from 5-40 mg, depending on the reason it is prescribed. The most common dosage is between 10-40 mg per day. Your health care provider may start you on a low dose and adjust it upward as needed.

Does lisinopril affect sleep?

Angiotensin-converting enzyme (ACE) inhibitors like lisinopril (Prinivil, Zestril) and angiotensin II-receptor blockers (ARBs) like valsartan (Diovan) are two of the most popular drug classes for treating high blood pressure. But they both have a risk of causing insomnia for interesting reasons.

Is amlodipine hard on the kidneys?

If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. High blood pressure may also increase the risk of heart attacks.