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Initiation of therapy requires consideration of recent diuretic therapy and the possibility of severe salt/volume depletionIf possiblethe dose of diuretic should be reduced before beginning treatment.
If the diuretic cannot be discontinuedan initial dose of 5 mg should be used under medical supervision for at least 2 hours and until blood pressure has stabilized for at least an additional hoursee WarningsHypotension and PrecautionsDrug Interactions
GeriatricsIn generalblood pressure response and adverse experiences were similar in younger and older patients given similar doses of lisinoprilPharmacokinetic studieshoweverindicate that maximum blood levels and area under the plasma concentration time curveAUCare doubled in older patients so that dosage adjustments should be made with particular cautionsee Dosage
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