Common side effects may include dizziness due to a drop in blood pressure, nausea, headaches, anxiety, insomnia, drowsiness, nasal congestion, and sexual dysfunction. Like all ACE inhibitors, Lisinopril may cause a nonproductive cough that resolves when the drug is discontinued.Serious side effects may include faintness, urinating less than usual or not at all, swelling, rapid weight gain, fever, chills, body aches, flu symptoms, fatigue, muscle weakness, and pounding or uneven heartbeats, chest pain or high potassium (slow heart rate, weak pulse, muscle weakness, tingly feeling).