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She has been taking Lisinopril 20mg, for a few years with success.
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Cyn,
The body has an uncanny ability to circumvent ACE inhibitors after a long period. They often lose their usefulness after a year or more.
Perhaps a trial with an ARB (Cozaar, Diovan,
Atacand, Benicar) might be wise at this point (replacing the lisinopril.)
IF she is salt sensitive hypertensive she might need more HCTZ than 5 mg. Psst, it's a cheap generic so there is no reason to buy the premium brand name, Microzide.
Does she have any p[roblems with water retention, edema?