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Cost for lisinopril 20 mg/day and 40 mg/day, respectively, were: $7,624 (22.8%) and $15,826 (28.2%), respectively. Other factors In a random sample (11.6%) of the 12.7 million drug-using patients in the United States who did not receive lisinopril for at least 6 months, the number of prescriptions received per year was associated with increased risk of heart failure (OR, 1.37 [95% CI, 1.15-$1.66]), with an adjusted relative risk of 1.37 (95% CI, 1.25-$1.48). For patients taking higher doses (more than 600 mg of lisinopril per day), the risk increased as number of prescriptions per year increased (OR, 1.58 [95% CI, 1.34-1.92]), with an adjusted relative risk of 1.59 (95% CI, 1.42-1.75). The absolute numbers of heart failure case presentations during the 4.4 billion-visit interval from 1995 to 2002 were: 3850 (95% CI, 4120-$5,200)/year canadian online pharmacy valium for lisinopril reputable online pharmacy valium 20 mg/day and 8,960 (95% CI, 7,400-$13,080)/year for placebo. Of these 3850, 29 (11.8%) had a primary coronary artery bypass graft (PCH) procedure and 26 (12.2%) had a primary percutaneous coronary intervention (PCI) procedure (P =.04) and 1 patient (0.1%) had neither (P =.97). The annual incidence of best online pharmacy uk valium coronary revascularization procedures for heart failure was 15.1% and 4.7% for lisinopril 20 mg/day and placebo, respectively (P =.01 by χ2 test); however, the estimated annual incidence of coronary revascularization procedures was 26.8% and 4.1% for patients taking higher doses (≥600 mg of lisinopril per day or ≥1000 mg of lisinopril per week) and placebo, respectively (P =.04 by χ2 test). After the 5-year follow-up, 643 (14.1%) of 16,100 patients treated with lisinopril were still taking the drug. Of patients who had been taking the drug for at least 4.5 years (mean time to treatment of excelmed generic drugstore 4.6 years), 16% (14.5%) discontinued during the 5-year follow-up. risk of a subsequent cardiac event (myocardial infarction, stroke, heart failure, coronary artery bypass graft, or PCI) was significantly higher among those taking lisinopril for at least 5 years and higher than among those receiving placebo (odds ratio [OR], 4.03; 95% CI, 3.47-4.62; P =.003) during the study. No patients taking lisinopril were treated for an event during the 5-year follow-up. Discussion Lisinopril is the oldest and most widely used of the antihypertensive agents and has a wide pharmacological profile.11 Its mechanism of action has been identified as enhancing the renin-angiotensin-aldosterone system to prevent hypertension and reduce diastolic blood pressure, which is a consequence of increased vascular resistance.4 We show a positive association between number of prescriptions received per year for lisinopril.

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