Benazepril Tablets for High Blood Pressure

Benazepril is an angiotensin converting enzyme inhibitor used to treat high blood pressure in adults and in some children. This page explains strengths, typical dosing, safety, and ways to access it for everyday treatment decisions.

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What Benazepril Is and How It Works

At CanadianInsulin, orders are filled by licensed Canadian pharmacies after we confirm a valid prescription with your clinic.

Benazepril is a prodrug converted in the liver to benazeprilat, a potent ACE inhibitor. It blocks the conversion of angiotensin I to angiotensin II. The result is less vasoconstriction and lower aldosterone secretion. This relaxes blood vessels, reduces blood pressure, and lowers the workload on the heart. In the kidneys, reduced angiotensin II can help decrease intraglomerular pressure, which supports kidney function in hypertension.

The medicine can be used alone or with other agents. Thiazide diuretics and dihydropyridine calcium channel blockers often pair well. Other ACE inhibitors, such as Enalapril, work through a similar pathway. For an overview written for patients, see Benazepril Uses.

Who Benazepril Is For

Benazepril is indicated for the treatment of hypertension in adults. It is also approved for pediatric patients aged 6 years and older with high blood pressure. It may be used as monotherapy or with other antihypertensives to reach blood pressure targets. To explore medicines by condition, visit the High Blood Pressure category.

Benazepril is not for use during pregnancy. ACE inhibitors can cause injury and death to the developing fetus. Do not use in anyone with a history of angioedema related to ACE inhibitors. Avoid use with aliskiren in patients with diabetes. Use caution in bilateral renal artery stenosis, severe kidney disease, or dehydration, where a drop in renal function may occur.

Some people develop a dry, persistent cough. If that reaction is not tolerable, clinicians sometimes consider switching to an angiotensin receptor blocker. Kidney and heart health are often managed together in hypertension; see How Kerendia Uses for additional context on cardiorenal care.

Dosage and Usage

Follow the prescriber’s instructions and the product label. A typical adult starting dose is 10 mg once daily. Patients who are volume depleted or taking a diuretic often start at 5 mg once daily to reduce the risk of low blood pressure. The usual maintenance range is 20 mg to 40 mg per day as a single dose or divided into two doses. Some patients respond to lower or higher doses; the maximal studied dose is higher, but most benefit occurs within the usual range.

For pediatric patients aged 6 to 16 years, dosing is weight based and commonly starts at 0.2 mg per kg once daily. Titration is gradual based on blood pressure response and tolerance. Pediatric use depends on kidney function and other clinical factors.

Swallow tablets whole with water and take at the same time each day. Consistent timing helps control blood pressure. Benazepril may be taken with or without food. If a dose causes lightheadedness, sitting or lying down can help until symptoms pass.

Strengths and Forms

Availability may vary by pharmacy and lot. Common presentations include the following benazepril HCl tablets:

• Benazepril 5 mg tablets
• Benazepril 10 mg tablets
• Benazepril 20 mg tablets
• Benazepril 40 mg tablets
• Benazepril Hydrochloride 20 mg tablets (benazepril HCl tablets)

Combination products can simplify therapy when dual treatment is needed. Examples include:

• Benazepril HCTZ 10/12.5 mg tablets
• Benazepril HCTZ 20/12.5 mg tablets
• Benazepril hydrochlorothiazide 20/25 mg tablets
• Amlodipine and Benazepril capsules, including Amlodipine Benazepril 2.5/10 mg, 5/10 mg, 5/20 mg, 5/40 mg, 10/20 mg, and 10/40 mg

Other combination options in this therapeutic area may be appropriate in select cases, such as Perindopril Amlodipine. Selection depends on blood pressure goals, kidney function, and tolerability.

Missed Dose and Timing

If a dose is missed, take it when remembered the same day. If it is near the time for the next dose, skip the missed dose and resume the regular schedule. Do not double doses. Keeping a medication reminder on a phone or pill organizer can improve adherence.

Storage and Travel Basics

Store tablets at room temperature in a dry place, away from heat and moisture. Keep the bottle tightly closed and out of reach of children and pets. Do not use tablets that are chipped, discolored, or expired.

When traveling, keep your benazepril in original packaging with the prescription label. Pack it in carry-on luggage if flying, and bring enough for the full trip plus a small buffer. For cross-border travel, keep a copy of the prescription details and clinic contact information with your medication.

Benefits

Benazepril lowers blood pressure by relaxing blood vessels. Lowering blood pressure helps reduce the risk of stroke, heart attack, and kidney problems when used as part of a treatment plan. Once-daily dosing and multiple strengths support simple regimens. Combination products are available when a second medicine is needed.

