Lisinopril and supplements: 2 sourced interactions

ACE inhibitor (blood pressure), also sold as Zestril, Prinivil and Qbrelis. Of these, 2 named by an FDA label or NIH page. Plus 1 predicted from how each works (not established). Each links its source and the date it was checked.

A combination missing here is not on our list; that does not mean it is safe together.

Lisinopril with supplements

Most serious first. Open a row for the mechanism, the source's words and the date checked.

Educational only. Check with your pharmacist or prescriber before changing anything you take.

Moderate

2
AshwagandhaLabel or NIHAn NIH page names this pair (cause not established).

moderate · Named by an FDA label or NIH page · Cause not established

In the source’s own words; rated moderate from that wording, not from a study of the pair.

“There is evidence that ashwagandha might interact with some medications, including those for diabetes and high blood pressure, medicines that decrease the immune system response (immunosuppressants), sedatives, anti-seizure medications (anticonvulsants), and thyroid hormone medications.”

Potassium (supplements / salt substitutes)Label or NIHThe FDA label names this pair (potassium level).

moderate · Named by an FDA label or NIH page · Potassium level

In the source’s own words; rated moderate from that wording, not from a study of the pair.

“Risk factors for the development of hyperkalemia include renal insufficiency, diabetes mellitus, and the concomitant use of potassium-sparing diuretics, potassium supplements and/or potassium-containing salt substitutes [see Drug Interactions (7.1) ].”

“However, in people with impaired urinary potassium excretion due to chronic kidney disease or the use of certain medications, such as angiotensin converting enzyme (ACE) inhibitors or potassium-sparing diuretics, even dietary potassium intakes below the AI can cause hyperkalemia [11].”

“Experts recommend monitoring potassium status in people taking ACE inhibitors or ARBs, especially if they have other risk factors for hyperkalemia, such as impaired kidney function [75].”

  • FDA drug label (DailyMed) · ZESTRIL (LISINOPRIL) TABLET [UPSHER-SMITH LABORATORIES, LLC], section 5.5
  • NIH Office of Dietary Supplements · Office of Dietary Supplements · Potassium, Interactions with Medications · Angiotensin converting enzyme inhibitors and angiotensin receptor blockers
  • Checked Oct 25, 2026

Minor

1
Red yeast ricePredictedBoth lower blood pressure, which may add up.

minor · Predicted from how each works, not established · Blood pressure lowering

Predicted from what each is known to do, not studied as a pair and not established.

Both lower blood pressure, which may add up.

How these lines are sourced

Three kinds of line

  • Studied in people (PubMed): PubMed records that were opened and read, graded A (several controlled studies, or a finding in the dosing guidance), B (at least one controlled human study) or C (case reports, observational data or mechanism only).
  • Named by an FDA label or NIH page: quoted word for word from that page. Its severity comes from the source’s wording, not from a study of the pair.
  • Predicted from how each works, not established: built from sourced facts about each substance, such as the FDA’s table of enzyme roles. Never rated major.

Interaction MapCheck Lisinopril with everything else you take, together

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