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Other antihypertensive agents Concomitant use of these agents may increase the hypotensive effects of Lisinopril. Concomitant use with glyceryl trinitrate and other nitrates, or other vasodilators, may further reduce blood pressure. Sympathomimetics Sympathomimetics may reduce the antihypertensive effects of ACE inhibitors. Antidiabetics Epidemiological studies have suggested that concomitant administration of ACE inhibitors and antidiabetic medicines insulins, oral hypoglycaemic agents may cause an increased blood glucose lowering effect with risk of hypoglycaemia. This phenomenon appeared to be more likely to occur during the first weeks of combined treatment and in patients with renal impairment. The use of ACE inhibitors is contra-indicated during the second and third trimester of pregnancy see sections 4.

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