Brand names: Zestril, Prinivil, Zestoretic, Tensopril, Hipril
Lisinopril (lye-SIN-o-pril) is a drug of the angiotensin converting enzyme (ACE) inhibitor class that is primarily used in treatment of hypertension, congestive heart failure, heart attacks and also in preventing renal and retinal complications of diabetes. Lisinopril is in a group of drugs called ACE inhibitors. Lisinopril is used to treat high blood pressure (hypertension), congestive heart failure, and to improve survival after a heart attack.
Generic Zestril 10mg
Lisinopril is an antihypertensive (blood pressure lowering agent) known as an ACE inhibitor. Lisinopril controls high blood pressure (hypertension) by relaxing blood vessels; it is not a cure. High blood pressure levels can damage your kidneys, and may lead to a stroke or heart failure. Lisinopril also helps to treat patients with heart failure (heart does not pump strongly enough). Generic lisinopril tablets are available.
Lisinopril is used alone or together with other medicines to treat high blood pressure (hypertension). High blood pressure adds to the work load of the heart and arteries. If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys resulting in a stroke, heart failure, or kidney failure. Hypertension may also increase the risk of heart attacks. These problems may be less likely to occur if blood pressure is controlled .
Lisinopril works by blocking an enzyme in the body that is necessary to produce a substance that causes blood vessels to tighten. As a result, the blood vessels relax. This lowers blood pressure and increases the supply of blood and oxygen to the heart .
Lisinopril is also used in some patients after a heart attack. After a heart attack, some of the heart muscle is damaged and weakened. The heart muscle may continue to weaken as time goes by. This makes it more difficult for the heart to pump blood. Lisinopril may be started within 24 hours after a heart attack to increase survival rate .
In addition, lisinopril is used to treat congestive heart failure or may be used for other conditions as determined by your doctor .
Do not use this medication if you are allergic to lisinopril or to any other ACE inhibitor, such as benazopril (Lotensin), captopril (Capoten), fosinopril (Monopril), enalapril (Vasotec), moexipril (Univasc), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), or trandolapril (Mavik).
Before using lisinopril, tell your doctor if you are allergic to any drugs, or if you have:
• kidney disease (or if you are on dialysis);
• liver disease;
• heart disease or congestive heart failure;
• diabetes; or
• a connective tissue disease such as Marfan syndrome, Sjogren's syndrome, lupus, scleroderma, or rheumatoid arthritis.
If you have any of these conditions, you may not be able to use lisinopril, or you may need a dosage adjustment or special tests during treatment.
FDA pregnancy category D. Do not use this medication without telling your doctor if you are pregnant or planning a pregnancy. Lisinopril could cause birth defects in the baby if you take the medication during pregnancy. Use an effective form of birth control. Stop using this medication and tell your doctor right away if you become pregnant during treatment. It is not known whether lisinopril passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
Use Lisinopril as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Take Lisinopril by mouth with or without food.
If you miss a dose of Lisinopril , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use Lisinopril .
Avoid becoming overheated or dehydrated during exercise and in hot weather. Follow your doctor's instructions about the type and amount of liquids you should drink. In some cases, drinking too much liquid can be as unsafe as not drinking enough.
Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.
Avoid drinking alcohol, which can increase some of the side effects of hydrochlorothiazide and lisinopril. Avoid using other medicines that make you light-headed (such as cold medicine, pain medication, muscle relaxers, and medicine for seizures, depression or anxiety). They can add to the side effects of hydrochlorothiazide and lisinopril. Tell your doctor if you regularly use any of these medicines, or any other blood pressure medications.
Avoid the regular use of salt substitutes in your diet, and do not take potassium supplements while taking hydrochlorothiazide and lisinopril, unless your doctor has told you to.
Possible side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; severe stomach pain; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:
• feeling light-headed, fainting;
• urinating more or less than usual, or not at all;
• fever, chills, body aches, flu symptoms;
• tired feeling, muscle weakness, and pounding or uneven heartbeats;
• chest pain; or
• swelling, rapid weight gain.
Less serious side effects may be more likely to occur, such as:
• dizziness, drowsiness, headache;
• nausea, vomiting, diarrhea, upset stomach; or
• mild skin itching or rash.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
If you take too much
Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a lisinopril overdose may include feeling extremely dizzy or light-headed, or fainting.
