Lisinopril is a widely prescribed medication primarily used to manage high blood pressure (hypertension) and to treat heart failure. It also plays a role in improving outcomes after a heart attack. Patients often have questions about potential side effects, including back pain.
Understanding Lisinopril’s Side Effects
Back pain is a reported side effect of lisinopril, though it is considered less common. It can manifest as a general musculoskeletal complaint or, in rare instances, be associated with angioedema, a type of swelling that can occur in various parts of the body.
More common side effects of lisinopril include a persistent dry cough, which can sometimes lead to discontinuation. Dizziness and lightheadedness are also frequently reported, often due to a drop in blood pressure, especially when standing up quickly. Other common effects include headaches, fatigue, and diarrhea. Less frequently, individuals may experience blurred vision, nausea, or mild elevations in potassium and creatinine levels in the blood.
Distinguishing Lisinopril-Related Back Pain from Other Causes
Back pain is a common experience, with numerous potential causes unrelated to medication. These can range from simple muscle strains or sprains, often resulting from improper lifting techniques, poor posture, or lack of regular exercise. Structural issues of the spine, such as a herniated or bulging disc, or conditions like osteoarthritis, can also lead to back discomfort.
Other non-medication causes of back pain include kidney problems like kidney stones or infections, certain inflammatory conditions such as sacroiliitis, or even conditions like fibromyalgia and endometriosis. Sometimes, back pain can be a symptom of sciatica, pain radiating down the leg due to nerve compression. Observing when the pain began in relation to starting lisinopril, its type, and any other accompanying symptoms can offer clues for differentiation.
When to Consult a Healthcare Professional
Discuss any new or worsening symptoms, including back pain, with your prescribing doctor. Never stop taking lisinopril or any prescribed medication without consulting a healthcare professional, as abrupt discontinuation can lead to a dangerous increase in blood pressure. Your doctor can evaluate the cause of your back pain and determine the most appropriate course of action.
Seek immediate medical attention if back pain is severe, sudden, or accompanied by concerning symptoms. These include swelling in the face, lips, tongue, or throat, which could indicate angioedema and potentially affect breathing. Other serious symptoms include difficulty breathing, a rash, numbness or weakness in the limbs, loss of bladder or bowel control, or any new or worsening symptoms significantly impacting daily life.