Active ingredient
- lisinopril dihydrate
Legal Category
POM: Prescription only medicine
POM: Prescription only medicine
The Patient Information Leaflet (PIL) is the leaflet included in the pack with a medicine. It is written for patients and gives information about taking or using a medicine. It is possible that the leaflet in your medicine pack may differ from this version because it may have been updated since your medicine was packaged.
Below is a text only representation of the Patient Information Leaflet. The original leaflet can be viewed using the link above.
The text only version may be available in large print, Braille or audio CD. For further information call emc accessibility on 0800 198 5000. The product code(s) for this leaflet are: PL 17901/0062, PL 17901/0061, PL 17901/0063.
Zestril 5mg,10mg, and 20mg tablets
Package leaflet: Information for the patient
Zestril 5 mg Tablets
Zestril 10 mg Tablets
Zestril 20 mg Tablets
lisinopril
Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.
What is in this leaflet:
1. What Zestril is and what it is used for
2. What you need to know before you take Zestril
3. How to take Zestril
4. Possible side effects
5. How to store Zestril
6. Contents of the pack and other information
1. What Zestril is and what it is used for
Zestril contains a medicine called lisinopril. This belongs to a group of medicines called ACE inhibitors.
Zestril can be used for the following conditions:
Zestril works by making your blood vessels widen. This helps to lower your blood pressure. It also makes it easier for your heart to pump blood to all parts of your body.
2. What you need to know before you take Zestril
Do not take Zestril:
If you are not sure if any of these apply to you, talk to your doctor or pharmacist before taking Zestril.
If you develop a dry cough which is persistent for a long time after starting treatment with Zestril, talk to your doctor.
Warnings and precautions
Talk to your doctor or pharmacist before taking Zestril:
If you are not sure if any of these apply to you, talk to your doctor or pharmacist before taking Zestril.
Treatment for allergies such as insect stings
Tell your doctor if you are having or are going to have treatment to lower the effects of an allergy such as insect stings (desensitisation treatment). If you take Zestril while you are having this treatment, it may cause a severe allergic reaction.
Operations
If you are going to have an operation (including dental surgery) tell your doctor or dentist that you are taking Zestril. This is because you can get low blood pressure (hypotension) if you are given certain local or general anaesthetics while you are taking Zestril.
Children and adolescents
Zestril has been studied in children. For more information, talk to your doctor. Zestril is not recommended in children under 6 years of age or in any child with severe kidney problems.
Other medicines and Zestril
Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines. This is because Zestril can affect the way some medicines work and some medicines can have an effect on Zestril. Your doctor may need to change your dose and/or to take other precautions.
In particular, tell your doctor or pharmacist if you are taking any of the following medicines:
The following medicines may increase the risk of angioedema (signs of angioedema include swelling of the face, lips, tongue and/or throat with difficulty in swallowing or breathing):
Pregnancy and breast-feeding
Pregnancy:
You must tell your doctor if you think you are (or might become) pregnant. Your doctor will normally advise you to stop taking Zestril before you become pregnant or as soon as you know you are pregnant and will advise you to take another medicine instead of Zestril. Zestril is not recommended in early pregnancy, and must not be taken when more than 3 months pregnant, as it may cause serious harm to your baby if used after the third month of pregnancy.
Breast-feeding:
Tell your doctor if you are breast-feeding or about to start breast-feeding. Zestril is not recommended for mothers who are breast-feeding, and your doctor may choose another treatment for you if you wish to breast-feed, especially if your baby is newborn, or was born prematurely.
Driving and using machines
3. How to take Zestril
Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.
Once you have started taking Zestril your doctor may take blood tests. Your doctor may then adjust your dose so you take the right amount of medicine for you.
Taking your medicine
Taking your first dose
Adults
Your dose depends on your medical condition and whether you are taking any other medicines. Your doctor will tell you how many tablets to take each day. Check with your doctor or pharmacist if you are unsure.
For high blood pressure
For heart failure
After a heart attack
For kidney problems caused by diabetes
If you are elderly, have kidney problems or are taking diuretic medicines your doctor may give you a lower dose than the usual dose.
Use in children and adolescents (6 to 16 years old) with high blood pressure
If you take more Zestril than you should
If you take more Zestril than prescribed by your doctor, talk to a doctor or go to a hospital immediately. The following effects are most likely to happen: Dizziness, palpitations.
If you forget to take Zestril
If you stop taking Zestril
Do not stop taking your tablets, even if you are feeling well, unless your doctor tells you to.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
If you experience any of the following reactions, stop taking Zestril and see your doctor immediately:
Other possible side effects:
Common (affects 1 to 10 users in 100)
Uncommon (affects 1 to 10 users in 1,000)
Rare (affects 1 to 10 users in 10,000)
Very rare (affect less than 1 user in 10,000)
Not known (frequency cannot be estimated from available data)
Side effects in children appear to be comparable to those seen in adults.
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly (see details below). By reporting side effects you can help provide more information on the safety of this medicine.
or search for MHRA Yellow Card in the Google Play or Apple App Store.
5. How to store Zestril
6. Contents of the pack and other information
What Zestril contains
Zestril is supplied in 3 strengths containing 5 mg, 10 mg or 20 mg of lisinopril (as dihydrate).
What Zestril looks like and contents of the pack
Zestril 5 mg Tablets: round, pink, uncoated, biconvex tablet with “heart shape logo 5” on one side and bisected on the other side. Diameter 6 mm.
The tablet can be divided into equal doses.
Zestril 10 mg Tablets: round, pink, uncoated, biconvex tablet with “heart shape logo 10” on one side and plain on the other side. Diameter 8 mm.
Zestril 20 mg Tablets: round, brownish-red, uncoated, biconvex tablet with “heart shape logo 20” on one side and plain on the other side. Diameter 8 mm.
Zestril tablets are available in aluminium foil blister packs of 14, 20, 28, 28x1, 30, 42, 50, 56, 56x1, 60, 84, 98, 100, 400 and 500 tablets. Blister packs containing multiples of 7 tablets may also be available with weekday marks.
Zestril tablets are also available in bottle packs of 20, 30, 50, 100 and 400 tablets.
Not all pack sizes may be marketed.
Marketing Authorisation Holder
The Marketing Authorisations for Zestril in United Kingdom, Ireland and Malta are held by
Zestril is manufactured by
(for Austria, Belgium, Ireland, France, Germany, Greece, Italy, Luxembourg, Netherlands, Norway, Portugal, Spain, Sweden and UK)
This medicine is authorised in the Member States of the EEA under the following names:
ACEMIN (AT), ZESTRIL (BE, ES, IE, FR, IT, EL, LU, NO, NL, SE, UK), Zestril-5/Zestril Mite/Zestril (PT).
To listen to or request a copy of this leaflet in Braille, large print or audio please call, free of charge:
0800 198 5000 (UK only)
Please be ready to give the following information:
Product name Reference Number
Zestril 5 mg Tablets PL 17901/ 0061
Zestril 10 mg Tablets PL 17901/ 0062
Zestril 20 mg Tablets PL 17901/ 0063
This is a service provided by the Royal National Institute of Blind People.
This leaflet was last revised in May 2019.
© AstraZeneca 2019
Zestril is a trade mark of the AstraZeneca group of companies.
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