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Is It Safe To Switch From Bystolic To Lisinopril For High BP?

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Posted on Wed, 22 Jul 2015
Question: I am now taking 5 mg Bystolic once daily. For the previous 20 years I was on lisinopril. Bystolic is not lowering my blood pressure. Can I just return to lisinopril today and stop Bystolic without potentially causing an issue?
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Answered by Dr. Michelle Gibson James (19 minutes later)
Brief Answer:
can switch but with cough may be best to try alternative, cough won't stop

Detailed Answer:
HI, thanks for using healthcare magic

May be best to use an alternative to both of these since the lisinopril causes dry cough or alternatively your doctor can add another medication to the bystolic.

Lisinopril is in the family of drugs called ACE inhibitors. One of the most common side effects is the dry cough that you mentioned.
The cough does not improve.

There are a number of other blood pressure medications that can be used.

Persons who need a drug similar to the ACE meds (such as lisinopril) can use an ARB.
These are similar to lisinopril and the other members of this family but do not cause cough. Eg includes candesartan, atacand, diovan, micardis

There are also a wide range of other BP meds

Summary: (1) if no control then you can switch but the cough will restart and will not stop
(2)may be best to use another drug altogether or add a medication from another drug family

I hope this helps,feel free to ask any other questions
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Is It Safe To Switch From Bystolic To Lisinopril For High BP?

Brief Answer: can switch but with cough may be best to try alternative, cough won't stop Detailed Answer: HI, thanks for using healthcare magic May be best to use an alternative to both of these since the lisinopril causes dry cough or alternatively your doctor can add another medication to the bystolic. Lisinopril is in the family of drugs called ACE inhibitors. One of the most common side effects is the dry cough that you mentioned. The cough does not improve. There are a number of other blood pressure medications that can be used. Persons who need a drug similar to the ACE meds (such as lisinopril) can use an ARB. These are similar to lisinopril and the other members of this family but do not cause cough. Eg includes candesartan, atacand, diovan, micardis There are also a wide range of other BP meds Summary: (1) if no control then you can switch but the cough will restart and will not stop (2)may be best to use another drug altogether or add a medication from another drug family I hope this helps,feel free to ask any other questions