Lisinopril
Instructions for use:
- 1. Pharmacological action
- 2. Indications for use
- 3. Contraindications
- 4. Instructions for use and doses
- 5. Side effects
- 6. Additional information
Prices in online pharmacies:
from 15 rubles.
Buy
Lisinopril is a drug used to lower blood pressure.
pharmachologic effect
Being an angiotensin-converting enzyme (ACE) inhibitor, Lisinopril has pronounced hypotensive (lowers blood pressure) properties.
This drug is also valuable for its cardioprotective (correct the functional state of the myocardium), vasodilator and natriuretic (excretes sodium salts with urine) action.
Long-term use of Lisinopril can reduce hypertrophy (increase in mass) of the walls of arteries and myocardium, improve blood supply.
Lisinopril reviews and results of clinical trials are characterized as a drug with the ability to prolong the life of patients suffering from chronic heart failure, as well as prevent the progression of left ventricular dysfunction after myocardial infarction.
Lisinopril begins to act 1 hour after administration, after 4-6 hours - the maximum effect of the drug is observed, the total duration of the therapeutic effect is 24 hours.
When using Lisinopril in patients with arterial hypertension, the patient's condition is alleviated in the first days of taking the drug, and the stable effect is fixed after 1-2 months.
Indications for use Lisinopril
The instruction recommends to use Lisinopril for: various forms of arterial hypertension, diabetic nephropathy, as well as in combination therapy for early treatment of acute myocardial infarction and chronic heart failure.
Contraindications
The indications for Lisinopril indicated in the instructions cannot be regarded as a guide to self-treatment, since the use of this drug may be dangerous for some categories of patients.
So, Lisinopril is not prescribed to persons with hypersensitivity to ACE inhibitors, in particular to lisinopril, as well as to pregnant and lactating women.
Hereditary Quincke's edema and a history of angioedema are also reasons for refusing to use Lisinopril.
Lisinopril should be taken with caution for diseases such as:
- aortic stenosis;
- cardiac ischemia;
- cerebrovascular diseases;
- coronary insufficiency;
- diabetes;
- oppression of bone marrow hematopoiesis;
- severe systemic connective tissue diseases;
- hyperkalemia;
- renal failure;
- arterial hypotension;
- primary aldosteronism.
The expediency of using Lisinopril should be discussed with a doctor for elderly patients and people on a salt-restricted diet.
Instructions for the use of Lisinopril and doses
Lisinopril, indications suggest taking various doses of the drug, is available in tablets containing 2.5 mg, 5 mg, 10 mg and 20 mg of the active ingredient. The instruction recommends taking Lisinopril once a day, preferably at the same time.
The use of Lisinopril for essential hypertension should be started from 10 mg per day, followed by a switch to a maintenance dose of 20 mg per day, while, in extreme cases, a maximum daily dose of 40 mg is allowed.
Reviews of Lisinopril indicate that the full therapeutic effect of the drug can develop 2-4 weeks after the start of treatment.
If, after using the maximum doses of the drug, the expected results have not been achieved, additional intake of other antihypertensive drugs is recommended.
Patients taking diuretics, 2-3 days before starting the use of Lisinopril, must stop taking them. If for some reason the abolition of diuretics is impossible, the daily dose of Lisinopril should be reduced to 5 mg.
In conditions with increased activity of the renin-angiotensin-aldosterone system, which regulates blood volume and blood pressure, the instruction recommends using Lisinopril in a daily dose of 2.5-5 mg. The maintenance dose of the drug for such diseases is set individually, depending on the amount of blood pressure.
In renal failure, the daily dose of Lisinopril depends on creatinine clearance and can vary from 2.5 to 10 mg per day.
Persistent arterial hypertension involves taking 10-15 mg of Lisinopril per day for a long time.
Taking the drug for chronic heart failure begins with 2.5 mg per day, and after 3-5 days it is increased to 5 mg. The maintenance dose of Lisinopril for this disease is 5-20 mg per day.
The use of Lisinopril in acute myocardial infarction involves complex therapy and is performed according to the following scheme: on the first day - 5 mg, then the same dose - once a day, after which the amount of the drug is doubled and taken once every two days, the final stage - 10 mg once a day. Lisinopril, indications determine the duration of treatment, in acute myocardial infarction, take at least 6 weeks.
In diabetic nephropathy Lisinopril instruction recommends taking 10 mg-20 mg per day.
Side effects
The most common adverse effects of the drug Lisinopril reviews include fatigue, headache, dizziness, dry cough, nausea and diarrhea.
According to the instructions, Lisinopril can also cause such side reactions of the body as:
- chest pain, significant decrease in blood pressure, bradycardia, tachycardia, heart palpitations, myocardial infarction;
- drowsiness, confusion, emotional lability;
- anemia, thrombocytopenia, neutropenia, agranulocytosis, leukopenia;
- bronchospasm, shortness of breath;
- changes in taste, dry mouth, dyspepsia, anorexia, pancreatitis, hepatitis, jaundice;
- photosensitivity (hypersensitivity to sunlight), hair loss, increased sweating;
- anuria (lack of urine flow into the bladder), oliguria (decrease in the amount of urine excreted), impaired renal function, decreased potency, proteinuria (presence of protein in the urine), uremia (accumulation of urea in the blood), acute renal failure;
- skin rashes, angioedema, fever;
- neuropsychic weakness, joint pain, muscle pain, cramps, vasculitis (inflammation and destruction of the walls of blood vessels).
Additional Information
Provided that Lisinopril is stored in a dark place at room temperature, the drug will be usable for three years.
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Information about the drug is generalized, provided for informational purposes only and does not replace the official instructions. Self-medication is hazardous to health!
