Because this drug excretes excess fluid from the body, there are some possible side effects. People taking lisinopril hydrochlorothiazide may experience dizziness, irregular heartbeat, swelling, joint and muscle aches and tingling and numbness. Serious side effects that should be reported immediately to a physician include infection, jaundice, dark urine, persistent nausea and vomiting, severe abdominal pain and seizures. Allergic reactions can occur and are signaled by rash, itching, swelling of the face, lips and tongue, dizziness and difficulty breathing. Seek immediate medical attention if an allergic reaction occurs.