.
Also indexed as: ACE Inhibitors, Aceon®, Cilazapril, Fosinopril, Mavik®, Monopril®, Perindopril, Trandolapril
Angiotensin-converting enzyme (ACE) inhibitors constitute a family of drugs used to treat high blood pressure and heart failure, as well as to improve survival following a heart attack. ACE inhibitors are also used to slow the progression of kidney disease in people with diabetes.
Interactions that are common to all ACE inhibitors are described below. For interactions involving specific ACE inhibitors, refer to the highlighted drugs listed below.
Interactions with Dietary Supplements
Potassium
An uncommon yet potentially serious side effect of taking ACE inhibitors is increased blood
potassium levels.1 2 3 Taking potassium
supplements,4 potassium-containing salt substitutes (No Salt®, Morton Salt
Substitute®, and others),5 6 7 or large amounts of
high-potassium foods at the same time as ACE inhibitors could cause life-threatening
problems.8 Therefore, individuals should consult their healthcare practitioner
before supplementing additional potassium and should have their blood levels of potassium
checked periodically while taking ACE inhibitors.
Summary of Interactions for ACE Inhibitors
| Depletion or interference | None known |
|---|---|
| Adverse interaction | High-potassium foods Potassium supplements Salt substitutes |
| Side effect reduction/prevention | None known |
| Supportive interaction | None known |
| Reduced drug absorption/bioavailability | None known |
| Interactions common to many, if not all, ACE Inhibitors are described in this article. Interactions reported for only one or several drugs in this class may not be listed in this article. Some drugs listed in this article are linked to articles specific to that respective drug; please refer to those individual drug articles. The information in this article may not necessarily apply to drugs in this class for which no separate article exists. If you are taking an ACE Inhibitor for which no separate article exists, talk with your doctor or pharmacist. | |
For the convenience of the reader, the information in the summary is categorized as follows: “Depletion or interference” indicates the drug may deplete or interfere with the absorption or function of the supplement or herb. “Adverse interaction” indicates that the supplement or herb used together with the drug may result in undesirable effects. “Side effect reduction/prevention” indicates the supplement or herb may reduce the likelihood and/or severity of a potential side effect caused by the drug. “Supportive interaction” indicates the supplement or herb may support or aid the function of the drug. “Reduced drug absorption/bioavailability” indicates that the supplement or herb may decrease the absorption and/or activity of the drug in the body. An asterisk (*) next to an item in the summary indicates that the interaction is supported only by weak, fragmentary, and/or contradictory scientific evidence.
References:
1. Good CB, McDermott L, McCloskey B. Diet and serum potassium in patients on ACE inhibitors. JAMA 1995;274:538.
2. Rush JE, Merrill DD. The Safety and tolerability of lisinopril in clinical trials. J Cardiovasc Pharmacol 1987;9(Suppl 3):S99–107.
3. Sifton DW, ed. Physicians’ Desk Reference. Montvale, NJ: Medical Economics Company, Inc., 2000, 1965–8.
4. Burnakis TG, Mioduch HJ. Combined therapy with captopril and potassium supplementation. A potential for hyperkalemia. Arch Intern Med 1984;144:2371–2.
5. Burnakis TG. Captopril and increased serum potassium levels. JAMA 1984;252:1682–3 [letter].
6. Ray K, Dorman S, Watson R. Severe hyperkalemia due to the concomitant use of salt substitutes and ACE inhibitors in hypertension: a potentially life threatening interaction. J Hum Hypertens 1999;13:717–20.
7. Sifton DW, ed. Physicians’ Desk Reference. Montvale, NJ: Medical Economics Company, Inc., 2000, 1965–8.
8. Stoltz ML. Severe hyperkalemia during very-low-calorie diets and angiotensin converting enzyme use. JAMA 1990;264:2737–8 [letter].
Copyright © 2002 VitaminLore, Inc. All rights reserved. www.vitaminlore.com
Please read the disclaimer about the limitations of the information provided here. Do NOT rely solely on the information in this article.
Click here Buy Vitamins and Nutritional Supplements at very low prices..
Buy Brand name Vitamins for less from www.vitaminlore.com. Safetychecker.
The information presented in VitaminLore is for informational purposes only. It is based on scientific studies (human, animal, or in vitro), clinical experience, or traditional usage as cited in each article. The results reported may not necessarily occur in all individuals. For many of the conditions discussed, treatment with prescription or over-the-counter medication is also available. Consult your doctor, practitioner, and/or pharmacist for any health problem and before using any supplements or before making any changes in prescribed medications.