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NSAIDs can cause high blood pressure. And if you have high blood pressure, they can make it worse. This increases your chances of having a heart attack or a stroke. This can make the symptoms of heart failure, such as shortness of breath, swollen ankles, and a rapid or irregular heartbeat, worse.
NSAIDs can also keep the kidneys from working well. There is no simple answer. This can increase your chances of having a heart attack or stroke. If you're bothered by side effects, your doctor may be able to prescribe you a different medicine. Even if your blood pressure is successfully lowered by lisinopril, it's best to carry on taking it.
If you stop taking lisinopril, your blood pressure could rise back up again. If you need blood pressure-lowering medicines, you'll probably need to take them for the rest of your life. Remember, by keeping your blood pressure low, you're protecting yourself against having a heart attack or stroke in the future. Drinking alcohol can increase the blood pressure-lowering effect of lisinopril, which can make you feel dizzy or lightheaded.
During the first few days of taking lisinopril or after increasing the dose, stop drinking alcohol until you see how the medicine affects you. If lisinopril makes you feel dizzy, it's best to stop drinking alcohol while you're taking it. There are lots of other ACE inhibitor medicines that work in the same way as lisinopril. They include enalapril , captopril, ramipril and perindopril. If you cannot take lisinopril or other ACE inhibitor medicines because of side effects such as a dry cough, you may be able to switch to another type of blood pressure-lowering medicine.
This will usually be a medicine called an angiotensin receptor blocker, such as candesartan , irbesartan , losartan or valsartan. Lisinopril works as well as other ACE inhibitors when you take it to lower blood pressure and for heart failure. You only need to take lisinopril once a day. Some other ACE inhibitors need to be taken 3 times a day. Tell your doctor that you're taking lisinopril if you're going to have general anaesthetic for an operation or you're going to have a major operation, such as a caesarean section, without a general anaesthetic.
Lisinopril can reduce your blood pressure when it's used with an anaesthetic. But some types of hormonal methods of contraception, such as the combined pill and contraceptive patch , are not usually recommended for women with high blood pressure.
Talk to your doctor if you're taking a combined hormonal contraceptive. There's no clear evidence to suggest that taking lisinopril will reduce fertility in either men or women. But speak to a pharmacist or your doctor if you're trying to get pregnant.
They may want to review your treatment. Do not use salt substitutes such as Lo-Salt. This is because they're high in potassium. When mixed with lisinopril, they may make the level of potassium in your blood too high. Eating a healthy, balanced diet can help if you have high blood pressure or heart failure. Lisinopril can cause blurred vision and make some people feel dizzy or tired, especially when you first start taking it or after an increase in dose.
If this happens to you, do not drive a car, ride a bike, or use tools or machines. You can boost the health of your heart by making some key lifestyle changes. These will also help if you have high blood pressure or heart failure :. Page last reviewed: 13 December Next review due: 13 December Lisinopril On this page About lisinopril Key facts Who can and cannot take lisinopril How and when to take it Side effects How to cope with side effects Pregnancy and breastfeeding Cautions with other medicines Common questions.
About lisinopril Lisinopril is a medicine to treat high blood pressure and heart failure. And it also slows down diabetic kidney disease.
This medicine is only available on prescription. It comes as tablets. NHS coronavirus advice If you have coronavirus, or think you might have it, keep taking your blood pressure medicines as usual. Updated: 17 March Help us improve our website Can you answer a quick question about your visit today? Lisinopril lowers your blood pressure and makes it easier for your heart to pump blood around your body. Your very first dose of lisinopril may make you feel dizzy, so it's best to take it at bedtime.
After that you can take lisinopril at any time of day. Some people get a dry, irritating cough with lisinopril. If you get severe diarrhoea or vomiting from a stomach bug or illness, tell your doctor. You may need to stop taking lisinopril for a while until you feel better.
Drinking alcohol with lisinopril can make you feel dizzy or lightheaded. Lisinopril is also called by the brand name Zestril. When it's mixed with hydrochlorothiazide, it can be called Carace Plus, Lisoretic and Zestoretic. Lisinopril can be taken by adults and children aged 6 years and over. Lisinopril is not suitable for everyone. To make sure lisinopril is safe for you, tell your doctor if you: have had an allergic reaction to lisinopril or any other medicine in the past are trying to get pregnant, are already pregnant or breastfeeding are having dialysis or any other type of blood filtration have heart, liver or kidney problems have unstable or low blood pressure have diabetes are going to have a major operation surgery or general anaesthetic to put you to sleep have recently had diarrhoea or vomiting are on a low-salt diet are going to have desensitisation treatment to reduce your allergy to insect stings have a blood problem, such as a low white blood cell count neutropenia or agranulocytosis.
It's usual to take lisinopril once a day. Dosage The dose of lisinopril you take depends on why you need the medicine. This will be increased gradually over a few weeks to a usual dose of: 20mg once a day for high blood pressure the maximum dose is 80mg once a day 10mg once a day after a recent heart attack 20mg to 35mg once a day for heart failure 10mg to 20mg once a day for diabetic kidney disease Doses are usually lower for children.
How to take it You can take lisinopril with or without food. Will my dose go up or down? If you have side effects with lisinopril, you may stay on a lower dose. Important Take lisinopril even if you feel well, as you'll still be getting the benefits of the medicine.
What if I get ill while I'm taking it? If you have questions about this, contact your doctor or pharmacist. What if I forget to take it? If you miss a dose of lisinopril, take it as soon as you remember.
If you forget doses often, it may help to set an alarm to remind you. What if I take too much? Common side effects These common side effects happen in more than 1 in people. Talk to your doctor or pharmacist if these side effects bother you or do not go away: a dry, tickly cough that does not go away feeling dizzy or lightheaded, especially when you stand up or sit up quickly - this is more likely to happen when you start taking lisinopril or move on to a higher dose headaches diarrhoea or being sick vomiting itching or a mild skin rash blurred vision Serious side effects It happens rarely, but some people may have serious side effects when taking lisinopril.
Call a doctor straight away if you get: yellow skin or the whites of your eyes turn yellow — this can be a sign of liver problems paleness, feeling tired, faint or dizzy, any sign of bleeding for example bleeding from the gums or bruising more easily than usual , a sore throat, a fever, and getting infections more easily - these can be signs of blood or bone marrow disorder a faster heart rate, chest pain and tightness in your chest — these can be signs of heart problems shortness of breath, wheezing and tightening of the chest — these can be signs of lung problems severe stomach pain — this can be a sign of an inflamed pancreas swollen ankles, blood in your pee or not peeing at all — these can be signs of kidney problems weak arms and legs or problems speaking - these can be signs of a stroke If you suspect that you or someone else is having a stroke, phone immediately and ask for an ambulance.
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