Re: Insurance won't cover Micardis......but
All three of these drugs are angiotensin 2 receptor blockers...same class.
You will probably experience zero side effects on whichever one you go with.
Cozaar is the oldest of the three. Tried and true. But I read a Canadian study recently in which there was a head-to-head comparison of Avapro and Cozaar. Both effective, but Avapro had a very slight edge in blood pressure lowering effects overall in that lower doses were needed to achieve desired BP than with Cozaar. I'm all the old adage "less is more". Less of ANY drug means less possibility of side effects from same.
Why not give the Avapro a shot? Ask your doctor if he/she has a preference for your specific needs....For instance, if you have chronic renal disease, studies on Avapro appear to support the possibility that this drug may be more "renoprotective" (kidney protective) than Cozaar.
I myself am on Diovan...same class... (and like you, it's not one of the "preferred" drugs on my insurance.)
I've opted to pay the extra because I've been through over a year of experimentation with other classes of BP meds (like Lillian's Axe went through!) and I am so happy to have found a drug that WORKS for me.
I've been reluctant to fool around, even though realistically, Cozaar or Avapro will probably do me just fine. I may switch yet.
Since it's really early days for you, when the two month supply runs out, see how you feel, both physically, emotionally (about a 'switch" that is) and financially...
And hey, if you DO switch and experience a problem you know you can always go back to Micardis and hopefully manage to pay the extra.
Bottom line: In theory you should do very well on either of the other options.
Last edited by zuzu8; 04-01-2004 at 06:25 PM.