Do not use this medication without telling your doctor if you are pregnant or planning a pregnancy. Lisinopril could cause birth defects in the baby if you take the medication during pregnancy. Use an effective form of birth control. Stop using this medication and tell your doctor right away if you become pregnant during treatment. Avoid drinking alcohol. It can further lower your blood pressure and may increase some of the side effects of lisinopril. Do not use salt substitutes or potassium supplements while taking lisinopril, unless your doctor has told you to.
•antiinflammatory drugs (NSAIDs, such as ibuprofen)
•gold compounds, often used for arthritis
•medicines for diabetes
•medicines for high blood pressure
•monoamine oxidase inhibitors (Azilect®, Eldepryl®, Emsam®, Marplan®, Nardil®, Parnate®, Zelapar™)
Zestril is used for:
Treating high blood pressure alone or with other medicines. It is used along with other medicines to manage heart failure or improve survival after a heart attack. It may also be used for other conditions as determined by your doctor.
Zestril is an angiotensin-converting enzyme (ACE) inhibitor. It works by relaxing blood vessels. This lowers blood pressure and helps the heart to pump blood more easily.
Do NOT use Zestril if:
you are allergic to any ingredient in this medicine
you have a history of angioedema (swelling of the hands, face, lips, eyes, throat, or tongue; difficulty swallowing or breathing; or hoarseness), including angioedema caused by treatment with an ACE inhibitor
you are in your second or third trimester of pregnancy
the patient is a CHILD with severe kidney problems
Contact your doctor or health care provider right away if any of these apply to you.
Before using Zestril :
Some medical conditions may interact with Zestril . Tell your health care provider if you have any medical conditions, especially if any of the following apply to you:
if you are pregnant, planning to become pregnant, or are breast-feeding
if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
if you have allergies to medicines, foods, or other substances
if you are a woman of childbearing age
if you have a history of heart problems (eg, heart failure, aortic stenosis), blood vessel problems, blood flow problems, bone marrow problems, kidney problems, or diabetes
if you have a history of stroke, recent heart attack, or kidney transplant
if you have an autoimmune disease (eg, rheumatoid arthritis, lupus, scleroderma)
if you are dehydrated or have low blood volume
if you have high blood potassium levels, low blood sodium levels, or are on a low salt (sodium) diet
if you are on dialysis or are scheduled to have major surgery
Some MEDICINES MAY INTERACT with Zestril . Tell your health care provider if you are taking any other medicines, especially any of the following:
Diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood pressure may be increased
Aldosterone blockers (eg, eplerenone), potassium-sparing diuretics (eg, spironolactone, triamterene), or potassium supplements because the risk of high blood potassium levels may be increased
Insulin, sulfonylureas (eg, glipizide), or other oral diabetes medicines (eg, metformin) because the risk of low blood sugar may be increased
Gold-containing medicines (eg, auranofin) because flushing, nausea, vomiting, and low blood pressure may occur
Nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen, indomethacin, celecoxib) or salicylates (eg, aspirin) because they may decrease Zestril 's effectiveness
Lithium or thiopurines (eg, azathioprine) because the risk of their side effects may be increased by Zestril
This may not be a complete list of all interactions that may occur. Ask your health care provider if Zestril may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use Zestril :
Use Zestril as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Take Zestril by mouth with or without food.
If you miss a dose of Zestril , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use Zestril .
Important safety information:
Zestril may cause dizziness, lightheadedness, or fainting. These effects may be worse if you take it with alcohol or certain medicines. Use Zestril with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
Zestril may cause a serious side effect called angioedema. Contact your doctor at once if you develop swelling of the hands, face, lips, eyes, throat, or tongue; difficulty swallowing or breathing; or hoarseness.
Zestril may not work as well in black patients. They may also be at greater risk of side effects. Contact your doctor if your symptoms do not improve or if they become worse.
Dehydration, excessive sweating, vomiting, or diarrhea may increase the risk of low blood pressure. Contact your health care provider at once if any of these occur.
Rarely, Zestril may lower the ability of your body to fight infection. This risk may be greater if you have certain other health problems (eg, kidney problems, collagen vascular disease). Tell your doctor if you notice signs of infection like fever, sore throat, rash, or chills.
