Can I take Prinivil if I have a history of heart disease?

Although Prinivil (lisinopril) is prescribed for high blood pressure and congestive heart failure and after a heart attack to increase the odds of survival, it can worsen some heart conditions.

People who have heart failure, for instance, need to start on very low doses because Prinivil may cause kidney problems and, rarely, kidney failure or low blood pressure (hypotension). In people with heart failure, hypotension may trigger a heart attack or stroke. People who have other heart diseases such as aortic stenosis (narrowing of the aortic valve), hypertrophic cardiomyopathy (thickening of the heart muscle) and left ventricular outflow obstruction also may not be able to take Prinivil.

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