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There are no adequate studies in patients with cirrhosis and/or liver dysfunctionLisinopril should be used with particular caution in patients with pre-existing liver abnormalitiesIn such patients baseline liver function tests should be obtained before administration of the drug and close monitoring of response and metabolic effects should apply.

In using lisinoprilattention should be given to the risk of angioedemasee Warnings

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

PRECAUTIONSBefore taking lisinopriltell your doctor or pharmacist if you are allergic to itor to other ACE inhibitorssuch as benazeprilor if you have any other allergiesThis product may contain inactive ingredientswhich can cause allergic reactions or other problemsTalk to your pharmacist for more details.Before using this medicationtell your doctor or pharmacist your medical historyespecially ofhistory of an allergic reaction which included swelling of the face/lips/tongue/throatangioedemablood filtering proceduressuch as LDL apheresisdialysishigh level of potassium in the bloodcollagen vascular diseasesuch as lupussclerodermaThis drug may make you dizzyDo not driveuse machineryor do any activity that requires alertness until you are sure you can perform such activities safelyLimit alcoholic beverages.To reduce the risk of dizziness and lightheadednessget up slowly when rising from a sitting or lying position.Too much sweatingdiarrheaor vomiting may cause loss of too much body waterdehydrationand increase your risk of lightheadednessReport prolonged diarrhea or vomiting to your doctorBe sure to drink enough fluids to prevent dehydration unless your doctor directs you otherwise.Before having surgerytell your doctor or dentist about all the products you useincluding prescription drugsnonprescription drugsand herbal productsThis product may increase your potassium levelsBefore using potassium supplements or salt substitutes that contain potassiumconsult your doctor or pharmacist.Older adults may be more sensitive to the side effects of this drugincluding dizziness and increases in potassium level.This medication is not recommended for use during pregnancyIt may harm an unborn babyConsult your doctor for more detailsSee also Warning sectionIt is unknown if this medication passes into breast milkConsult your doctor before breast-feeding.

PregnancyPatients should be advised to report promptly to their physician if they become pregnantsince the use of lisinopril during pregnancy can cause injury and even death of the developing fetus.

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