Pharmacology · single question

What is the mechanism of action of lisinopril?

  1. ACE (angiotensin-converting enzyme) inhibitor, blocking conversion of angiotensin I to angiotensin II
  2. Angiotensin II receptor blocker (ARB)
  3. Calcium channel blocker
  4. Beta-adrenergic receptor blocker
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Correct answer: A. ACE (angiotensin-converting enzyme) inhibitor, blocking conversion of angiotensin I to angiotensin II

Lisinopril is an ACE inhibitor, blocking the angiotensin-converting enzyme responsible for converting angiotensin I to the potent vasoconstrictor angiotensin II — reducing vasoconstriction and aldosterone-mediated sodium/water retention, thereby lowering blood pressure. ACE inhibitors classically cause a dry cough (from reduced bradykinin breakdown) and carry a risk of angioedema.

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