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Lisinopril (Zestril) Side Effects in Pakistan

This guide covers Zestril Tablet (Lisinopril) for this formulation. Confirm the exact local label and individual prescription.

Compiled by the PakVita Editorial Team · AI-assisted drafting with editorial review · Sourced from DRAP, WHO, BNF · Last updated: · Review date on file:

A named review is not recorded for this page. Confirm medicine advice with your doctor or pharmacist.

The latest editorial changes have not received a new named clinical review.

Side Effects

Quick Answer

Reported effects of Zestril Tablet include Dry persistent cough — in up to 20% of patients; if intolerable, discuss switching to an ARB (e.g. Losartan) with your doctor; Dizziness (chakkar aana). Angioedema — swelling of tongue, throat or face; Severe hypotension require medical assessment. Lists do not establish how frequently an effect occurs.

Side Effects at a Glance

Reported effects

  • Dry persistent cough — in up to 20% of patients; if intolerable, discuss switching to an ARB (e.g. Losartan) with your doctor
  • Dizziness (chakkar aana)
  • Headache
  • Fatigue (thakan)
  • Hyperkalemia

Reactions needing medical advice

  • Angioedema — swelling of tongue, throat or face
  • Severe hypotension
  • Acute kidney injury
  • Fetal toxicity

When to See a Doctor Immediately

  • Angioedema — swelling of tongue, throat or face
  • Severe hypotension
  • Acute kidney injury
  • Fetal toxicity

Zestril Tablet side effects

Reported Effects (Nuksanat)

  • Dry persistent cough — in up to 20% of patients; if intolerable, discuss switching to an ARB (e.g. Losartan) with your doctor
  • Dizziness (chakkar aana)
  • Headache
  • Fatigue (thakan)
  • Hyperkalemia

Serious Effects and Warning Symptoms (Ahm alamat)

  • Angioedema — swelling of tongue, throat or face
  • Severe hypotension
  • Acute kidney injury
  • Fetal toxicity

A list does not determine frequency or prove causation. Seek medical advice for persistent, worsening or unexpected symptoms.

Interactions (Dawaon ke sath reaction)

NSAIDs can reduce the blood-pressure effect and increase kidney injury risk. Potassium supplements, potassium-sparing diuretics, salt substitutes containing potassium and lithium require monitoring. Do not combine with sacubitril/valsartan without the required prescriber-managed washout.

Before Changing Treatment (Ilaj badalne se pehle)

  • PREGNANCY CONTRAINDICATED — absolutely forbidden in 2nd and 3rd trimester; risk of renal damage to the foetus and foetal death — stop immediately if pregnancy is detected
  • Angioedema — if face, tongue or throat swells, go to emergency immediately; never take any other ACE inhibitor
  • Hyperkalemia — use caution with potassium supplements or potassium-sparing diuretics
  • First-dose hypotension — blood pressure may drop significantly when starting with diuretics; begin with a low dose

Related Information (Mazeed maloomat)

Full Zestril Tablet guide · Uses · Dosage · Side effects

Educational information only. This editorial correction does not constitute a new clinician review. Confirm the local product leaflet and prescription with a qualified healthcare professional.

Frequently Asked Questions

Zestril Tablet kis kaam aati hai?

Zestril Tablet contains Lisinopril. Hypertension; Heart failure. The diagnosis and exact product determine suitability.

Dose kaise confirm karein?

For adult hypertension, an initial dose is commonly 2.5–10 mg once daily and the usual maintenance dose is 20 mg once daily. Heart failure, kidney disease, diuretic use and low blood pressure require a different starting plan and monitoring.

Bachon ke liye dose kya hai?

A paediatric specialist must determine eligibility and a weight-based dose using age, blood pressure and kidney function. This page does not provide a home calculation.

Pakistan mein price kitni hai?

A current price matched to the local strength and pack size has not been verified. Confirm the printed price, pack and expiry with a licensed pharmacy.

Nuksanat hon to kya karein?

Reported effects include Dry persistent cough — in up to 20% of patients; if intolerable, discuss switching to an ARB (e.g. Losartan) with your doctor; Dizziness (chakkar aana); Headache. Seek medical help for Angioedema — swelling of tongue, throat or face; Severe hypotension. A symptom list does not predict how often an effect occurs.

Related medicines

Explore entries related to Zestril Tablet by ingredient, class and listed uses. These links are not recommendations to switch treatment.

Other arbs, ace inhibitors and other bp medicines

Sibling medicines in the ARBs, ACE Inhibitors and Other BP Medicines class.

All in class →

Related by listed uses

Entries with overlapping headache tags; they may address different diagnoses.

Headache hub →

Sources

  1. Lisinopril 10 mg Tablets — Summary of Product Characteristics — electronic Medicines Compendium
  2. Lisinopril — NHS
  3. DRAP Registered Product Data (Public Registry) — Drug Regulatory Authority of Pakistan
  4. WHO Model List of Essential Medicines, 23rd ed. (2023) — World Health Organization
  5. British National Formulary (BNF) — Lisinopril — BMJ Group & Pharmaceutical Press
  6. British National Formulary (BNF) — BMJ Group & Pharmaceutical Press

Medical disclaimer

This page is for educational use only and does not replace professional medical advice. Always confirm diagnosis, dose, and interactions with a qualified doctor or pharmacist before starting or changing any medicine.