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HypotensionSymptomatic hypotension has occurred after administration of lisinoprilusually after the first or second dose or when the dose was increasedIt is more likely to occur in patients who are volume depleted by diuretic therapydietary salt restrictiondialysisdiarrhea or vomiting or possibly in patients with renin-dependent renovascular hypertensionsee DosageIn patients with severe congestive heart failurewith or without associated renal insufficiencyexcessive hypotension has been observed and may be associated with oliguria and/or progressive azotemiaand rarely with acute renal failure and/or deathBecause of the potential fall in blood pressure in these patientstherapy should be started under very close medical supervisionusually in a hospitalSuch patients should be followed closely for the first 2 weeks of treatment and whenever the dose of lisinopril and/or diuretic is increasedSimilar considerations apply to patients with ischemic heart or cerebrovascular disease in whom an excessive fall in blood pressure could result in a myocardial infarction or cerebrovascular accidentsee Adverse Effects

CoughA drypersistent coughwhich usually disappears only after withdrawal or lowering of the dose of lisinoprilhas been reported.

Dizzinesshypotensionheadachecoughchest painrenal dysfunctionhyperkalemiaangioedemarareliver dysfunctionblood dyscrasias.

To reduce the risk of dizziness and lightheadednessget up slowly when rising from a sitting or lying position.

Dizzinesshypotensionheadachecoughchest painrenal dysfunctionhyperkalemiaangioedemarareliver dysfunctionblood dyscrasias.

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