Lisinopril / Hydrochlorothiazide (Zestoretic)

Cardiology (ACE Inhibitor + Thiazide Diuretic)

Dosing & Administration

Adult Dose

1 tablet (e.g., 20/12.5 mg) PO daily.

Pediatric Dose

Not recommended.

Renal Adjustment

Do not use if CrCl <= 30 (thiazide becomes ineffective).

Hepatic Adjustment

Use caution in severe liver disease.

Safety & Special Populations

Pregnancy Category

D - Teratogenic.

Lactation Safety

Not recommended.

Contraindications & Adverse Effects

Contraindications

  • History of ACEi angioedema
  • Anuria
  • Pregnancy

Common Adverse Effects

  • Dry cough
  • Hypokalemia (from HCTZ) balancing Hyperkalemia (from Lisinopril)
  • Angioedema
  • Hyperuricemia