What Other Drugs Could Interact With This Medication
There may be an interaction between lisinopril and any of the following:
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If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:
- stop taking one of the medications,
- change one of the medications to another,
- change how you are taking one or both of the medications, or
- leave everything as is.
An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.
Medications other than those listed above may interact with this medication. Tell your doctor or prescriber about all prescription, over-the-counter , and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.
How Is High Blood Pressure Treated
Treatment depends on how high your blood pressure is. For people whose systolic reading falls in the range 120 to 129 and the diastolic reading is equal to or less than 80, lifestyle changes are usually recommended over medications. These may include:
- Losing weight if you are overweight
- Eating a diet rich in fruits and vegetables
- Eating less salt
- More physical activity
- Limiting alcohol.
If treatment is considered necessary, sometimes more than one medication is prescribed. Medications for high blood pressure include:
What Other Drugs Interact With Lisinopril
If your doctor has directed you to use this NSAID, your medical doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor, health care provider, or pharmacist first for more health information.
- Severe Interactions of Lisinopril include:
This information does not contain all possible interactions. Therefore, before using this drug, tell your doctor or pharmacist of all the medications you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist. Check with your physician if you have health questions, concerns, or more health information.
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Dosage For Acute Myocardial Infarction
Adult dosage
- Starting dosage: 5 mg taken by mouth within the first 24 hours of when symptoms of heart attack start. Your doctor will give you another 5 mg after another 24 hours.
- Usual dosage: 10 mg given 48 hours after heart attack. Then 10 mg taken once per day for at least 6 weeks.
Child dosage
This medication hasnt been studied and shouldnt be used in children younger than 18 years for improving survival after a heart attack.
Senior dosage
There are no specific recommendations for senior dosing. Older adults may process drugs more slowly. A normal adult dose may cause levels of this drug to be higher than normal in your body. If youre a senior, you may need a lower dose or a different schedule.
Watch For Signs Of Angioedema
Angioedema is swelling of the tissues under the skin. Its similar to hives but the swelling is deeper and usually doesnt itch. Angioedema is often an allergic reaction, but lisinopril can cause angioedema by the way it works in the body. Angioedema is a serious and potentially life-threatening medical problem. If it gets too severe, it can block airways and cause death by asphyxiation. Get immediate medical attention at any sign of angioedema such as:
- Swelling of the face, lips, tongue, or throat
- Trouble breathing or swallowing
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How Should This Medicine Be Used
Lisinopril comes as a tablet and a solution to take by mouth. It is usually taken once a day. To help you remember to take lisinopril, take it around the same time every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take lisinopril exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.
If you are taking the solution, do not use a household spoon to measure your dose. Use an oral syringe made especially for measuring liquid medication.
Your doctor will probably start you on a low dose of lisinopril and gradually increase your dose.
Lisinopril controls your condition, but it is not a cure. Continue to take lisinopril even if you feel well. Do not stop taking lisinopril without talking to your doctor.
Severe Allergic And Skin Reactions
In rare cases, lisinopril can cause reactions that can be severe or life-threatening. Patients with symptoms of a severe allergic reactionhives, difficulty breathing, or swelling around the face, lips, tongue, or throatshould get emergency medical help right away. Lisinopril can also cause severe skin reactions, in rare cases. Patients should get emergency medical help if symptoms of a severe skin reaction occurred or purple rash, blistering or peeling skin, fever, burning eyes, or sore throat.
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Lisinopril Oral Tablet For Heart Attack
Lisinopril is approved to reduce the risk in adults for dying after a heart attack.
When you have a heart attack, blood flow to certain areas of the heart is cut off. A lack of blood flow can damage your heart, making it weaker and unable to work properly.
Symptoms of a heart attack may include:
- pain, pressure, or tightness in your chest
- pain that spreads into your arms, back, neck, or jaw
- shortness of breath or trouble breathing
Lisinopril works to widen your blood vessels. This means your heart doesnt have to work as hard to pump blood through your body.
Effectiveness for heart attack
Clinical studies have found lisinopril to be effective for reducing the risk of dying after a heart attack. For more information on how the drug performed in these studies, see lisinoprils prescribing information.
In addition, clinical guidelines recommend the use of an ACE inhibitor, such as lisinopril, to help reduce the risk of dying after a heart attack.
How Long Do Side Effects Last
Most lisinopril side effects such as headache, dry cough, dizziness, low blood pressure, elevated blood potassium, and other temporary side effects will go away when the medication is discontinued. Other times, the side effects become less noticeable with continuing treatment. A dry cough is a common side effect that usually clears up in a few weeks to a few months when lisinopril is discontinued. People with a bothersome cough should consult their healthcare provider.
Low blood pressure and high potassium are common side effects, but if blood pressure falls too low or potassium levels rise too high, immediate medical treatment is required. Even these severe conditions improve in a few hours or days with medical treatment.
Other severe side effects such as blood problems and severe allergic reactions may take several days of medical treatment to resolve. Kidney and liver dysfunction are more serious and may develop into chronic conditions. To prevent this, blood tests will be regularly performed to spot any liver or kidney problems before they become too serious.
Report side effects to your healthcare provider. If you have any serious side effects such as difficulty breathing, seek emergency medical treatment.
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How Do Doctors Decide On The Best Blood Pressure Medication
When choosing from these classes, your doctor will consider many factors, including your other health conditions and your race.
For example, African American people seem to benefit most from starting treatment with a thiazide diuretic or a calcium channel blocker, studies suggest. However, someone with diabetes may benefit more from using an ACE inhibitor.
