FDA defines the term Therapeutic equivalent to include generically equivalent products, therapeutic interchange or substitution in the hospital setting generally refers to drugs that are not generically identical.
Angiotensin receptors blockers (ARBs) and Angiotensin converting enzyme inhibitor (ACEI) are of the most common medications that are therapeutically equivalent.
Angiotensin Receptor Blockers (ARB) Equivalent Doses | ||||||||
Candesartan | Irbesartan | Valsartan | Losartan | Olmesartan | Telmisartan | Eprosartan | Azilsartan | |
4MG | 75MG | 40 MG or 20 MG BID | 25MG | 10MG | 20MG | 400MG | 40MG | |
8MG | 150MG | 80 MG or 40 MG BID | 50MG | 20MG | 40MG | 600MG | 40MG | |
16MG | 300MG | 160MG | 100MG | 20-40MG | 40-80MG | 800MG | 40MG | |
Maximum Recommended Doses | ||||||||
32MG | 300MG | 320MG | 100MG | 40MG | 80MG | 800MG | 80MG | |
Angiotensin converting enzyme inhibitor (ACEI) Equivalent Doses | ||||||||
Captopril | Enalapril | Lisinopril | Perindopril | Benazepril | Fosinopril | Quinapril | Ramipril | |
- | 5MG | 50MG | 2MG | 5MG | - | 5MG | 1.5MG | |
25 MG BID or TID | 10MG | 10MG | 4MG | 10MG | 10MG | 10MG | 2.5MG | |
50MG BID | 20MG | 20MG | 8MG | 20MG | 20MG | 20MG | 5MG | |
Maximum Recommended Doses | ||||||||
450 MG (150 MG TID) | 40MG | 80MG | 16MG | 80MG | 80MG | 40MG | 20MG | |
(ACEI) and (ARBs) Equivalent Doses | ||||||||
Irbesartan | Lisinopril | Valsartan | Captopril | Enalapril | Ramipril | Perindopril | Candesartan | Losartan |
150MG | 10MG | 80MG | 50MG | 10MG | 2.5MG | 4MG | 8-16MG | 50MG |
Maximum Recommended Doses | ||||||||
300MG | 80MG | 320MG | 450MG | 40MG | 20MG | 16MG | 32MG | 100MG |