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Is Zinc Safe with Enalapril?

ℹ️ MODERATE SEVERITY
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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

Separate zinc supplement intake by at least 2 hours from Enalapril. Monitor blood pressure regularly and report any changes in symptom control to your physician.

Why this interaction occurs

Enalapril's active metabolite enalaprilat chelates zinc at the ACE active site to exert its antihypertensive effect. Supplemental zinc may theoretically reduce binding efficiency. Concurrent use may also alter the zinc homeostasis, as ACE inhibitors have been linked to increased urinary zinc excretion.

Evidence

Evidence level: moderate.

Reported safety data

The FDA’s adverse event reporting system (FAERS) has received 61,312 reports mentioning Enalapril. This reflects reported cases involving the medication in general — not confirmed causation, and not specific to the Enalapril + 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 Zinc with Enalapril?
Separate zinc supplement intake by at least 2 hours from Enalapril. Monitor blood pressure regularly and report any changes in symptom control to your physician.
How long should I wait between Enalapril and Zinc?
Separate zinc supplement intake by at least 2 hours from Enalapril. Monitor blood pressure regularly and report any changes in symptom control to your physician.

Related interactions

All Zinc interactions →  ·  All Enalapril interactions →

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Educational only — not medical advice.
Always confirm with your doctor or pharmacist.