Lisinopril Tablets (Generic Prinivil)
How to use and dosage
Lisinopril is ACE inhibitors. ACE simply means angiotensin converting enzyme. Therefore, Lisinopril is an ACE inhibitor used for treating heart failure, high blood pressure and can also be used for preventing kidney failure that is causedby high blood pressure as well as diabetes.
For treating heart failure: the starting dose of lisinopril is 5 mg per day. however, the effective dosa range required for treating heart failure is between 5 to 40 mg per day though it can be increased by 10-mg after every 2-weeks in-order to achieve the maximum effect.
For treating high high-blood pressure: the starting dose of lisinopril is 10 mg per day. The maximum dose a person can take per day ranges from 20 to 4omg.
For treating heart attack: the starting dose is 5 mg that will be followed by another 5 mg after every 24-hours, 10mg after 48 hrs thus 10 mg daily. A patient is required to take a full dose that last for 6 weeks for effective treatment.
How to take lisinopril
You are required to administer or take lisinopril as prescribed by the doctor. Follow the directions as indicated or labelled on your prescriptions. Occasionally, your doctor may change your dose to ensure that you get good results.
Each dose should be taken with a glass of water Lisinopril can be taken either with or without food.
It is important to know that, when you are using lisinopril for the first time, it can cause dizziness as a result of a drop in your blood pressure. Just like any ACE inhibitors, lisinopril may also cause a non-productive cough though stops when the drug usage is discontinued.
In addition, if there are signs of allergic reactions while using lisinopril then, it’s advisable to immediately stop using the drug. Some of these signs of allergic reactions may include; swelling of the face, tongue, lips or even throat. Occasionally, severe allergic reactions-anaphylacis and hives occur.
However, on rare occasions, lisinopril may result to a decrease in red-bloodcell-anemia, while blood cells-leukopenia and platelets-thrombocytopenia.
Side effects of using Lisinopril tablets;
- Sexual dysfunction
- Nasal congestion
- High potassium
- Depressed mood
Lisinopril shouldn’t be taken by pregnant women. It could be fatal for the unborn baby
Do not use potassium supplements or salt substitute while taking lisinopril but only under your doctor’s advice.
Drinking alcohol while taking Lisinopril can further reduce your blood pressure. it might in-turn increase certain lisinopril’s side effects.
Always store your lisinopril at a controlled room temperature of 15-30 degrees Celsius and protect it from moisture and heat. You can dispense the drug in a tight container in case the package is subdivided.
Vomiting, heavy sweating o diarrhea can cause dehydration thus leading to very low-blood pressure, kidney failure or even electrolyte disorders when you’re taking lisinopril. Therefore, it is recommended that you drink alt of water every day while under this medication.
If you have or experiencing a prolonged illness causing diarrhea or vomiting, it’s advisable to tell your doctor before starting the medication. Some of the conditions that might cause very low-blood pressure include; heavy sweating, vomiting, dialysis, diarrhea, heart disease, a low salt diet or even taking diuretic that is, water pills.
Lastly, if you are planning to go for a surgeon, it is advisable to inform the surgeon before time that you’re using lisinopril. For safety reasons, you may need to terminate the treatment or using the medicine for a short while.
It is not advisable to take Lisinopril with potassium supplements or even diuretics that retain potassium such as hydrochlorothiazide or triamterene (Dyazide); they may increase the blood potassium levels to dangerous levels.
Several cases have been reported of increased lithium levels on instances where lithium was used together with ACE inhibitors however, the reason for such interaction has not been identified.
Reports have been made in elation s to using aspirin as well as other non-steroidal anti-inflammatory drugs-NSAIDS like ibuprofen (Motrin, PediaCare Fever, Advil, Nuprin, Medipren, Children’s Advil and much more), naproxen (Naprelan, Aleve, Anaprox. Naprosyn), indomethacin (Indocin-SR and Indocin) may reduce ACE inhibitors’ effects thus reducing the effectiveness of the drug.
Nitritoid reactions which are symptoms of facial flushing, vomiting, nausea and hypotension have been reported when gold-sodium aurothiomalate (drug used for treating rheumatoid arthritis) is combined with lisinopril. Same reactions have been also reported with other ACE inhibitors.
The use of lisinopril in patients who are on diuretics can cause excessive reduction of the patient’s blood pressure. To avoid having those hypotensive effects with lisinopril, you may consider minimizing the usage by either decreasing or rather discontinuing the diuretic. In addition, you may consider increasing the salt intake before starting the treatment with lisinopril. However, if this isn’t possible then, consider reducing the starting dose of lisinopril.
Lisinopril attenuates potassium loss that is caused by thiazide which is a type of diuretics. Henceforth, potassium sparing-diuretics such as amiloride, spironolactone, triamterene and much more has the possibility of increasing the risk of hyperkalemea thus if it is necessary that a patient has to use such agents for medication then, it is important to frequently monitor the serum potassium of the patients.
Patients reported to be taking a concomitant neprilysin inhibitor such as sacubitril are likely to be at a
higher risk for angiodema. In addition, patients who are taking concomitant mTOR-inhibitor such as sirolimus, temsirolimus and everolimus for theraphy are likely to be at a high risk for angiodema.
Continuous administration of lisinopril as well as antidiabetic drigs such as insulins and oral hypoglycemic agents may result in an increased blood sugar lowering effect thus causing high risk of developing hypoglycemia.