MedicineNet does not provide medical advice, diagnosis or treatment. If you are planning pregnancy, become pregnant, or think you may be pregnant, contact your doctor immediately. Consult your doctor for more details and to discuss the use of reliable forms of birth control while taking this medication. Vol respectively occurred frequently in patients treated with ZESTRIL but were rarely of clinical importance mista voin ostaa zestril ilman reseptia in patients without some other cause of anemia. Worsening of heart failure, anorexia, increased salivation, muscle cramps, back pain, myalgia, depression, chest sound abnormalities and pulmonary edema were also seen in controlled clinical trials, but were more common on placebo than PRINIVIL. No clinically important pharmacokinetic interactions occurred when ZESTRIL was used concomitantly with propranolol or hydrochlorothiazide. This phenomenon appeared to be more likely to occur during the first weeks of combined treatment and in patients with renal impairment.