Lisinopril and Alcohol

Can you have Lisinopril and Alcohol? Many people think that alcohol can be a part of a healthy lifestyle. However, most of those who suffer from increased blood pressure are aware of the fact that drinking should be avoided in their case. Long-term heavy drinking can lead to hypertension even if the person had no issues with blood pressure before getting addicted to alcohol.

But what about people who regularly take antihypertensive medications such as Lisinopril? Many of them might be tempted to believe that they’re protected as Lisinopril will counterbalance the potential harm of alcohol. Especially, if their doctor forgot to tell them anything about lisinopril and alcohol interaction. After all, the official drug leaflet doesn’t imply that lisinopril with alcohol is a strict taboo. Some online medical info leaflets do warn, though, that they shouldn’t be mixed due to the increased risk of dizziness, but it’s not clear which alcohol dose might be too much and which is absolutely OK. Many Lisinopril users report that they don’t have any side effects when using alcohol, while others choose to err on the side of caution and stop drinking altogether.

Can you drink alcohol while taking Lisinopril?

To fully understand the dangers of mixing Lisinopril with alcohol, we need to know how this medication works. Classified as an ACE inhibitor, it does its job of lowering blood pressure by blocking the ACE enzyme and facilitating blood flow by widening blood vessel passage. This medication doesn’t hurt your liver in any way. 

How can Lisinopril and alcohol use be risky?

These are the potential side effects of such a combination:

  • dizziness
  • passing out
  • headache
  • chest pain
  • severe nausea
  • flashing light in your sight
  • restlessness
  • increasing the risks of developing side effects of Lisinopril

Still, the major risk you run when taking Lisinopril with alcohol is a fall. On the one hand, this medication will lower your blood pressure. On the other hand, alcohol will make you dizzy, especially when you drink too much. Thus, you risk being hit by two separate kinds of “dizziness” at once, which might lead to unwanted consequences. As we are all different and our bodies respond to different substances in a different way due to unique metabolism and weight, Lisinopril and alcohol in combination is fine for some and aweful for others.

One more important thing to be aware of is that alcohol will reduce the effectiveness of Lisinopril, working in reverse to this hypertensive drug. Is it really worth it? If you’ve been prescribed Lisinopril, it means that your blood pressure issue is nothing to trifle with. After all, a sharp increase in blood pressure to extreme figures can be the cause of heart failure.

More problems as a result of Lisinopril and alcohol intolerance

By mixing Lisinopril with alcohol, one also might experience other, not so obvious health problems. For example, such a combination sometimes leads to nutritional issues due to a diminished intake of foods, increased risks of liver damage, and poor judgement behind the wheel. To feel safer, your best bet is to avoid alcoholic drinks when taking Lisinopril. 

Tips on safer alcohol consumption while taking Lisinopril

  • Don’t make a habit out of it. Occasional drinking is one thing, and regular drinking is quite another.
  • Discuss the amount and frequency of alcohol consumption with your personal physician.
  • Remember that the dosage of your medication matters a lot. For instance, Lisinopril 10 mg and alcohol is safer than Lisinopril 20 mg and alcohol. The same way Lisinopril 5 mg is safer than Lisinopril 10 mg and alcohol.
  • Drink a lot of water to avoid dehydration
  • Remember that one-off binges (6+ units within about six hours or so) isn’t the best idea. 
  • If you’re planning to drink in the evening, take your prescribed dose of Lisinopril in the morning. Avoid using them simultaneously.
  • Don’t take additional blood pressure medications when using Lisinopril and alcohol.
  • When drinking for the first time since the start of the treatment with Lisinopril, monitor your state carefully and don’t stand up abruptly to prevent fainting. 

As a rule, this is what is considered to be drinking in moderation:

  • 2 drinks a day for men under 65
  • 1 drink a day for men over 65
  • 1 drink a day for women regardless of their age

A drink is 355 ml of beer, 148 ml of wine or 44 ml of 80-proof distilled spirits.

For those who used to drink alcohol regularly

If you’ve been indulging in alcohol consumption for a long time before having being prescribed Lisinopril or other blood pressure medications ( like, follow these simple rules to aid your health:

  1. Choose quality over quantity when it comes to alcoholic beverages. Drink to savor the flavors rather than to get drunk. 
  2. When going out, repeat to yourself multiple times that you’re not going to get drunk and say no to extra drinks. 
  3. Avoid shots – stick to beer, wine, mocktails, etc. 

Other hypertensive medications and alcohol

ACE inhibitors like Lisinopril aren’t the only type of hypertensive medications that do not go along well with alcoholic drinks. These include:

  • Diuretics (Chlorthalidone)
  • Beta blockers (Atenolol)
  • Calcium channel blockers (Amlodipine)
  • Angiotensin receptor blockers (Losartan)
  • The combination of different types (Edarbyclor)

If you suffer from high blood pressure, try to avoid alcohol consumption or at least stick to drinking in moderation. Get you hypertension tamed at all times!

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