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Zestril (Lisinopril) – 2.5mg Tablets

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Lisinopril may cause injury or death to the fetus if taken after the third
month of pregnancy. If you think you may be pregnant, contact your doctor right
away.

Lisinopril is used for:

Treating
high blood pressure
alone or with other medicines. It is used along
with other medicines to manage heart failure or improve survival after a heart
attack. It may also be used for other conditions as determined by your doctor.

Lisinopril is an angiotensin-converting enzyme (ACE)
inhibitor. It works by relaxing blood vessels. This helps to lower blood
pressure.

Do NOT use Lisinopril if:

  • you areallergic
    to any ingredient in Lisinopril
  • you have a history of angioedema
    (swelling of the hands, face, lips, eyes, throat, or tongue; difficulty
    swallowing or breathing; or hoarseness), including angioedema caused by
    treatment with an ACE inhibitor
  • you are in your second or third
    trimester of pregnancy
  • the patient isa
    CHILD
    with severe kidney problems

Before using Lisinopril :

Some medical conditions may interact with Lisinopril . Tell
your doctor or pharmacist if you have any medical conditions, especially if any
of the following apply to you:

  • if you are pregnant, planning to
    become pregnant, or are breast-feeding
  • if you are taking any
    prescription or nonprescription medicine, herbal preparation, or dietary
    supplement
  • if youhave
    allergies
    to medicines, foods, or other substances
  • if you are able to become
    pregnant
  • if you have a history of heart
    problems (eg, heart failure, aortic stenosis), blood vessel problems, blood
    flow problems, bone marrow problems, kidney problems, or diabetes
  • if you have a history of stroke,
    recent heart attack, or kidney transplant
  • if you have an autoimmune disease
    (eg,rheumatoid
    arthritis
    , lupus, scleroderma)
  • if you are dehydrated or have low
    blood volume
  • if you have high blood potassium
    levels, low blood sodium levels, or are on a low salt (sodium) diet
  • if you are on dialysis or are
    scheduled to have major surgery

Some MEDICINES MAY INTERACT with Lisinopril . Tell your
health care provider if you are taking any other medicines, especially any of
the following:

  • Diuretics (eg, furosemide,
    hydrochlorothiazide) because the risk of low blood pressure may be increased
  • Aldosterone blockers (eg,
    eplerenone), potassium-sparing diuretics (eg, spironolactone, triamterene),
    or potassium supplements because the risk of high blood potassium levels may
    be increased
  • Insulin, sulfonylureas (eg,
    glipizide), or other oral diabetes medicines (eg,metformin)
    because the risk of low blood sugar may be increased
  • Gold-containing medicines (eg,
    auranofin) because flushing, nausea, vomiting, and low blood pressure may
    occur
  • Nonsteroidal anti-inflammatory
    drugs (NSAIDs) (eg, ibuprofen,indomethacin,
    celecoxib) or salicylates (eg, aspirin) because they may decrease Lisinopril
    ‘s effectiveness
  • Lithium or thiopurines (eg,
    azathioprine) because the risk of their side effects may be increased by
    Lisinopril

How to use Lisinopril :

Use Lisinopril as directed by your doctor. Check the label on
the medicine for exact dosing instructions.

  • Take Lisinopril by mouth with or
    withoutfood.
  • If you miss a dose of Lisinopril
    , take it as soon as possible. If it is almost time for your next dose, skip
    the missed dose and go back to your regular dosing schedule. Do not take 2
    doses at once.

Important safety information:

  • Lisinopril may cause dizziness,
    lightheadedness, or fainting. These effects may be worse if you take it with
    alcohol or certain medicines. Use Lisinopril with caution. Do not drive or
    perform other possibly unsafe tasks until you know how you react to it.
  • Lisinopril may cause a serious
    side effect called angioedema. Contact your doctor at once if you develop
    swelling of the hands, face, lips, eyes, throat, or tongue; difficulty
    swallowing or breathing; or hoarseness.
  • Lisinopril may not work as well
    in black patients. They may also be at greater risk of side effects. Contact
    your doctor if your symptoms do not improve or if they become worse.
  • Dehydration, excessive sweating,
    vomiting, or diarrhea may increase the risk of low blood pressure. Contact
    your health care provider at once if any of these occur.
  • Rarely, Lisinopril may lower the
    ability of yourbody
    to fight infection. This risk may be greater if you have certain other
    health problems (eg, kidney problems, collagen vascular disease). Avoid
    contact with people who have colds or infections. Tell your doctor if you
    notice signs of infection like fever, sore throat, rash, or chills.
  • Check with your doctor before you
    use a salt substitute or a product that has potassium in it.
  • Tell your doctor or dentist that
    you take Lisinopril before you receive any medical ordental
    care
    , emergency care, or surgery.
  • Patients who take medicine for
    high blood pressure often feel tired or run down for a few weeks after
    starting treatment. Be sure to take your medicine even if you may not feel
    "normal." Tell your doctor if you develop any new symptoms.
  • If you have high blood pressure,
    do not use nonprescription products that contain stimulants. These products
    may include diet pills or cold medicines. Contact your doctor if you have
    any questions or concerns.
  • Diabetes patients- Lisinopril may
    affect your blood sugar. Check blood sugar levels closely. Ask your doctor
    before you change the dose of your diabetes medicine.
  • Lab tests, including blood
    pressure, blood electrolyte levels, heart function, or kidney or liver
    function, may be performed while you use Lisinopril . These tests may be
    used to monitor your condition or check for side effects. Be sure to keep
    all doctor and lab appointments.
  • Use Lisinopril with caution in
    the ELDERLY; they may be more sensitive to its effects.
  • Lisinopril should not be used in
    CHILDREN younger than 6 years old; safety and effectiveness in these
    children have not been confirmed.
  • PREGNANCY AND BREAST-FEEDING:
    Lisinopril may cause birth defects or fetal death if you take it while you
    are pregnant. If you think you may be pregnant, contact your doctor right
    away. It is not known if Lisinopril is found in breast milk. Do not
    breast-feed while taking Lisinopril .

Possible side effects of Lisinopril :

All medicines may cause side effects, but many people have
no, or minor side effects. Check with your doctor if any
of these most COMMON side effects persist or become bothersome:

Cough; diarrhea; dizziness; headache; tiredness.

Seek medical attention right away if any of these SEVERE
side effects occur:

Severeallergic
reactions
(rash; hives; itching; difficulty breathing; tightness in
the chest; swelling of the hands, eyes, mouth, face, lips, or tongue;
hoarseness); chest pain; dark urine; decreased urination; difficulty
swallowing; infection (eg, fever, chills, persistent sore throat); irregular
or slow heartbeat; stomach pain (with or without nausea or vomiting); symptoms
of low blood pressure (eg, fainting, severe dizziness, lightheadedness);
yellowing of the skin or eyes.

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