Which adverse effect is commonly associated with the use of lisinopril?
Solution
Correct Answer: Option A
Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor, which increases bradykinin levels by preventing its breakdown. Elevated bradykinin stimulates sensory nerves in the respiratory tract, leading to a characteristic dry, persistent cough. This cough is a well-documented and common adverse effect of ACE inhibitors like lisinopril, often necessitating medication discontinuation. Unlike other drugs, this cough is not due to allergy or infection but is a direct pharmacologic effect related to bradykinin accumulation.
Reference: Harrison's Principles of Internal Medicine, Jameson et al., 20th Edition.