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Precautions

Do NOT use Zestril if:

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• you use a reputation angioedema (swelling in the hands, face, lips, eyes, throat, or tongue; difficulty swallowing or breathing; or hoarseness), including angioedema brought on by treatment having an ACE inhibitor

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• you are in your second or third trimester of pregnancy

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• the patient is often a child with severe kidney problems.

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Contact your doctor or health care provider straight away if all of these affect you.

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Some medical ailments may connect to Zestril. Tell your physician or pharmacist when you have any medical ailments, in particular when any in the following affect you:

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• if you're able to become pregnant
• should you have a reputation heart disease (eg, heart failure, aortic stenosis), circulation problems, blood circulation problems, bone marrow problems, kidney problems, or diabetes

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• when you have high blood potassium levels, low blood sodium levels, or are stored on a low salt (sodium) diet
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Some medicines may interact with Zestril. Tell your health care provider if you happen to be taking any other medicines, especially any from the following:

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• Diuretics (eg, furosemide, hydrochlorothiazide) since the likelihood of low blood pressure could possibly be increased

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• Aldosterone blockers (eg, eplerenone), potassium-sparing diuretics (eg, spironolactone, triamterene), or potassium supplements as the risk of high blood potassium levels could possibly be increased

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• Insulin, sulfonylureas (eg, glipizide), or another oral diabetes medicines (eg, metformin) because the probability of low blood glucose could be increased

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• Gold-containing medicines (eg, auranofin) because flushing, nausea, vomiting, and low blood pressure may occur
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This is probably not a total list of all interactions that will occur. Ask your doctor if Zestril may interact along with other medicines that you take. Check with your health care provider prior to starting, stop, or affect the dose of the medicine.

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Important safety information:

• Zestril could potentially cause dizziness, lightheadedness, or fainting. These effects may be worse should you go with alcohol or certain medicines. Use Zestril with caution. Do not drive or perform other possible unsafe tasks and soon you understand how you reply to it.

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• Zestril could potentially cause a critical complication called angioedema. Contact your physician immediately in case you develop swelling in the hands, face, lips, eyes, throat, or tongue; difficulty swallowing or breathing; or hoarseness.

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• Zestril may not act as well in black patients. They may also be at greater likelihood of side effects. Contact your physician should your symptoms tend not to improve or if they become worse.

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• Dehydration, sweating, vomiting, or diarrhea may increase the chance of low blood pressure. Contact your medical provider immediately if all of these occur.

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• Rarely, Zestril may lower the ability of your system to battle infection. This risk could be greater if you have certain other medical problems (eg, kidney problems, collagen vascular disease). Avoid connection with folks who suffer from colds or infections. Tell your physician should you notice signs of infection like fever, sore throat, rash, or chills.

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• Patients having medicine for high blood pressure often feel tired or run-down for a couple weeks after starting treatment. Be sure to take your medicine even if you might not exactly feel "normal." Tell a medical expert in the event you develop any new symptoms.

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• Lab tests, including blood pressure level, blood electrolyte levels, heart function, or kidney or liver function, may be performed as you use Zestril. These tests may be used to monitor your problem or check for side effects. Be sure to keep all doctor and lab appointments.

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• Pregnancy and breast-feeding: Zestril may cause birth defects or fetal death in case you get it while you're pregnant. If you think you may be pregnant, get hold of your doctor immediately. It is not known if Zestril is situated in breast milk. Do not breastfeed while taking Zestril.

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