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I am a reasonably healthy 57 year old male, 6' 1", 220 lbs. I sta...

Posted at 9:27 PM on Jan 08, 2008 by rmaynard, #26174
I am a reasonably healthy 57 year old male, 6' 1", 220 lbs. I started taking Lisinopril 10mg about 1 year old for HPB. My BP was all over the chart, but averaged at about 160/80. After being on Lisinopril for about 1 week, I noticed that my BP would be about 130/70 in the mornings, but jump back up to about 150/75 in the evenings. I have never achieved the 120/70 range that others talk about. It was also at this time that I developed the tickle and dry cough. I lose sleep by waking up coughing. The cough also comes on at any time, day or night. Sometimes I cough until I feel my head is going to explode. I never cough up anything. Always dry. Over the last year, I have had other side effects that have come and gone and come back again. Among them have been itchy skin, numbness in fingers and toes, chest pains (EKG's and stress tests were fine), stomach pains, back pain, jaw pain, pounding heartbeat, racing heartbeat, loss of sex drive, erectile dysfunction, vivid dreams (when I sleep), feelings of dread and recurring thoughts of something happening to family members. Since I do not have any prescription coverage in my insurance, I was happy to find a $4.00 drug, but now that the refills have run out, I think that I will ask the doctor for something else.
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Reply about 1 year ago on Jan 09, 2008 by ammy, #3938

Some of most serious side effects of generic lisinopril are uneven heartbeat, palpitations, chest pain and etc. Please consult your doctor as soon as possible. Are you taking any other medicines along with lisinopril.
Look here for more information http://www.internationaldrugmart.com/lisinopril.html

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Reply about 1 year ago on Jan 09, 2008 by rmaynard, #3949

Thanks for the reply. No I am not taking any other meds. All of the side effects you mentioned were noted to my cardiologist. The palpitations I have had since 1979 off and on. The chest pains are not severe, just nagging, and they go away as quickly as they come. Most times they go away when I change my position. I don't have uneven heartbeat, just rapid and pounding at times.

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Reply about 1 year ago on Jan 11, 2008 by reese99, #3990

All of the adverse side effects you are mentioning can be typical of lisinopril. The most common being that of the dry cough! Here is a list of adverse effects and how commonly they occur in the general population.
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Cardiovascular: Orthostatic effects (1%), hypotension (1% to 4%)

Central nervous system: Headache (4% to 6%), dizziness (5% to 12%), fatigue (3%)

Dermatologic: Rash (1% to 2%)

Endocrine & metabolic: Hyperkalemia (2% to 5%)

Gastrointestinal: Diarrhea (3% to 4%), nausea (2%), vomiting (1%), abdominal pain (2%)

Genitourinary: Impotence (1%)

Hematologic: Decreased hemoglobin (small incidence)

Neuromuscular & skeletal: Chest pain (3%), weakness (1%)

Respiratory: Cough (4% to 9%), upper respiratory infection (1% to 2%)
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These statistics were taken out of Lexi-Comp, which is a highly dependable resource (not some random internet site). It is a database that is accessed by pharmacists, hospitals, and other health professionals. I realize that you may not know what all the terms mean, but you can look at the list yourself and see that many of the symptoms line up. Vivid dreams are not related to lisinopril as far as I know.

It worries me that you have these side effects and you don't have to, especially the cough since it is so common. There are so many other options out there for you from different drug classes and the majority of them have generic versions now so don't worry about the prices. All of the drug classes work by a different mechanism in your body to lower blood pressure.

The reason why your blood pressure may be lower in the morning is due to something called orthostatic hypotension which is also listed above. A basic definition would be for you to think about the headrush you feel after you get up too fast or when you get up after being in a rest position for a long time (which is what happens to you when you wake up in the morning). Your body just takes extra time to "readjust" when all the blood has been drained to the lower section of your body.

Make sure that you keep a low salt diet, eat plenty of fruits and vegetables, and try to get regular exercise most days of the week. A brisk walk 3 days a week will provide lots of benefit!

You need to talk to your doctor as soon as possible about switching to a different medication because you shouldn't suffer. Don't discontinue your medication until he prescribes you something new because we don't want to do anything abrupt to make your blood pressure shoot up. It may be helpful for you to keep a pad handy so you can chart your blood pressure readings. Try checking a sitting BP reading, one where you laying down, and one where you are standing...just to see if there is a pattern in what happens.

Please get checked up!!!

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