Many patients use benazepril for high blood pressure long term. It is often well tolerated, and it can be paired with thiazide diuretics or calcium channel blockers to reach targets.

Side Effects and Safety

• Cough, dry tickle in the throat
• Dizziness or lightheadedness, especially after the first doses
• Headache or fatigue
• Nausea, diarrhea, or stomach discomfort
• Elevated potassium or creatinine on lab tests
• Rash or taste changes

Serious effects are uncommon but can occur. Angioedema is a medical emergency signaled by swelling of the face, lips, tongue, or throat, and difficulty breathing. Severe low blood pressure can occur, particularly in volume depletion. Kidney problems may worsen in some conditions. Rare events such as liver dysfunction or blood count changes have been reported. ACE inhibitors carry a boxed warning for fetal toxicity; discontinue if pregnancy is detected.

Drug Interactions and Cautions

• Do not combine ACE inhibitors with aliskiren in patients with diabetes.
• Avoid using benazepril with sacubitril/valsartan; allow an appropriate washout period between therapies.
• Using together with angiotensin receptor blockers or another ACE inhibitor increases the risk of kidney issues, high potassium, and low blood pressure.
• Potassium supplements, salt substitutes, or potassium-sparing diuretics can raise potassium levels.
• Nonsteroidal anti-inflammatory drugs may reduce the blood pressure effect and affect kidney function.
• Diuretics can increase the risk of low blood pressure at initiation; prescribers may adjust timing.
• Lithium levels may rise with ACE inhibitors; monitoring is needed if used together.
• mTOR inhibitors or neprilysin inhibitors may increase angioedema risk with ACE inhibitors.

Share a complete medication list, including over-the-counter products and supplements, with the prescribing clinic before starting therapy.

What to Expect Over Time

Blood pressure usually begins to improve after the first several doses. Full effect builds gradually over the next weeks with steady dosing. The prescriber may adjust the dose or add a second agent to reach targets. Routine follow-up often includes blood pressure checks and periodic labs to assess kidney function and potassium. Many people take benazepril long term when it remains effective and well tolerated.

Compare With Alternatives

ACE inhibitors share similar benefits for hypertension. A commonly used ACE inhibitor is Lisinopril. For patients who cannot tolerate an ACE inhibitor because of cough or angioedema history, an angiotensin receptor blocker such as Cozaar® (losartan) may be considered by clinicians. Other ACE inhibitors, including quinapril and ramipril, are options in specific cases.

Pricing and Access

CanadianInsulin lists current Benazepril price information with Canadian pricing and US shipping. Compare Benazepril cost across strengths, including Benazepril 20 mg price, before placing an order. A clear checkout shows the Benazepril cash price for self pay orders from Canada that ship to the US. For extra savings opportunities, see our Promotions.

After the clinic verifies the prescription, the partner pharmacy dispenses and sends the medicine with US delivery from Canada. Encrypted checkout protects personal and payment details during ordering.

Availability and Substitutions

Supply can vary by strength and manufacturer. If a selected strength is not available, the prescriber may suggest a different strength or a clinically appropriate alternative. Pharmacists dispense only after verifying the prescription matches the item and strength.

Patient Suitability and Cost Saving Tips

Suitable patients include adults with hypertension and pediatric patients 6 years and older when appropriate. Benazepril should not be used in pregnancy or in anyone with a history of angioedema from ACE inhibitors. Caution is needed in severe kidney disease, in renovascular hypertension, and with certain interacting medicines.

To save on ongoing therapy, consider a multi-month supply when approved by the prescriber, which may lower per-tablet costs and reduce shipping charges. Set refill reminders so refills are ordered before the last tablets run out. Consolidating medicines in a single shipment can also reduce overall delivery costs.

Questions to Ask Your Clinician

• What starting dose and target dose are planned for this treatment?
• Would adding a thiazide or amlodipine be helpful if blood pressure remains above goal?
• How often should kidney function and potassium be checked after starting or changing the dose?
• What symptoms would require urgent evaluation, such as swelling or severe dizziness?
• Is this medicine appropriate with current kidney function and other conditions?
• Are any current supplements, salt substitutes, or NSAIDs a concern with benazepril?
• What steps are recommended if pregnancy occurs during therapy?

Authoritative Sources

DailyMed provides official US labeling for benazepril and related products.

Detailed prescribing information is also available through FDALabel and the Canadian Health Canada DPD.

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