AgentAvailabilityDosages*ConsiderationsCost (generic)
Benazepril (Lotensin)5, 10, 20, 40 mgHTN$ 27
Start: 10 mg daily
Target: 20 to 40 mg daily
Maximum: 80 mg daily
Captopril (Capoten)12.5, 25, 50, 100 mgHTNFood decreases absorption, but blood levels do not correlate with blood pressure response59 to 88 (20 to 68)
25 to 50 mg two or three times daily
CHF151 (100 to 118)
Start: 6.25 to 25 mg three times daily
Target: 50 to 100 mg three times daily
LVD/MI
Start: 6.25 mg daily
Target: 50 mg three times daily
DN‡88 (58 to 68)
25 mg three times daily
Maximum: 450 mg daily
Enalapril (Vasotec)2.5§, 5§, 10, 20 mgHTN36 (31 to 32)
Start: 5 mg daily
Range: 10 to 40 mg once daily or in two divided doses
CHF101 (88 to 91)
Start: 2.5 mg daily
Target: 40 mg daily in two divided doses
ALVD72 (62 to 64)
Start: 2.5 mg twice daily
Target: 20 mg daily in two divided doses
Maximum: 40 mg daily
Fosinopril (Monopril)10§, 20, 40 mgHTNMay cause false low serum digoxin levels
Patients with impaired liver function may have elevated plasma levels
29
Start: 10 mg daily
Target: 40 mg daily
CHF29
Start: 10 mg daily
Target: 20 to 40 mg daily
Maximum: 80 mg daily
Lisinopril (Prinivil§, Zestril)2.5, 5§, 10, 20, 30, 40 mgHTN30
Start: 10 mg daily
Target: 20 to 40 mg daily
CHF30
Start: 5 mg daily
Target: 20 mg daily
AMI29
Start: 5 mg daily for two days, then 10 mg daily for six weeks, then re-evaluate
Maximum: 40 mg daily
Moexipril (Univasc)7.5§, 15§ mgHTN20
Start: 7.5 mg daily one hour before meals
Target: 7.5 to 30 mg in one dose or two divided doses one hour before meals
Maximum: 30 mg daily
Perindopril (Aceon)2§, 4§, 8§ mgHTNCautious administration with gentamicin||30
Start: 4 mg daily
Target: 4 to 8 mg daily
Maximum: 16 mg daily
Quinapril (Accupril)5§, 10, 20, 40 mgHTNFood decreases absorption32
Start: 10 mg daily
Target: 80 mg daily
CHF64
Start: 5 mg twice daily, titrate weekly to 20 to 40 mg in divided doses
Maximum: 80 mg daily
Ramipril (Altace)1.25, 2.5, 5, 10 mgHTNPatients with impaired liver function may have elevated plasma levels30
Start: 2.5 mg daily
Target: 2.5 to 20 mg daily in one dose or two divided dose
CHF/MI33
Start: 2.5 mg twice daily
Target: 5 mg twice daily
RR: 10 mg daily¶
Maximum: 20 mg daily
Trandolapril (Mavik)1§, 2, 4 mgHTNFood decreases absorption24
Start: 1 mg daily (2 mg daily in black patients)
Target: 2 to 4 mg per day
CHF/MI24
Start: 1 mg daily
Target: 4 mg daily
LVD/MI24
Start: 1 mg daily
Target: 4 mg daily
Maximum: 8 mg daily