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Therefore, complete blood counts should be established prior to and during hydrochlorothiazide; lisinopril therapy whenever the drug is administered to patients with pre-existing renal disease or autoimmune disease.

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The following adverse reactions have been identified during post-approval use of lisinopril that are not included in other sections of labelingBecause these reactions are reported voluntarily from a population of uncertain sizeit is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposureOther reactions include:

Get emergency medical help if you have any of these signs of an allergic reactionhivessevere stomach paindifficult breathingswelling of your facelipstongueor throat.

Anti-inflammatory medicines such as ibuprofenindomethacin or aspirin for pain reliefA low dose aspirin75mg a dayis safe to take with lisinoprilmedicines to treat low blood pressureheart failureasthma or allergiessuch as ephedrinenoradrenaline or adrenaline medicines to treat high blood pressuresuch as aliskeren other medicines which can lower your blood pressure such as some antidepressantsnitratesfor chest painbaclofena muscle relaxantanaesthetics or medicines for an enlarged prostate gland medicines that damp down your immune systemsuch as ciclosporin or tacrolimus water tablets such as furosemide medicines which can increase the amount of potassium in your blood such as spironolactonetriamtereneamiloridepotassium supplementstrimethoprimfor infectionsand heparinfor thinning bloodsteroid medicines such as prednisolone allopurinolfor goutprocainamidefor heart rhythm problemsmedicines for diabetes racecadotrilfor diarrhoealithiumfor mental health problems)

Do not use salt substitutes or potassium supplements while taking this medicineunless your doctor has told you to.

If you’re trying to get pregnant or you’re already pregnanttalk to your doctor about the benefits and possible harms of taking lisinoprilThese will depend on how many weeks pregnant you are and the reason why you’re taking itThere may be other treatments that are safer for you.

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