Check with your doctor before you use a salt substitute or a product that has potassium in it.
Tell your doctor or dentist that you take Zestril before you receive any medical or dental care, emergency care, or surgery.
Patients who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel "normal." Tell your doctor if you develop any new symptoms.
If you have high blood pressure, do not use nonprescription products that contain stimulants. These products may include diet pills or cold medicines. Contact your doctor if you have any questions or concerns.
Diabetes patients- Zestril may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
Lab tests, including blood pressure, blood electrolyte levels, heart function, or kidney or liver function, may be performed while you use Zestril . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
Use Zestril with caution in the ELDERLY; they may be more sensitive to its effects.
Zestril should not be used in CHILDREN younger than 6 years old; safety and effectiveness in these children have not been confirmed.
PREGNANCY AND BREAST-FEEDING: Zestril may cause birth defects or fetal death if you take it while you are pregnant. If you think you may be pregnant, contact your doctor right away. It is not known if Zestril is found in breast milk. Do not breast-feed while taking Zestril .
Possible side effects of Zestril:
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Cough; diarrhea; dizziness; headache; tiredness.
Seek medical attention right away if any of these SEVERE side effects occur:
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the hands, eyes, mouth, face, lips, or tongue; hoarseness); chest pain; dark urine; decreased urination; difficulty swallowing; infection (eg, fever, chills, persistent sore throat); irregular or slow heartbeat; stomach pain (with or without nausea or vomiting); symptoms of low blood pressure (eg, fainting, severe dizziness, lightheadedness); yellowing of the skin or eyes.
What is/are Zestoretic?
HYDROCHLOROTHIAZIDE and LISINOPRIL is a combination of a diuretic and an ACE inhibitor. It is used to treat high blood pressure. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What should I tell my health care providers before I take this medicine?
They need to know if you have any of these conditions:
bone marrow disease decreased urine heart or blood vessel disease if you are on a special diet like a low salt diet immune system problems, like lupus kidney disease liver disease previous swelling of the tongue, face, or lips with difficulty breathing, difficulty swallowing, hoarseness, or tightening of the throat recent heart attack or stroke an unusual or allergic reaction to lisinopril, hydrochlorothiazide, sulfa drugs, other medicines, insect venom, foods, dyes, or preservatives pregnant or trying to get pregnant breast-feeding
How should I use this medicine?
Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. You may take this medicine with or without food. Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking this medicine except on the advice of your doctor or health care professional.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
Note: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What may interact with this medicine?
Barbiturates like phenobarbital blood pressure medicines corticosteroids like prednisone diabetic medications diuretics, especially triamterene, spironolactone or amiloride lithium NSAIDs like ibuprofen potassium salts or potassium supplements prescription pain medicines skeletal muscle relaxants like tubocurarine some cholesterol lowering medications like cholestyramine or colestipol
This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What side effects may I notice from this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
confusion, dizziness, light headedness or fainting spells decreased amount of urine passed difficulty breathing or swallowing, hoarseness, or tightening of the throat fast or irregular heart beat, palpitations, or chest pain muscle cramps nausea and vomiting persistent dry cough redness, blistering, peeling or loosening of the skin, including inside the mouth stomach pain swelling of your face, lips, tongue, hands, or feet unusual rash, bleeding or bruising, or pinpoint red spots on the skin worsened gout pain yellowing of the eyes or skin
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
cough decreased sexual function or desire headache
This list may not describe all possible side effects.
What should I watch for while using this medicine?
Visit your doctor or health care professional for regular checks on your progress. Check your blood pressure as directed. Ask your doctor or health care professional what your blood pressure should be and when you should contact him or her. Call your doctor or health care professional if you notice an irregular or fast heart beat.
You must not get dehydrated. Ask your doctor or health care professional how much fluid you need to drink a day. Check with him or her if you get an attack of severe diarrhea, nausea and vomiting, or if you sweat a lot. The loss of too much body fluid can make it dangerous for you to take this medicine.
Women should inform their doctor if they wish to become pregnant or think they might be pregnant. There is a potential for serious side effects to an unborn child. Talk to your health care professional or pharmacist for more information.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this drug affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol can make you more drowsy and dizzy. Avoid alcoholic drinks.
