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In some patients with heart failure who have normal or low blood pressureadditional lowering of systemic blood pressure may occur with lisinoprilThis effect is anticipated and is not usually a reason to discontinue treatmentIf hypotension becomes symptomatica reduction of dose or discontinuation of lisinopril-hydrochlorothiazide may be necessary.

Older adults may be more sensitive to the side effects of this drugespecially dizziness and change in the amount of urinekidney problems

This product may cause a loss of too much body waterdehydrationand salt/mineralsTell your doctor right away if you have any symptoms of dehydration or mineral lossincludingextreme thirstvery dry mouthmuscle cramps/weaknessfast/slow/irregular heartbeatconfusion.

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Take the missed dose as soon as you rememberSkip the missed dose if it is almost time for your next scheduled doseDo not take extra medicine to make up the missed dose.

This product may rarely cause seriouspossibly fatalliver problemsGet medical help right away if you have any symptoms of liver damagesuch asnausea/vomiting that doesn’t stoploss of appetitestomach/abdominal painyellowing eyes/skindark urine.

This product may affect your potassium levelsBefore using potassium supplements or salt substitutes that contain potassiumconsult your doctor or pharmacist.

In some patients with bilateral renal artery stenosis or stenosis of the artery to a solitary kidneywho have been treated with ACE inhibitorsincreases in blood urea and serum creatinineusually reversible upon discontinuation of therapyhave been seenThis is especially likely in patients with renal insufficiencyIf renovascular hypertension is also present there is an increased risk of severe hypotension and renal insufficiencyIn these patientstreatment should be started under close medical supervision with low doses and careful dose titrationSince treatment with diuretics may be a contributory factor to the aboverenal function should be monitored during the first few weeks of lisinopril/hydrochlorothiazide therapy.

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