Journal of general and family medicine · 2026
A Case of Lisinopril-Induced Hallucinations.
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Golder Jack, Isom Julia
Аннотация
BACKGROUND: Lisinopril is generally well tolerated, but rare neuropsychiatric adverse effects have been reported.
CASE: We describe an 89-year-old woman who developed vivid nocturnal auditory and visual hallucinations approximately 3 months after starting lisinopril for hypertension. Neurologic examination, imaging, and laboratory evaluation were unremarkable. Hallucinations resolved completely within 2 weeks of drug discontinuation, with no recurrence on follow-up.
CONCLUSION: Older adults may be particularly susceptible to medication-induced neuropsychiatric effects. Recognition of lisinopril as a reversible cause of hallucinations is essential to avoid misdiagnosis and unnecessary treatment.
CASE: We describe an 89-year-old woman who developed vivid nocturnal auditory and visual hallucinations approximately 3 months after starting lisinopril for hypertension. Neurologic examination, imaging, and laboratory evaluation were unremarkable. Hallucinations resolved completely within 2 weeks of drug discontinuation, with no recurrence on follow-up.
CONCLUSION: Older adults may be particularly susceptible to medication-induced neuropsychiatric effects. Recognition of lisinopril as a reversible cause of hallucinations is essential to avoid misdiagnosis and unnecessary treatment.