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Qbrelis

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    SIDE EFFECTS

    Qbrelis Patient Information Including Side Effects

    Brand Names: Prinivil, Qbrelis, Zestril

    Generic Name: lisinopril

    What is lisinopril (Prinivil, Qbrelis, Zestril)?

    Lisinopril is an ACE inhibitor that is used to treat high blood pressure (hypertension) in adults and children who are at least 6 years old.

    Lisinopril is also used to treat congestive heart failure in adults, or to improve survival after a heart attack.

    Lisinopril may also be used for purposes not listed in this medication guide.

    What are the possible side effects of lisinopril (Prinivil, Qbrelis, Zestril)?

    Get emergency medical help if you have signs of an allergic reaction: hives; severe stomach pain; difficulty breathing; swelling of your face, lips, tongue, or throat. You may be more likely to have an allergic reaction if you are African-American.

    Call your doctor at once if you have:

    • a light-headed feeling, like you might pass out;
    • fever, sore throat;
    • high potassium--nausea, weakness, tingly feeling, chest pain, irregular heartbeats, loss of movement;
    • kidney problems--little or no urination, swelling in your feet or ankles, feeling tired or short of breath; or
    • liver problems--nausea, upper stomach pain, itching, tired feeling, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

    Common side effects may include:

    • headache, dizziness;
    • cough; or
    • chest pain.

    This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

    What is the most important information I should know about lisinopril (Prinivil, Qbrelis, Zestril)?

    Do not use if you are pregnant, and tell your doctor right away if you become pregnant.

    If you have diabetes, do not use lisinopril together with any medication that contains aliskiren (a blood pressure medicine).

    Do not take lisinopril within 36 hours before or after taking medicine that contains sacubitril (such as Entresto).

    Qbrelis Patient Information including How Should I Take

    What should I discuss with my healthcare provider before taking lisinopril (Prinivil, Qbrelis, Zestril)?

    You should not use lisinopril if you are allergic to it, or if you:

    • have a history of angioedema;
    • recently took a heart medicine called sacubitril; or
    • are allergic to any other ACE inhibitor, such as benazepril, captopril, enalapril, fosinopril, moexipril, perindopril, quinapril, ramipril, or trandolapril.

    Do not take lisinopril within 36 hours before or after taking medicine that contains sacubitril (such as Entresto).

    If you have diabetes, do not use lisinopril together with any medication that contains aliskiren (a blood pressure medicine).

    You may also need to avoid taking lisinopril with aliskiren if you have kidney disease.

    Tell your doctor if you have ever had:

    Do not use if you are pregnant, and tell your doctor right away if you become pregnant. Lisinopril can cause injury or death to the unborn baby if you take the medicine during your second or third trimester.

    You should not breastfeed while using this medicine.

    How should I take lisinopril (Prinivil, Qbrelis, Zestril)?

    Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.

    Drink plenty of water each day while you are taking this medicine.

    Lisinopril can be taken with or without food.

    Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).

    Your blood pressure will need to be checked often. Your kidney function and electrolytes may also need to be checked.

    Call your doctor if you are sick with vomiting or diarrhea, or if you are sweating more than usual. You can easily become dehydrated while taking lisinopril. This can lead to very low blood pressure, a serious electrolyte imbalance, or kidney failure.

    If you need surgery, tell the surgeon ahead of time that you are using lisinopril.

    If you have high blood pressure, keep using this medicine even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life.

    Store at room temperature away from moisture and heat. Do not freeze the oral liquid.

    Qbrelis Patient Information including If I Miss a Dose

    What happens if I miss a dose (Prinivil, Qbrelis, Zestril)?

    Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.

    What happens if I overdose (Prinivil, Qbrelis, Zestril)?

    Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

    What should I avoid while taking lisinopril (Prinivil, Qbrelis, Zestril)?

    Drinking alcohol can further lower your blood pressure and may increase certain side effects of lisinopril.

    Avoid becoming overheated or dehydrated during exercise, in hot weather, or by not drinking enough fluids. Lisinopril can decrease sweating and you may be more prone to heat stroke.

    Do not use potassium supplements or salt substitutes, unless your doctor has told you to.

    Avoid getting up too fast from a sitting or lying position, or you may feel dizzy.

    What other drugs will affect lisinopril (Prinivil, Qbrelis, Zestril)?

    Tell your doctor about all your other medicines, especially:

    • a diuretic or "water pill";
    • lithium;
    • gold injections to treat arthritis;
    • insulin or oral diabetes medicine;
    • a potassium supplement;
    • medicine to prevent organ transplant rejection--everolimus, sirolimus, tacrolimus, temsirolimus; or
    • NSAIDs (nonsteroidal anti-inflammatory drugs)--aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others.

    This list is not complete. Other drugs may affect lisinopril, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

    Where can I get more information (Prinivil, Qbrelis, Zestril)?

    Your pharmacist can provide more information about lisinopril.


    Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
    Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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