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What Causes Dizziness While On Lisinopril And Hydrochlorothiazide?

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Posted on Wed, 15 Feb 2017
Question: I have been on Linsinopril-hyddrochlorthiazde 20-25 for about a month. I still am getting VERY dizzy at times. and have even fallen. Can I cut the tablet in half and see if that works better My recent BP was 83/63. I can't ask my doc as she is on leave. Thanks, XXXX
doctor
Answered by Dr. Panagiotis Zografakis (43 minutes later)
Brief Answer:
if your blood pressure is too low you should take a less potent drug

Detailed Answer:
Hello,

the target blood pressure when taking antihypertensive drugs is not low. Actually a 130/80 is fine for most patients. Anything lower than that is acceptable provided that it causes no symptoms (faintness, dizziness, etc). Since you seem to be having symptoms with your current regimen, a change can be considered. In patients like you I usually only keep one of the drugs of the combination. You're taking two drugs (lisinopril and HCT). Keeping lisinopril only or reducing the dosage of HCT to 12.5mg (that is a 20/12.5 pill) sounds like a good plan. Remember that certain disorders require low blood pressures. Such cases include aortic aneurysms, serious heart failure, etc. It's always better if your doctor does the necessary changes because your doctor knows your history and can take the appropriate decisions with safety.

I hope you find my comments helpful!
Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (4 hours later)
Sooo, is it okay to actually cut the tablet in half?? I am not able to get to my doc for a while, and have a 3 month supply of the 20-25 lisinopril-hct..... thanks! XXXX
doctor
Answered by Dr. Panagiotis Zografakis (4 hours later)
Brief Answer:
it depends

Detailed Answer:
It depends on the pill... If the pill is designed to be cut in half then yes you can. You can check the summary of product characteristics (inside the package) or check whether it's scored in the middle or not; scored pills can be split. Hard coated pills and capsules are examples of pills that can't be split in half.

Kind Regards!
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3814 Questions

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What Causes Dizziness While On Lisinopril And Hydrochlorothiazide?

Brief Answer: if your blood pressure is too low you should take a less potent drug Detailed Answer: Hello, the target blood pressure when taking antihypertensive drugs is not low. Actually a 130/80 is fine for most patients. Anything lower than that is acceptable provided that it causes no symptoms (faintness, dizziness, etc). Since you seem to be having symptoms with your current regimen, a change can be considered. In patients like you I usually only keep one of the drugs of the combination. You're taking two drugs (lisinopril and HCT). Keeping lisinopril only or reducing the dosage of HCT to 12.5mg (that is a 20/12.5 pill) sounds like a good plan. Remember that certain disorders require low blood pressures. Such cases include aortic aneurysms, serious heart failure, etc. It's always better if your doctor does the necessary changes because your doctor knows your history and can take the appropriate decisions with safety. I hope you find my comments helpful! Kind Regards!