Zestril (5mg) 14 Tablets

Zestril (5mg) 14 Tablets

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  • Manufacturer ICI Pakistan Ltd.
  • Generic Name Lisinopril

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Product Information

  • Description
  • Ingredients
  • Drug Class
  • Dosage Form
  • Uses
  • Dosage
  • In case of Overdose
  • Missed Dose
  • How To Use
  • When Not to Use
  • Side Effects
  • Precautions & Warnings
  • Drug Interactions
  • Storage/Disposal
  • Description

    Lisinopril is a medication that falls into the angiotensin-converting enzyme (ACE) inhibitor class of drugs and is commonly used to treat high blood pressure and several conditions involving heart failure. ACE inhibitors work by blocking the action of the enzyme ACE, whose primary function involves helping convert angiotensin I into angiotensin II, a potent vasoconstrictor. By blocking the formation of angiotensin II, Lisinopril promotes vasodilation, thereby effectively lowering blood pressure. Lisinopril also decreases the breakdown of bradykinin, a beneficial molecule that aids in promoting vasodilation and reducing the workload on the heart, allowing it to pump more efficiently. This dual action makes Lisinopril an effective therapy for heart failure. However, it's crucial to recognize that Lisinopril is just one of the many ACE inhibitors, and while its mechanism of action is common amongst this class of drugs, variations in potency and other effects exist. Therefore, consulting with a medical professional is recommended to comprehensively understand Lisinopril's mechanism of action, potential risks, and benefits in consideration of individual needs.

  • Ingredients

    Lisinopril
  • Drug Class

    ACE Inhibitor

  • Dosage Form

    Tablet
  • Uses

    Unveiling its multifaceted uses and transformative applications as follows:

    • Lowering blood pressure
    • Against hypertension
    • Helps manage high cholesterol
    • Prevents heart attack
    • Prevents stroke
    • Reducing kidney damage
    • Managing diabetes
    • Protects against vision loss
    • Assists with memory issues
  • Dosage

    Tailoring Treatment for Optimal Health, Prescribed Medication Dosage is:

    • Hypertension- 5-10mg once daily
    • Heart failure- 5-40 mg once daily depending upon severity of condition
    • Diabetic patients- 5-10mg once daily (optional to help decrease blood pressure)
    • Maximum daily dose should not exceed 40mg daily.
  • In case of Overdose

    An overdose of Lisinopril may cause dizziness, lightheadedness, and dangerously low blood pressure. If you suspect an overdose, seek immediate medical attention. Hospital staff may monitor vital signs, flush the stomach to induce vomiting, use activated charcoal, or administer fluids and medications via intravenous line to treat severe cases. The goal of treatment is to neutralize the effects of the overdose and stabilize vital signs. It is important to consult a medical professional immediately if you experience any severe symptoms associated with Lisinopril intake.

  • Missed Dose

    Maintaining a regular schedule for your medications, like Lisinopril, is important to ensure they work as they should. But if you miss a dose, you should take it as soon as you can. If it's almost time for your next dose, it's better to skip the missed dose and take the next one as scheduled. Don't worry about doubling up on your medication to make up for a missed dose. If you're unsure about what to do, contact your medical provider for advice on how to proceed. They can help you figure out the best course of action and ensure you're on the right track for your health and wellness.

  • How To Use

    Before you start taking Lisinopril, you should speak with your doctor or pharmacist and carefully follow their instructions as well as read the patient information leaflet to ensure you take the medication safely and effectively. Lisinopril usually comes as a tablet that you will take once or twice a day, depending on your doctor's instructions. For the best results, take it at the same time every day, and you may take it with or without food, though it's best to be consistent with one or the other. Eating a light meal or snack with your medication can help prevent stomach irritation. The usual starting dose of Lisinopril is 5 mg once daily, and your doctor may increase your dose depending on your blood pressure response and tolerance to the medication, but you must not exceed the prescribed dosage. However, if you have severe kidney disease or are on dialysis, you may need a lower dose or to take it less frequently, so it's important to inform your doctor of your medical history. Lisinopril is generally not recommended during pregnancy and breastfeeding unless necessary and under a doctor's supervision. Finally, lisinopril may increase the risk of hypotension, so if you need to reduce your sodium intake for this reason, let your doctor know.

