For controlling high blood pressure, Prinivil dosing guidelines call for 10 mg a day. The recommended dose for people with heart failure is 5 mg a day. To improve the chances of survival after a heart attack, 5 mg is usually given, followed by doses at 24 and 48 hours. Factors that can affect Prinivil dosing include age, the condition being treated, and whether other medical conditions are present.
The dose of Prinivil® (lisinopril) that your healthcare provider prescribes will vary, depending on a number of factors, including:
- Your age
- The medical condition you are being treated for
- Other medical conditions you may have
- Other medications you are currently taking.
As always, do not adjust your Prinivil dose unless your healthcare provider specifically instructs you to do so.
If you are over 65 years of age, your healthcare provider may choose to monitor your dosing adjustments more cautiously.
The recommended starting dosage of Prinivil for people with high blood pressure (hypertension) is 10 mg, taken once a day. Based on the blood pressure response or Prinivil side effects, the dosage may be increased or decreased. For most people, the normal daily dose is 20 mg to 40 mg. For each change in dosage, it may take several weeks to see the full effects of Prinivil on blood pressure.
If you have hypertension and are already taking a diuretic, your healthcare provider will most likely instruct you to stop taking the diuretic before starting Prinivil. If you cannot stop the diuretic, however, for other medical reasons, your healthcare provider may choose to start you on a lower dose of Prinivil, such as 5 mg, under close medical supervision.
If you have kidney disease or kidney failure, your healthcare provider may start you on a lower dose of Prinivil as well, depending on the severity of your kidney disease.
If you have liver disease or liver failure, your healthcare provider may also start you on a lower dose and monitor you more closely.