Consumer Reports did a study based on effectiveness, convenience and cost and found:
For high blood pressure: benazepril, enalapril, and lisinopril |
For heart failure: enalapril, captopril
After a heart attack: lisinopril
For diabetics: ramipril (Altace)
For people with kidney disease: benazepril, ramipril (Altace)
Four of these medicines are low-cost or moderately priced generics. All have been proven to be just as effective as or superior to other ACEIs. One Best Buy - ramipril (Altace) - is a brand-name drug for which no generic copy is yet available. Altace is moderately priced.
Personally, I would start with either the lisinopril or captopril and hope I wouldn't cough. (For me they are OUT because I couughed my head off with enalapril when it was the only ACE (Vasotec.)
Diabetics would probably be wise to start with the higher priced Altace.