  • When Not to Use

    Discerning instances where this medication may not be appropriate:

    • You are or plan to become pregnant. Lisinopril is a category D drug, which may harm or risk the health of an unborn baby. Your doctor may prescribe a safer alternative during pregnancy.
    • You are breastfeeding. Lisinopril can pass into breast milk and may harm the baby. Avoid breastfeeding while taking Lisinopril.
    • You have a history of allergic reactions to Lisinopril or any of the inactive ingredients each tablet may contain including
    • You have a history of kidney problems or dehydration. Lisinopril may cause severe kidney failure or dehydration. Your doctor may adjust your dosage or prescribe a different medication.
    • You have liver disease or malfunction. Depending on the severity of the condition, your doctor may need to reduce or avoid lisinopril altogether.
    • You have a history of angioedema, swelling of the hands, face, throat, or lips. Swelling can also be caused by allergic reactions to lisinopril, which can lead to difficulty breathing. If this happens, contact emergency services.
    • You have high blood potassium levels. Lisinopril can lead to potassium levels rising in the blood. If you have high blood potassium levels already, lisinopril may not be the right treatment and your doctor may prescribe a different medication.
    • You are taking diuretic medication (water pills). Lisinopril can increase the effects of diuretic medications.
  • Side Effects

    Unraveling the side effects lurking behind this medications are as follows:

    • Low blood pressure
    • High blood pressure
    • Lightheadedness
    • Kidney failure
    • Pregnancy complications
  • Precautions & Warnings

    Below are some precautions and warnings that patients should be mindful of:

    • Patients with severe aortic stenosis, hypertrophic cardiomyopathy, or left ventricular outflow tract obstruction should proceed with caution.
    • Individuals with cardiovascular diseases (e.g. ischemic heart disease, cerebrovascular disease) or collagen vascular disease (e.g. systemic lupus erythematosus) should be monitored carefully.
    • Those with ascites due to cirrhosis, refractory ascites, stenosis of the artery to a solitary kidney, or bilateral renal artery stenosis should take extra care.
    • Patients with a history of angioedema unrelated to ACE inhibitor therapy should be cautious.
    • Individuals with risk factors for hyperkalemia (e.g. diabetes mellitus, hypoaldosteronism) should consult their healthcare provider.
    • Those with volume depletion (e.g. dietary salt restriction, dialysis, diarrhea, vomiting, severe renin-dependent hypertension) should be carefully evaluated.
    • Patients undergoing major surgery, anesthesia, or desensitization treatment should be monitored closely.
    • Special consideration is required for patients of Black race, due to varying responses.
    • Caution is advised in patients with renal and hepatic impairment.
    • Extra care should be taken during lactation and for children.
  • Drug Interactions

    Drug interactions with lisinopril include:

    • Diuretics (e.g., furosemide) (may enhance hypotensive effects- monitor blood pressure and renal function)
    • NSAIDs (e.g., ibuprofen) (may reduce antihypertensive efficacy and increase risk of renal impairment- monitor blood pressure and renal function)
    • Potassium-sparing diuretics (e.g., spironolactone) (may increase risk of hyperkalemia- monitor potassium levels)
    • Lithium (may increase lithium levels and toxicity- monitor lithium levels and renal function)
    • Other antihypertensives (e.g., beta-blockers) (may enhance hypotensive effects- monitor blood pressure)
    • Renal impairment (may require dose adjustments- monitor renal function and adjust dosage as needed)
    • Diabetes medications (e.g., metformin) (generally no significant interaction, but monitor blood glucose levels)
  • Storage/Disposal

    Lisinopril is a tablet-based medication typically prescribed to treat conditions like high blood pressure, heart failure, and diabetic kidney disease. This is achieved by relaxing the blood vessels which makes the heart pump more effectively. Lisinopril should be stored in a closed container at room temperature, between 68-77°F, and kept away from heat, moisture, children, and pets. Ensure you follow the physician's or pharmacist's instructions for proper storage and dispose of the medication properly when it is no longer needed or has expired.

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