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A very serious allergic reaction to this drug is rareHoweverget medical help right away if you notice any symptoms of a serious allergic reactionincludingrashitching/swellingespecially of the face/tongue/throatsevere dizzinesstrouble breathing.

Angioedema of the faceextremitieslipstongueglottis and/or larynx has been reported uncommonly in patients treated with ACE inhibitorsincluding lisinoprilThis may occur at any time during therapyIn such caseslisinopril should be discontinued promptly and appropriate treatment and monitoring should be instituted to ensure complete resolution of symptoms prior to dismissing the patientEven in those instances where swelling of only the tongue is involvedwithout respiratory distresspatients may require prolonged observation since treatment with anti-histamines and corticosteroids may not be sufficient.

Do not use Zestoretic if you are pregnantIf you become pregnantstop taking this medicine and tell your doctor right awayLisinopril can cause injury or death to the unborn baby if you take the medicine during your second or third trimester.

This is more likely to occur in patients with pre-existing renal impairmentDosage reduction and/or discontinuation of the diuretic and/or lisinopril may be required.

ACE-inhibitors and angiotensin II receptor blockers should not be used concomitantly in patients with diabetic nephropathy.

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