Zestril 20mg Tablet

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Manufacturer AstraZeneca
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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

Last updated:

Overview

Zestril 20mg Tablet contains Lisinopril 20mg and is available as a tablet. It is classified as a prescription medicine and may only be obtained with a valid prescription from a registered medical practitioner.

Only product, safety and handling information is published here. Anything beyond that is explained to you directly by your doctor or pharmacist as part of your consultation.

DoctorOnCall is a licensed online pharmacy. Orders for Zestril 20mg Tablet are processed only after a doctor has assessed your suitability and issued a prescription, and every order is checked by a registered pharmacist before it is sent out.

Directions for Use

Take Zestril 20mg Tablet at about the same time every day, with or without food. Swallow the tablet whole with a glass of water. Avoid taking it at bedtime unless advised, and rise slowly after the first dose, as some people experience a noticeable drop in blood pressure early in treatment.

Dosage

The usual starting dose of Zestril 20mg Tablet for hypertension is 10mg once daily, which your doctor may adjust up to 20-40mg daily depending on your blood pressure response; heart failure and post-heart-attack dosing typically starts lower and is titrated gradually. Always take this medicine exactly as prescribed by your doctor.

Storage Instructions

Store below 30°C in a dry place, away from direct sunlight and out of reach of children.

Side Effects

  • Dizziness or lightheadedness
  • Dry cough
  • Headache
  • Fatigue
  • Nausea
  • Low blood pressure
  • Elevated blood potassium levels (hyperkalemia)
  • Rash

Contraindications

  • Known hypersensitivity to lisinopril or any other ACE inhibitor
  • History of angioedema related to previous ACE inhibitor use
  • Pregnancy (can cause harm to the developing baby, especially in the second and third trimester)
  • Concomitant use with aliskiren in patients with diabetes or kidney impairment
  • Bilateral renal artery stenosis

Drug / Food Interactions

  • Potassium supplements or potassium-sparing diuretics may increase the risk of high blood potassium
  • NSAIDs (e.g. ibuprofen) may reduce the blood-pressure-lowering effect and affect kidney function
  • Lithium levels may increase when combined with lisinopril
  • Salt substitutes containing potassium chloride should be used with caution

Quick Tips

  • Take at the same time each day to build a consistent routine
  • Report a persistent dry cough to your doctor – it is a known but usually harmless side effect
  • Monitor your blood pressure regularly as advised by your doctor
  • Rise slowly from sitting or lying down, especially after the first few doses
  • Inform your doctor before starting any new supplement, especially potassium

Ingredients / Active Ingredients

  • Lisinopril 20mg

Safety Advice

Pregnancy

Not Safe

This medicine is not considered safe during pregnancy and should be avoided.

Breastfeeding

Limited Data

Limited data on excretion in breast milk. Consult a doctor before use.

Kidney

Use With Care

Use cautiously. Dose adjustment or monitoring may be required.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Not Advisable

It is not advisable to consume alcohol while taking this medicine.

Driving

Use With Care

Use caution while driving until you know how this medicine affects you.

Frequently Asked Questions

Product Specifications

BrandAstraZeneca
ManufacturerAstraZeneca
ClassificationPrescription medicine
Ingredients / Active IngredientsLisinopril
Pack Size14s, 28s
Shelf LifeUse this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.

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