Begin with lower doses of both benazepril and lisinopril for elderly patients (generally 65 years and older). A starting dose of 1.25 mg once daily for benazepril or 2.5 mg once daily for lisinopril is often recommended.
Closely monitor blood pressure and kidney function. Regular blood pressure checks are crucial; aim for at least weekly monitoring during initial titration.
Adjust the dose gradually based on individual response and tolerance. Increase the dose incrementally, allowing several days between adjustments, to minimize the risk of side effects. Do not exceed the maximum recommended dose.
Consider reduced renal clearance. Elderly patients often exhibit reduced kidney function; lower doses are needed to prevent drug accumulation.
Be aware of potential drug interactions. Many elderly patients take multiple medications; carefully review all current medications for potential interactions with benazepril or lisinopril.
Monitor for side effects, particularly dizziness, lightheadedness, or fainting, which are more common in older adults. These may indicate a need for dose reduction.
Always consult prescribing information and individual patient factors before determining the appropriate dosage. Patient-specific needs are paramount. Individualized treatment plans are vital.
