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As with other ACE inhibitorslisinopril may be less effective in lowering blood pressure in black patients than in non-black patientspossibly because of a higher prevalence of low-renin states in the black hypertensive population.

In patients with heart failurehypotension following the initiation of therapy with ACE inhibitors may lead to some further impairment in renal functionAcute renal failureusually reversiblehas been reported in this situation.

Tell your doctor right away if you have any serious side effectsincludingfaintingsymptoms of a high potassium blood levelsuch as muscle weaknessslow/irregular heartbeatsigns of kidney problemssuch as change in the amount of urinedecrease in visioneye pain.

Patients taking concomitant co-trimoxazoletrimethoprim/sulfamethoxazolemay be at increased risk for hyperkalaemiasee section 4.4

Call your doctor if you have ongoing vomiting or diarrheaor if you are sweating more than usualYou can easily become dehydrated while taking this medicineThis can lead to very low blood pressureelectrolyte disordersor kidney failure.

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you may also need to avoid taking zestoretic with aliskiren if you have kidney disease.

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