Public record
Lisinopril: the public record
Each table is computed from the named federal dataset as of its data date; the method is under each one.
Label
FDA label facts for lisinopril
The FDA label read for lisinopril (Qbrelis, application NDA208401) was last revised on 2025-12-16. It carries a boxed warning headed "WARNING: FETAL TOXICITY". Of the 4 population sections checked, 4 are present: pregnancy, lactation, pediatric use, geriatric use.
| Measure | Value | Note |
|---|---|---|
| Label revision date | 2025-12-16 | |
| Label read | Qbrelis | NDA208401, brand-name application |
| Boxed warning | Yes | heading as printed: "WARNING: FETAL TOXICITY" |
| Pregnancy section | Present | |
| Lactation section | Present | |
| Pediatric use section | Present | |
| Geriatric use section | Present |
How this was calculated
Selected the most recently revised prescription label for this single ingredient from an original manufacturer, preferring a brand-name application. Checked which sections exist and quoted headings and sentences exactly as printed.
One label: the newest prescription label for single-ingredient lisinopril from an original manufacturer
Read from one label. Labels for other brands, strengths or forms of the same ingredient can differ. A missing section heading does not mean there is no guidance. Read the full label before relying on it.
Approvals
FDA approval history for lisinopril
The earliest FDA approval on file for a lisinopril product is 1987-12-29. Drugs@FDA lists 23 applications for it and 307 approved supplements, the most recent on 2024-05-30.
| Measure | Value | Note |
|---|---|---|
| Earliest FDA approval on file | 1987-12-29 | |
| Applications with an approval on file | 23 | |
| New drug applications (NDA) | 3 | |
| Generic applications (ANDA) | 20 | |
| Approved supplements | 307 | label, manufacturing and efficacy changes |
| Most recent supplement approval | 2024-05-30 | |
| Sponsoring companies | 21 |
How this was calculated
Selected applications with a product whose only active ingredient is this substance, then counted approved original and supplemental submissions. The earliest approved original submission is the first approval.
Applications with a single-ingredient lisinopril product in Drugs@FDA, all sponsors and strengths
Older approvals can be missing dates, and tentative approvals are not counted. An approved application does not mean the product is currently marketed.
Patents and generics
Patents and generic approvals for lisinopril
The FDA Orange Book lists 20 approved generic applications for lisinopril, the first approved on 2002-07-01. 12 listed patents on specific brand products have not yet expired, the last on 2035-11-06; generics of other versions are already approved.
| Measure | Value | Note |
|---|---|---|
| Brand-name applications (NDA) | 3 | |
| Approved generic applications (ANDA) | 20 | first approved 2002-07-01 |
| Companies with a generic not marked discontinued | 11 | |
| Listed patents not yet expired | 12 | |
| Latest listed patent expiry | 2035-11-06 | on any product; may cover only one brand formulation |
| Earliest approval date on file | 1987-12-29 | |
| Products not marked discontinued | 80 of 121 |
How this was calculated
Selected Orange Book products whose only active ingredient is this substance, then counted applications by type and the distinct patents and exclusivities listed against them. Expired patents are left out.
All single-ingredient lisinopril products in the Orange Book, every brand and strength, files dated 2026-10-09
An approved generic or an expired patent does not show that a generic is on sale. Launch timing also depends on litigation, settlements and supply. Biologics and compounded products are not in the Orange Book.
Medicare Part D
Medicare Part D spending on lisinopril
Medicare Part D spending on lisinopril products was $258.2M in 2024 across 36,251,385 claims, compared with $337.4M in 2023 (-23.5%). Average spending per claim was $7.12, before rebates.
| Measure | Value | Note |
|---|---|---|
| Total spending, 2024 | $258.2M | |
| Total spending, 2023 | $337.4M | |
| Change in spending, 2023 to 2024 | -23.5% | |
| Claims (prescription fills), 2024 | 36,251,385 | |
| Average spending per claim, 2024 | $7.12 | |
| Lisinopril: spending, 2024 | $252.9M | 36,247,459 claims |
| Zestril: spending, 2024 | $3.1M | 2,794 claims |
| Qbrelis: spending, 2024 | $2.2M | 1,132 claims |
How this was calculated
Summed total spending and claims over every brand and generic row with this generic name in the CMS file, using the Overall manufacturer rows. Combination products excluded. Average per claim is spending divided by claims.
Every single-ingredient lisinopril product in Part D (Lisinopril, Zestril, Qbrelis), 2024.
Gross drug cost before manufacturer rebates, so net cost is lower. Part D excludes some uses by law (for example erectile dysfunction, weight loss and hair growth), so claims reflect covered uses only. Compounded products are not included.
Adverse event reports
Most reported events in FDA adverse event reports for lisinopril
Through 2026-10-28, FDA had received 235,389 adverse event reports for lisinopril, 140,082 of them marked serious by the reporter. The symptom terms named most often were fatigue (16,491), diarrhoea (14,138) and nausea (13,761).
| Measure | Value | Note |
|---|---|---|
| All reports received | 235,389 | |
| Reports the reporter marked serious | 140,082 | death, hospitalisation, disability or similar outcome |
| Fatigue | 16,491 reports | |
| Diarrhoea | 14,138 reports | |
| Nausea | 13,761 reports | |
| Headache | 10,390 reports | |
| Pain | 10,240 reports |
How this was calculated
Counted FAERS reports listing this active substance, then the reaction terms named most often. A report can name several reactions, and a term can describe the illness being treated and not an effect of the drug. Terms about product use or complaints rather than symptoms (for example drug ineffective) were left out of the list.
Reports where FDA recorded lisinopril as a single-ingredient active substance (any brand), all years to 2026-10-28
FAERS reports are unverified and do not prove the drug caused the event. Reporting rises with use, publicity and lawsuits, so these counts cannot give rates or risks and cannot be compared between drugs.
Recalls
FDA drug recalls naming lisinopril
FDA enforcement reports list 35 drug recall entries naming lisinopril from 2013 to 2024-11-27. 27 of them are for compounded or other unlisted products and 8 for products FDA lists under a label. The most common stated reason was manufacturing practice deviations (14 of 35).
| Measure | Value | Note |
|---|---|---|
| Recall entries on record | 35 | |
| For products FDA lists under an approved or registered label | 8 | |
| For compounded or other unlisted products | 27 | matched by the name in the product description |
| Class I (most serious) | 0 | |
| Class II | 30 | |
| Class III | 5 | |
| Most recent recall reported | 2024-11-27 | |
| Most common stated reason | manufacturing practice deviations | 14 of 35 entries |
How this was calculated
Counted enforcement report entries matched by FDA's listed active substance, or by the name in the product description where FDA lists none. Reasons were grouped by keywords in FDA's stated reason.
Recalls of single-ingredient lisinopril products, plus compounded or unlisted products whose description names it
Each recall covers specific lots from one firm and is not a statement about every product with this ingredient. One event can appear as several entries, one per product.
Articles on Lisinopril
- Lisinopril Monitoring Schedule: Labs & Exams Your Doctor Should Order
- Lisinopril Patent History and Generic Timeline: From Brand-Name Zestril to Universal Generic Access
- Is Lisinopril a Controlled Substance? Regulatory Status
- Lisinopril Safety Signals and FDA Actions: What the Evidence Shows
- Lisinopril Label Updates 2020-2026: FDA Safety Changes, Warnings, and Post-Market Data
- Stopping Lisinopril: Distinguish a Planned Change From an Urgent Stop