What is Lisinopril: Uses, Warnings & Interactions

Updated Feb. 20, 2024  •  Published Dec. 30, 2020

Lisinopril overview

BRAND NAMES:

  • Zestril, Qbrelis

Generic Names:

  • Lisinopril

Uses:

  • Treats high blood pressure and heart failure. Also given to reduce the risk of death after a heart attack

Therapeutic Classes:

  • Angiotensin-converting enzyme inhibitor (ACE inhibitor), antihypertensive, cardiovascular agent, renal protective agent

Forms:

  • Tablet, oral solution (liquid)

How it’s taken:

  • By mouth

What is Lisinopril used for?

Lisinopril lowers blood pressure in adults and children diagnosed with hypertension. Additionally, lisinopril can help treat a certain type of heart failure called systolic heart failure, which is characterized by a weakening of the heart chamber that sends blood out to the body. Daily lisinopril doses can also help reduce the risk of death in the weeks following a heart attack.

What form(s) does Lisinopril come in

  • Tablet

    • 2.5 mg

    • 5 mg

    • 10 mg

    • 20 mg

    • 30 mg

    • 40 mg

  • Oral solution (liquid)

    • 1 mg/mL

What are common Lisinopril doses?

  • For high blood pressure in adults: 10–40 mg taken by mouth once per day

  • For high blood pressure in children 6 years of age and older: 0.07–0.61 mg/kg taken by mouth once per day

  • For heart failure in adults: 5–40 mg taken by mouth once per day

  • For heart attack in adults: 10 mg taken by mouth once per day for at least 6 weeks

Common Lisinopril prescriptions

  • Lisinopril
    10mg tablet

  • Lisinopril
    2.5mg tablet

  • Lisinopril
    20mg tablet

  • Lisinopril
    30mg tablet

  • Lisinopril
    40mg tablet

  • Lisinopril
    5mg tablet

How to take Lisinopril

  • Take this medicine as directed. Your dose may need to be changed several times to find what works best for you.

  • Lisinopril can be taken with or without food.

  • How to take lisinopril tablets

    • Swallow lisinopril tablets with a drink of water

    • Store lisinopril tablets at room temperature protected from moisture, freezing, and heat.

  • How to take lisinopril oral solution

    • Measure each dose using the calibrated oral syringe or medicine cup. Do not use kitchen or table utensils.

    • Store lisinopril oral solution at room temperature protected from freezing and heat.

What to do if you miss a dose of Lisinopril

  • Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. 

  • Do not take extra medicine to make up for a missed dose.

Lisinopril contraindications

  • This medicine is not right for everyone. 

  • Do not use this medicine if you have had an allergic reaction to lisinopril.

  • Lisinopril should not be taken by people who were born with a condition that causes head and neck swelling (hereditary angioedema).

  • Lisinopril should also not be taken by people who have a history of head and neck swelling (angioedema) that has no specific cause.

  • If you have diabetes, do not use this medicine together with the blood pressure medication Tekturna (aliskiren).

Lisinopril warnings

  • It is not safe to take this medicine during pregnancy. It could harm an unborn baby. Tell your healthcare provider right away if you become pregnant.

  • Tell any doctor or other healthcare provider who treats you that you are using this medicine.

  • Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.

  • Tell your doctor if you are breastfeeding or if you have:

    • Kidney disease

    • Liver disease

    • Diabetes

    • Heart or blood vessel disease.

  • This medicine may cause the following problems:

    • Angioedema (severe swelling of the head and neck or the intestines)

    • Kidney problems

    • Liver problems and liver failure

    • High potassium

  • This medicine could lower your blood pressure too much, especially when you first use it or if you are dehydrated, salt-depleted, or taking other blood pressure medications or drugs that make you pee (diuretics). Stand or sit up slowly if you feel lightheaded or dizzy.

  • Do not stop using this medicine without asking your healthcare provider, even if you feel well. This medicine will not cure your high blood pressure, but it will help keep it in a normal range. You may have to take blood pressure medicine for the rest of your life.

Lisinopril interactions

  • To avoid potentially hazardous drug interactions, tell the prescribing healthcare provider about all prescription drugs, over-the-counter medications, and supplements you are using before taking lisinopril.

  • Tell other healthcare providers you are using this medicine before they prescribe new medications.

  • Some drugs may affect how lisinopril works or the combination may increase the risk of side effects. Tell your doctor if you are using any of the following: 

  • Ask your doctor before you use any medicine, supplement, or salt substitute that contains potassium.

  • Find out more about lisinopril interactions to avoid here.

Lisinopril side effects

Serious side effects

Talk to a healthcare provider if you notice any signs or symptoms of a possible serious side effect, including:

  • Lightheadedness, dizziness, fainting

  • Change in how much or how often you urinate

  • Dark urine or pale stools, nausea, vomiting, loss of appetite, stomach pain, yellow skin or eyes

  • Confusion, weakness, uneven heartbeat, trouble breathing, numbness or tingling in your hands, feet, or lips

  • Severe stomach pain (with or without nausea or vomiting)

  • Fever, chills, sore throat, body aches, or other symptoms of an infection

  • Blistering, peeling, or red skin rash

  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing

Lisinopril can cause serious side effects that may not have symptoms including:

  • Injury or death of an unborn baby

  • High potassium

Less serious side effects

  • Low blood pressure

  • Headache

  • Dizziness

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