What causes swollen ankles, migraine and high BP while taking Lisinospril?
Patient: It is the weekend and am concerned about blood pressure. Last 3 readings: 140/88, 133/106, 137/105. Also have pounding headache in back of skull and top of head like a throbbing migraine. Saw my primary in May. All blood tests and EKG normal. Was taking Lisinopril HCTZ 20/12.5. My concern was swollen ankles so Dr. switched me to Lisinopril tabs 20mg & Lasix 40mg. I have not felt well since the switch. I have been treated for HBP about 15 years, am 56 and do smoke. Last 2 days have taken Lisinopril twice a day and 1/2 Lasix. Dr. told me I could do that as long as I monitor myself. Have not had numbers in 100s for a long time. Other medications are Aciphex 20mg, trazodone 100mg, sertraline 150mg and the lisinopril 20mg & lasix. I just do not feel well and need some advice. I will call my dr. on Monday to discuss. Thank you. Doctor: Hello,  Swollen ankles can be an adverse effect of trazodone. I suggest you to monitor your blood pressure for somedays . These values of blood pressure are not to worry much about.  I would recommend you lisinopril, HCTZ and probably lercanidipine in a low dose. You should see your doctor after monitoring your blood pressure and he will see if a change in medication is needed.  Hope I have answered your query. Let me know if I can assist you further.  Regards, Dr. Anila Skenderi, General & Family Physician