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What the FDA labels say about taking them together

Lisinopril and lithium

Lisinopril's FDA label of January 2, 2025 names lithium in its drug interactions section; the lithium labels PlainMeds reads (4) do not name lisinopril. The lisinopril label: “Symptoms of lithium toxicity.”

Check it at the source: the lisinopril FDA label on DailyMed (effective January 2, 2025, Upsher-Smith Laboratories, LLC); the lithium FDA label on DailyMed (effective December 23, 2025, Glenmark Pharmaceuticals Inc., USA).

What does the lisinopril label say about lithium?

Lisinopril label, drug interactions

Increased risk of renal impairment, hypotension and hyperkalemia ( 7.4 ) Lithium: Symptoms of lithium toxicity ( 7.5 ) Gold:

Qbrelis label (Azurity Pharmaceuticals, Inc., December 16, 2025), drug interactions

Symptoms of lithium toxicity ( 7.5 ).

Source: FDA drug label (Qbrelis, NDA208401), Azurity Pharmaceuticals, Inc., effective December 16, 2025 (SPL set 9f6e4e57-a489-4b36-b093-b93865d3717c), via openFDA

Source: FDA drug label (Zestril), NDA019777 (Twi Pharms), as published by Upsher-Smith Laboratories, LLC, effective January 2, 2025 (SPL set 838c2d78-d2d8-4981-9ec9-e50ef9e1a5d8), via openFDA; the full label on DailyMed

What does the lithium label say about lisinopril?

Lithium's label (effective December 23, 2025) and its 3 other brand-application labels do not name lisinopril in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Lithium Carbonate), Glenmark Pharmaceuticals Inc., USA, effective December 23, 2025 (SPL set 63b3790f-a9b5-47f4-bae1-ddf8b43c13c1), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

36Lisinopril generic labelers
24Lithium generic labelers
LisinoprilLithium
Labeled forHigh blood pressure, Heart attack and coronary artery disease, Heart failureBipolar disorder
Boxed warningYesYes
Pharmacy cost (NADAC)$0.0254 per tablet 20 mg tablet$0.104 per capsule 300 mg capsule
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?