Description
Benazepril, sold for pets under names like Fortekor, is a prescription medicine for dogs and cats. Veterinarians may prescribe it to help with heart problems in dogs and kidney disease in cats. It works by relaxing and widening blood vessels, which helps the heart pump blood more easily and lower blood pressure. In cats with chronic kidney disease, it may help reduce protein loss in the urine.
| Fact Table |
| Formula |
C24H28N2O5·HCl |
| License |
US FDA |
| Bioavailability |
At least 37% oral absorption |
| Legal status |
Rx-only |
| Chemical Name |
Benazepril hydrochloride; benazepril 3-[[1-(ethoxycarbonyl)-3-phenyl-(1S)-propyl]amino]-2,3,4,5-tetrahydro-2-oxo-1H-1-(3S)-benzazepine-1-acetic acid monohydrochloride |
| Elimination half-life |
10–11 hours for benazeprilat accumulation half-life |
| Dosage (Strength) |
Tablets: 5 mg, 10 mg, 20 mg, 40 mg; adult initial dose 10 mg once daily; usual maintenance 20–40 mg/day |
| Pregnancy |
Do not use in pregnancy; discontinue as soon as pregnancy is detected |
| Brands |
Lotensin, Lotensin HCT, Lotrel |
| Protein binding |
Benazepril 96.7%; benazeprilat 95.3% |
| PubChem CID |
5362123 |
| MedlinePlus |
a692011 |
| ChEBI |
3012 |
| ATC code |
C09AA07 |
| DrugBank |
DB00542; DBSALT000554 |
| KEGG |
D00620; D07499 |
| Routes of administration |
Oral |
Directions
Give benazepril exactly as your veterinarian prescribes. It is given by mouth once a day, with or without food, and the dose depends on your pet’s weight and health condition. Your veterinarian may change the dose if needed.
If you split a scored tablet, put the unused half back in the blister pack, keep it in the box, and use it within 2 days. Benazepril is often used long term, so keep giving it unless your veterinarian tells you to stop.
If you miss a dose, give the next dose at the regular time and do not give two doses at once. Your veterinarian may recommend blood tests during treatment to check your pet’s kidneys and electrolyte levels.
Ingredients
The active ingredient is benazepril hydrochloride. The full list of inactive ingredients varies by manufacturer and is not always published.
Cautions
Before using this medication, you may want to consult a veterinarian about the following:
- Any existing health conditions your pet has, especially kidney, heart, or liver disease
- Any known allergies
- A list of all medications your pet is currently taking
Benazepril can lower blood pressure. In rare cases this may cause signs such as lethargy or unsteadiness, also called ataxia, particularly when it is used together with a diuretic.
Kidney function and electrolytes should be monitored during treatment. In dogs and cats, benazepril may increase creatinine levels at the start of treatment, and ACE inhibitors can sometimes increase potassium levels, so periodic bloodwork is recommended.
Use with care alongside other blood-pressure-lowering medications such as diuretics, calcium channel blockers, or beta-blockers, as the effects on blood pressure may be amplified. Combining ACE inhibitors with non-steroidal anti-inflammatory drugs, or NSAIDs, may reduce the medication’s effect or affect kidney function.
The safety of benazepril has not been established in breeding, pregnant, or nursing animals, so it should be used in these pets only when your veterinarian deems it necessary.
This product is for animal use under veterinary direction. Keep out of the sight and reach of children. Store in a dry place and do not store above 25°C. Wash your hands after handling the tablets.
Contraindications
Avoid using this medication if any of the following apply:
- A known allergy or hypersensitivity to benazepril or to other ACE inhibitors.
- Pets with low blood pressure, or hypotension; low blood volume, or hypovolaemia; low sodium levels, or hyponatraemia; or acute kidney, or renal, failure.
- Pets with reduced cardiac output caused by a narrowing of the heart valves or vessels, such as aortic or pulmonary stenosis.
- Pregnant or nursing animals, unless your veterinarian decides the benefit outweighs the risk, as ACE inhibitors may harm a developing fetus.
Side Effects
Side effects are uncommon, but those reported include:
- Lethargy or low energy
- Vomiting
- Diarrhea
- Changes in appetite
- Increased thirst and urination
- Unsteadiness or wobbliness, also called ataxia
Contact your veterinarian if any of these signs persist or worsen. Because benazepril lowers blood pressure, some pets may become weak. If your pet collapses, becomes very weak, or stops eating, seek veterinary advice. In severe cases, death has been reported, sometimes as a progression of the underlying heart or kidney disease being treated. In the case of an accidental overdose, a temporary drop in blood pressure can occur and your veterinarian may need to provide supportive care.
References
Fortekor 2.5 mg Tablets for Cats and Dogs, benazepril hydrochloride, Package Leaflet. Hook, UK: Elanco Europe Ltd; 2020.
Fortekor, benazepril hydrochloride, Summary of Product Characteristics. Veterinary Medicines Directorate, UK; 2025.
About Dr. Gerardo Sison (Page Author)
Dr. Sison graduated with honors from the University of Florida. He began his career in pharmacy counseling patients in a community setting and later served in hospitals and clinics. He has also worked in medication therapy management services. Read More....
IMPORTANT NOTE:
The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.
Product Code : 15271