What Are The Most Common Side Effects Of High Blood Pressure Medications
Side effects vary with the class of high blood pressure medication. In general, when you lower your blood pressure, side effects such as dizziness and lightheadedness are possible.
Some classes have very specific side effects. For example, diuretics can increase urination, while ACE inhibitors can cause a dry cough.
If you notice any new or unusual symptoms after starting a new medication, contact your doctor.
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Before Taking This Medicine
You should not use lisinopril if you are allergic to it, or if you:
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have a history of angioedema
-
recently took a heart medicine called sacubitril or
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are allergic to any other ACE inhibitor, such as benazepril, captopril, enalapril, fosinopril, moexipril, perindopril, quinapril, ramipril, or trandolapril.
Do not take lisinopril within 36 hours before or after taking medicine that contains sacubitril .
If you have diabetes, do not use lisinopril together with any medication that contains aliskiren .
You may also need to avoid taking lisinopril with aliskiren if you have kidney disease.
To make sure this medicine is safe for you, tell your doctor if you have ever had:
-
kidney disease
-
liver disease or
-
high levels of potassium in your blood.
Do not use lisinopril if you are pregnant. If you become pregnant, stop taking this medicine and tell your doctor right away. This medicine can cause injury or death to the unborn baby if you take the medicine during your second or third trimester. Use effective birth control while taking this medicine.
It is not known whether lisinopril passes into breast milk or if it could harm a nursing baby. You should not breastfeed while using this medicine.
How Quickly Does Lisinopril Lower Blood Pressure
Lisinopril, commonly sold under the brand name Zestril, begins to lower blood pressure within six hours of the first dose being administered. This is true with all doses, although adults who are on a dose of at least 20 milligrams have more consistent results and a more significant drop in blood pressure.
Research has also shown that Black individuals can be slightly less responsive to lisinopril than other populations. As such Black individuals may be prescribed additional medications, such as a diuretic, to improve effectiveness.
Although lisinopril acts quickly, it can take two to four weeks for your blood pressure to drop into the target range. Because of this, it’s important to continue taking lisinopril as prescribed, even if you dont feel any different when youre taking it.
High blood pressure is dangerous, but it doesnt usually cause any noticeable symptoms. Your healthcare provider will bring you in for regular blood pressure checks, especially as your body adjusts to lisinopril. This ensures that the medication is doing what it should.
You can also talk to your healthcare provider about monitoring your blood pressure at home, but this is generally considered less effective than having a professional check your blood pressure.
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Fda Warning: Risks If Used During Pregnancy
Lisinopril has a boxed warning . This is the most serious warning from the Food and Drug Administration . A boxed warning alerts doctors and patients about drug effects that may be dangerous.
Risks if used during pregnancy. Drugs such as lisinopril can cause harm to a fetus or miscarriage if used during pregnancy. For this reason, you should not take lisinopril while pregnant, and you should stop taking lisinopril if you become pregnant during your treatment. If youre pregnant or planning to become pregnant, talk with your doctor about safer options for treating your condition.
If you become pregnant while taking lisinopril, its very important that you tell your doctor right away. Theyll have you stop taking the drug, and they can recommend other treatments instead.
Lisinopril Blood Pressure Medicine Side Effects
Lisinopril is an ACE inhibitor used to treat high blood pressure. It may also be used to treat heart failure in combination with other drugs. This drug may cause side effects that are bothersome or persistent. In some cases, these side effects may be severe enough to require a dosage adjustment or replacement of lisinopril with an alternate drug.
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How To Take Lisinopril
This dosage information is for lisinopril oral tablet. All possible dosages and forms may not be included here. Your doctor will tell you what dosage is right for you. Your dose, form, and how often you take it will depend on:
- how severe your condition is
- other medical conditions you have
- how you react to the first dose
Warnings For People With Certain Health Conditions
For people with kidney disease: If you have kidney disease or are on dialysis, you have a higher risk for having certain serious side effects from this drug. Your doctor will monitor your kidney function and adjust your medication as needed. Your doctor should start you on a lower dose of this drug.
For people with diabetes: This drug can affect your blood sugar levels. Your doctor may need to change your dose of your diabetes medications. Your doctor will tell you how often to test your blood sugar levels.
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What Are The Advantages Of Ace Inhibitors
ACE inhibitors have several advantages that make them first-line medications for treating high blood pressure and other cardiovascular conditions. Those include:
- They work. ACE inhibitors have the support of extensive scientific research showing theyre effective.
- Theyre preventive. One of the most important effects of ACE inhibitors is not just that they can treat existing problems. They can also prevent those problems from happening .
- They often combine well with others. ACE inhibitors are often combined with certain other types of blood pressure-controlling medications into a single drug.
- Theyre safe. Side effects of ACE inhibitors are usually minor. Severe side effects are especially rare.
Lisinopril Oral Tablet Use With Other Drugs
Depending on the condition its prescribed to treat, you may use lisinopril alone or with other drugs.
For example, for treating hypertension , you may take lisinopril alone. But in some cases, your doctor may also prescribe another blood pressure medication that works differently than lisinopril, such as hydrochlorothiazide. For some people, using more than one drug works better to treat high blood pressure.
For treating heart failure and for reducing the risk of dying after a heart attack, lisinopril is used with other drugs. Medications commonly used with lisinopril for treating heart failure include beta-blockers, and diuretics. Medications commonly used with lisinopril after a heart attack include beta-blockers, statins, and blood thinners.
If you have questions about using lisinopril with other drugs, talk with your doctor.
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