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Side Effects * Dry cough * Dizziness * Hypotension * Hyperkalemia * Headache * Fatigue * Renal impairment * Angioedema (rare but potentially life-threatening) Contraindications * Pregnancy (especially the second and third trimesters) * History of ACE inhibitor-induced angioedema * Bilateral renal artery stenosis * Significant hyperkalemia * Concomitant use with certain medications in selected patients (e.g., some combinations affecting the reninangiotensin system) Monitoring * Blood pressure * Serum potassium * Serum creatinine and estimated glomerular filtration rate (eGFR) * Clinical signs of hypotension or angioedema Drug Interactions * Potassium supplements and potassium-sparing diuretics may increase the risk of hyperkalemia

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Select healthy tissue according to your providers instructions

High stress levels, parenteral nutrition patients and elderly patients may not be able to synthesize sufficient quantities of LCarnitine