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Molecule

Lisinopril

Angiotensin Converting Enzyme Inhibitor
Available on requestCardiology
Presentations
13
Brands
2
Manufacturers
2
Available from stock
0

Lisinopril is an angiotensin converting enzyme inhibitor indicated for treatment of hypertension in adults and pediatric patients 6 years of age and older, among other approved uses. It is available as tablets and oral solution. MedsAcross supplies Lisinopril for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Angiotensin Converting Enzyme Inhibitor, Angiotensin-converting Enzyme Inhibitors
ATC classification
C09AA03 Lisinopril · ACE inhibitor, subgroup C09AA
US FDA first approval
29 December 1987
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Tablet, Oral solution
Identifiers
UNII 7Q3P4BS2FDRxCUI 1546022CAS 76547-98-3DrugBank DB00722Q412208

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

Zestril is an angiotensin converting enzyme (ACE) inhibitor indicated for: Treatment of hypertension in adults and pediatric patients 6 years of age and older. Adjunct therapy for heart failure. Treatment of Acute Myocardial Infarction

Source: US FDA prescribing information

How it works

Lisinopril inhibits angiotensin-converting enzyme (ACE) in human subjects and animals. ACE is a peptidyl dipeptidase that catalyzes the conversion of angiotensin I to the vasoconstrictor substance, angiotensin II. Angiotensin II also stimulates aldosterone secretion by the adrenal cortex. The beneficial effects of lisinopril in hypertension and heart failure appear to result primarily from suppression of the renin-angiotensin-aldosterone system. Inhibition of ACE results in decreased plasma angiotensin II which leads to decreased vasopressor activity and to decreased aldosterone secretion. The latter decrease may result in a small increase of serum potassium.

Source: US FDA prescribing information

Dosing overview

Hypertension: Initial adult dose is 10 mg once daily. Titrate up to 40 mg daily based on blood pressure response. Initiate patients on diuretics at 5 mg once daily. Pediatric patients with glomerular filtration rate > 30 mL/min/1.73m 2: Initial dose in patients 6 years of age and older is 0.07 mg per kg (up to 5 mg total) once daily. Heart Failure: Initiate with 5 mg once daily. Increase dose as tolerated to 40 mg daily. Acute Myocardial Infarction (MI): Give 5 mg within 24 hours of MI. Followed by 5 mg after 24 hours, then 10 mg once daily. Renal Impairment: For patients with creatinine clearance ≥ 10 mL/min and ≤ 30 mL/min, halve usual initial dose. For patients with creatinine clearance < 10 mL/min or on hemodialysis, the recommended initial dose is 2.5 mg

Source: US FDA prescribing information

Contraindications

Zestril is contraindicated in combination with a neprilysin inhibitor (e.g., sacubitril). Do not administer Zestril within 36 hours of switching to or from sacubitril/valsartan, a neprilysin inhibitor. Zestril is contraindicated in patients with: a history of angioedema or hypersensitivity related to previous treatment with an angiotensin converting enzyme inhibitor hereditary or idiopathic angioedema Do not co-administer aliskiren with ZESTRIL in patients with diabetes. Angioedema or a history of hereditary or idiopathic angioedema. Hypersensitivity. Co-administration of aliskiren with Zestril in patients with diabetes

Source: US FDA prescribing information

Warnings and precautions

Boxed warning (fetal toxicity): When pregnancy is detected, discontinue ZESTRIL as soon as possible. Drugs that act directly on the renin-angiotensin system can cause injury and death to the developing fetus. Angioedema: Discontinue Zestril, provide appropriate therapy and monitor until resolved. Renal impairment: Monitor renal function periodically. Hypotension: Patients with other heart or renal diseases have increased risk, monitor blood pressure after initiation. Hyperkalemia: Monitor serum potassium periodically. Cholestatic jaundice and hepatic failure: Monitor for jaundice or signs of liver failure

Source: US FDA prescribing information

Side effects

Common adverse reactions (events 2% greater than placebo) by use: Hypertension: headache, dizziness and cough. Heart Failure: hypotension and chest pain. Acute Myocardial Infarction: hypotension

Source: US FDA prescribing information

Interactions

Diuretics: Excessive drop in blood pressure. NSAIDS: Increased risk of renal impairment and loss of antihypertensive efficacy. Dual inhibition of the renin-angiotensin system: Increased risk of renal impairment, hypotension and hyperkalemia. Lithium: Symptoms of lithium toxicity. Gold: Nitritoid reactions have been reported. Concomitant mTOR inhibitor or neprilysin inhibitor use may increase angioedema risk

Source: US FDA prescribing information

Storage

Store at controlled room temperature, 20° to 25°C (68° to 77°F). Protect from moisture, freezing and excessive heat.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

13 presentations of Lisinopril, sorted by availability.

MedicineManufacturerRegisterAvailability
Lisinopril 10 mg tabletOralGeneric name—US FDAAvailable on request
Lisinopril 20 mg tabletOralGeneric name—US FDAAvailable on request
Lisinopril 5 mg tabletOralGeneric name—US FDAAvailable on request
Lisinopril 40 mg tabletOralGeneric name—US FDAAvailable on request
Lisinopril 2.5 mg tabletOralGeneric name—US FDAAvailable on request
Lisinopril 30 mg tabletOralGeneric name—US FDAAvailable on request
Qbrelis 1 mg/mL oral solutionOralAzurity PharmaceuticalsUS FDAAvailable on request
Zestril 10 mg tabletOralUpsher-Smith LaboratoriesUS FDAAvailable on request
Zestril 2.5 mg tabletOralUpsher-Smith LaboratoriesUS FDAAvailable on request
Zestril 20 mg tabletOralUpsher-Smith LaboratoriesUS FDAAvailable on request
Zestril 30 mg tabletOralUpsher-Smith LaboratoriesUS FDAAvailable on request
Zestril 40 mg tabletOralUpsher-Smith LaboratoriesUS FDAAvailable on request
Zestril 5 mg tabletOralUpsher-Smith LaboratoriesUS FDAAvailable on request

Brands by market

2 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 29 December 1987Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Lisinopril in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Lisinopril available for export from India?

Yes, on request. MedsAcross lists 13 presentations of Lisinopril and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Lisinopril have?

The catalogue lists 2 brand names for Lisinopril, including Qbrelis, Zestril.

Is Lisinopril approved by the US FDA?

Yes. The US FDA first approved Lisinopril on 29 December 1987, according to Drugs@FDA.

Does Lisinopril need cold chain shipping?

No listed presentation of Lisinopril is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Lisinopril in?

Lisinopril is classified under ATC code C09AA03 (Lisinopril).

References

  1. Zestril prescribing information (Upsher-Smith Laboratories). U.S. National Library of Medicine, DailyMed. Retrieved 2 January 2025

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