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Voorbeelden captopril capoten , enalapril vasotec , lisinopril prinivil, zestril , quinapril accupril , ramipril altace , benazepril lotensin , fosinopril monopril , trandolapril mavik , moexipril univasc .

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HematologyDecreases in hemoglobin and hematocritmean decreases of approximately 0.9 gand 0.6 volrespectivelyoccurred frequently in patients treated with lisinopril but were rarely of clinical importance in patients without some other cause of anemia.

CommentsThe diuretic dose may need to be adjusted to help minimize hypovolemiawhich may contribute to hypotensionThe appearance of hypotension after the initial dose of Prinivil does not preclude subsequent careful dose titration with the drug.

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Call your doctor if you have ongoing vomiting or diarrheaor if you are sweating more than usualYou can easily become dehydrated while taking this medicineThis can lead to very low blood pressureelectrolyte disordersor kidney failure while you are taking Prinivil.

Anaphylactoid Reactions during Hymenoptera DesensitizationThere have been isolated reports of patients experiencing sustained life-threatening anaphylactoid reactions while receiving ACE inhibitors during desensitizing treatment with hymenopterabeeswaspsvenomIn the same patientsthese reactions have been avoided when ACE inhibitors were temporarily withheld for at least 24 hoursbut they have reappeared upon inadvertent rechallenge.

Essential HypertensionIn patients with essential hypertensionnot on diuretic therapythe usual recommended starting dose is 10 mg once a dayDosage should be adjusted according to blood pressure responsethe usual dosage range is 10 to 40 mg/dayadministered in a single daily doseThe antihypertensive effect may diminish toward the end of the dosing interval regardless of the administered dosebut most commonly with a dose of 10 mg dailyThis can be evaluated by measuring blood pressure just prior to dosing to determine whether satisfactory control is being maintained for 24 hoursIf it is notan increase in dose should be consideredThe maximum dose used in long-term controlled clinical trials was 80 mg/dayIf blood pressure is not controlled with lisinopril alonea low dose of a diuretic may be addedHydrochlorothiazide 12.5 mg has been shown to provide an additive effectAfter the addition of a diureticit may be possible to reduce the dose of lisinopril.

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