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It is unknown if lisinopril passes into breast milkHydrochlorothiazide passes into breast milkbut is unlikely to harm a nursing infantConsult your doctor before breast-feeding.

Cough has been reported with the use of ACE inhibitorsCharacteristicallythe cough is non-productivepersistent and resolves after discontinuation of therapyACE inhibitor-induced cough should be considered as part of the differential diagnosis of cough.

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.

ACE inhibitor and thiazide therapy may impair glucose toleranceDosage adjustment of antidiabetic agentsincluding insulinmay be requiredIn diabetic patients treated with oral antidiabetic agents or insulinglycaemia levels should be closely monitored during the first month of treatment with an ACE . inhibitorLatent diabetes mellitus may become manifest during thiazide therapy.

Hypokalemia can sensitise or exaggerate the response of the heart to the toxic effects of digitalise.gincreased ventricular irritability

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