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If you are going to have any type of surgery, inform your doctor in advance that you are using zestril.

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Tell your doctor if you are having or are going to have treatment to lower the effects of an allergy such as insect stingsdesensitisation treatmentIf you take Zestril while you are having this treatmentit may cause a severe allergic reaction.

Fetal toxicity may developdiscontinue if pregnancy is detectedRenal impairmentDialysisesphigh-flux membraneSalt/volume depletionHypertrophic cardiomyopathySevere CHFIschemic heart diseaseCerebrovascular diseaseHyponatremiaRenal artery stenosisSurgeryMonitor BPelectrolytesrenal and liver functionMonitor serum potassium in diabeticsDiscontinue if angioedema or laryngeal edemajaundice or marked elevations of liver enzymes occurBlack patients may have higher rate of angioedema than non-Black patientsElderlyNeonatesPregnancymonitorNursing mothersnot recommended.

History of ACEI-associated or other angioedemaConcomitant neprilysin inhibitorsegsacubitrildo not administer lisinopril within 36hrs of switching to or from sacubitril/valsartanConcomitant aliskiren in patients with diabetes.

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in a clinical study of zestril in patients with myocardial infarctions gissi-3 trial 4,413 47 were 65 and over, while 1,656 18 were 75 and over.