The journal of clinical hypertension
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J Clin Hypertens (Greenwich) · Apr 2013
Review Case ReportsVisual hallucinations related to angiotensin-converting enzyme inhibitor use: case reports and review.
Four patients experienced visual hallucinations that appear to have been precipitated by lisinopril. Other cases of visual hallucinations have been reported with other angiotensin-converting enzyme (ACE) inhibitors. Older patients, particularly those with a history of either dementia or mild cognitive impairment, may be at higher risk. ⋯ Visual hallucinations have been reported in one case involving an ARB. Visual hallucinations have not been associated with direct renin inhibitors. Consideration should be given to use of alternative, unrelated antihypertensive drug classes.