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In addition, and since lisinopril has been marketed, the following adverse reactions have been reported with lisinopril and should be considered potential adverse reactions for zestoretic body as a whole anaphylactoid reactions see warnings, anaphylactoid reactions during membrane exposure , malaise, edema, facial edema, pain, pelvic pain, flank pain, chills; cardiovascular cardiac arrest, myocardial infarction or cerebrovascular accident, possibly secondary to excessive hypotension in high risk patients see warnings, hypotension , pulmonary embolism and infarction, worsening of heart failure, arrhythmias including tachycardia, ventricular tachycardia, atrial tachycardia, atrial fibrillation, bradycardia, and premature ventricular contractions , angina pectoris, transient ischemic attacks, paroxysmal nocturnal dyspnea, decreased blood pressure, peripheral edema, vasculitis; digestive pancreatitis, hepatitis hepatocellular or cholestatic jaundice see warnings, hepatic failure , gastritis, anorexia, flatulence, increased salivation; endocrine diabetes mellitus, inappropriate antidiuretic hormone secretion; hematologic rare cases of bone marrow depression, hemolytic anemia, leukopenia neutropenia, and thrombocytopenia have been reported in which a causal relationship to lisinopril can not be excluded; metabolic gout, weight loss, dehydration, fluid overload, weight gain; musculoskeletal arthritis, arthralgia, neck pain, hip pain, joint pain, leg pain, arm pain, lumbago; nervous system psychiatric ataxia, memory impairment, tremor, insomnia, stroke, nervousness, confusion, peripheral neuropathy e.

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Rememberkeep this and all other medicines out of the reach of childrennever share your medicines with othersand use Zestoretic only for the indication prescribed.

Hypokalemia may develop during concomitant use of steroids or adrenocorticotropic hormoneACTH

In rare occasionspatients treated with ACE inhibitors during low-density lipoproteinLDLapheresis with dextran sulfate have shown life threatening anaphylactic reactionsThese symptoms could be avoided by temporary discontinuation of the treatment with ACE inhibitors before each apheresis.

As with other ACE inhibitorslisinopril may be less effective in lowering blood pressure in black patients than in non-black patientspossibly because of a higher prevalence of low-renin states in the black hypertensive population.

Hypokalemia may develop during concomitant use of steroids or adrenocorticotropic hormoneACTH

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