Is it safe to take lisinopril and hydroclorothiazide while nursing? i have a week old infant and high bp

Risks vs benefits: Taken during pregnancy lisinopril and medications of the ACE inhibitor class are known to cause birth defects including malformations of kidney, lung, arms and legs. Not to be taken during pregnancy. During breastfeeding it can be taken; there will be some transfer into breastmilk, but the risks to new baby are much less than during pregnancy. Discuss your available options with your doctor.

Lactation medication: No information on lisinopril during breastfeeding, prefer an alternate drug such as benazepril, enalapril, metoprolol or methyldopa. Hydrochlorothiazide doses of below 50 mg daily are acceptable during lactation (larger diuretic doses may decrease breast milk production). Check http://toxnet.nlm.nih.gov/cgi-bin/sis/search2 for information on any drug during lactation.