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Hypokalemia is much less likely with the addition of lisinopril, since ACE inhibitors may decrease serum aldosterone. Lisinopril was not at first suspected, and due to improvement, the patient was extubated. Once suspected, lisinopril was discontinued, and the patient improved without recurrent respiratory complaints. Lisinopril (lisonopril) may also be used with other medications to treat congestive heart failure, and it may also be used within 24 hours of a heart attack to improve survival. After six days of lisinopril therapy, a 74-year-old patient complained of penile "swelling". Metabolic side effects including hypokalemia associated with hydrochlorothiazide is much less likely with the addition of lisinopril because ACE inhibitors may decrease serum aldosterone levels.

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