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Is ACE2 enzyme (oral supplement) Safe with Lisinopril?

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Lisinopril ACE2 enzyme (oral supplement)
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Free · No account · based on published sources including NIH ODS, FDA drug labels, and peer-reviewed literature

WHAT YOU NEED TO KNOW

Do not combine oral ACE2 enzyme supplements with lisinopril; lisinopril inhibits ACE2 activity at significantly lower doses than other ACE inhibitors, making this combination particularly likely to negate the therapeutic benefit of ACE2 supplementation.

Why this interaction occurs

In vitro data demonstrated that lisinopril inhibited rhACE2 activity at much lower concentrations compared to enalapril and benazeprilat, indicating a potent off-target effect on ACE2 that would substantially diminish the effectiveness of any oral ACE2 supplementation strategy.

Evidence

Evidence level: limited.

Data source

PubMed - PMID 39837966

Reported safety data

The FDA’s adverse event reporting system (FAERS) has received 323,131 reports mentioning Lisinopril. This reflects reported cases involving the medication in general — not confirmed causation, and not specific to the Lisinopril + supplement combination on this page.

FAERS reports are voluntary and cannot prove that a drug caused an event. Do not use report counts to assess the safety of this specific drug-supplement pair.

Frequently asked questions

Can I take ACE2 enzyme (oral supplement) with Lisinopril?
Avoid unless your doctor or pharmacist directs otherwise. Do not combine oral ACE2 enzyme supplements with lisinopril; lisinopril inhibits ACE2 activity at significantly lower doses than other ACE inhibitors, making this combination particularly likely to negate the therapeutic benefit of ACE2 supplementation.
Does ACE2 enzyme (oral supplement) affect how well Lisinopril works?
In vitro data demonstrated that lisinopril inhibited rhACE2 activity at much lower concentrations compared to enalapril and benazeprilat, indicating a potent off-target effect on ACE2 that would substantially diminish the effectiveness of any oral ACE2 supplementation strategy.

Related interactions

All ACE2 enzyme (oral supplement) interactions →  ·  All Lisinopril interactions →

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