This medicine may affect your blood sugar level. If you have diabetes, check with your doctor or health care professional before changing the dose of your diabetic medicine.
Avoid salt substitutes unless you are told otherwise by your doctor or health care professional.
This medicine can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.
Do not treat yourself for coughs, colds, or pain while you are taking this medicine without asking your doctor or health care professional for advice. Some ingredients may increase your blood pressure.
Where should I keep this medicine?
Keep out of the reach of children.
Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Protect from moisture and excessive light. Keep container tightly closed. Throw away any unused medicine after the expiration date.
Frequently asked questions:
What is a generic medication?
Wikipedia gives the following definition: “Generic drug (pl. generic drugs, short: generics) is a drug which is produced and distributed without a brand name. A generic must contain the same active ingredients as the original formulation. In most cases, it is considered bioequivalent to the brand name counterpart with respect to pharmacokinetic and pharmacodynamic properties. By extension, therefore, generics are assumed to be identical in dose, strength, route of administration, safety, efficacy, and intended use. Mind that the pills you will receive from us differ in appearance from the brand name ones. The looks of medications as well as brand names are the intellectual property of the brand manufacturer. Thus to avoid any accusation of copyright infringement we have to change the shape and the color of the generic pills as well as use the name of the active ingredient (generic name) instead of the brand name for printing on pills. Please be aware that the generic pills differ in appearance from the brand name medications. Our pills are round shaped and blister packed (10 pills per each blister). The name of the active ingredient as well as the weight are specified on the pill itself.
Why are generic pills cheaper than the brand name ones?
The principal reason for the reduced price of generic medicines is that the creation of the generic drug runs up less cost and therefore a lower price can be offered and still maintain profitability.
Manufacturers of generic drugs are mainly able to avoid the following three costs that brand name pharmaceutical companies incur: (1) costs associated with the research and development of the drug; (2) costs associated obtaining regulatory approval (i.e. proving safety and efficacy of a drug); and (3) marketing costs.
First, Generic manufacturers do not incur the cost of drug discovery and instead reverse-engineer existing brand name drugs to allow them to manufacture bioequivalent versions.
Second, generic manufacturers do not bear the burden of proving the safety and efficacy of the drugs through clinical trials - rather, generic manufacturers must prove the generic drug’s bioequivalancy to the existing drug.
Third, these companies receive the large benefit of the marketing and advertising that goes into pushing the innovator drug. The brand name drug has to prove itself in the eyes of the consumer, generic ones do not. The drugs that generic manufacturers are selling have been on the market for usually a decade or more and do not need additional advertising. For the same reason, generic manufacturers also do not give away sample doses to promote their products. The significant research, development and marketing costs incurred by the large pharmaceutical companies in introducing a new drug to the market is often cited as the reason for the high cost of new agents - they wish to recover these costs before the patent expires. Generic manufacturers do not incur these costs, with bioequivalence testing and manufacturing costing relatively little, and are able to charge significantly less than the brand. Buy discount Lisinopril (Zestoretic) online. Order cheap generic Zestoretic (Lisinopril) . Purchase Zestril - low cost and price, but high quality.
Do you require a prescription?
However we would strongly recommend you to consult your doctor before taking a medication. You may have some diseases contra-indicated for taking certain kinds of medicines and your doctor will advise you what you can or cannot take.
Do you guarantee the quality of pills?
High quality of the medications we offer is the subject of our primary concern. The logic is very simple: the better the quality of goods is, the more customers we have. Thus we are very attentive and selective in the choice of the supplier, the quality of goods is thoroughly tested and the documentation is closely checked.
How do you ship orders? Will I have to sign for the package?
If sent by the standard unregistered mail the order will come in a plain envelope without any reference to content. The envelope will be left in your mail box. There is no need to sign for it. If sent by a courier, the recipient needs to sign for the package. All orders are shipped in discreet packaging. There is no mention on the outside of the package as to what is contained inside. Furthermore, your name or any other personal information will never be given or sold to any other company. Your privacy is our utmost concern.
Will my order be delivered in one package or you will divide it in case the order is large?
If an order includes different types of medications in one order we will have to send the pills separately. Thus the delivery will take longer than 3 weeks since the packages are sent with the interval of approximately 7 days one by one. This is done to secure the delivery.
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