Drug interactions
Azilsartan-chlorthalidone + Benazepril
Severity: Major
Azilsartan-chlorthalidone and Benazepril: major interaction.
Last updated
For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.
Summary
Combining an angiotensin receptor blocker with an ACE inhibitor gives dual renin-angiotensin system blockade. This increases the risk of hypotension, hyperkalemia and acute kidney injury without clear outcome benefit.
What this interaction means in plain words
Azilsartan-chlorthalidone and Benazepril can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Azilsartan-chlorthalidone belongs to Cardiovascular; Benazepril belongs to Cardiovascular.
Why it happens
Additive inhibition of the renin-angiotensin-aldosterone system by ARB and ACE inhibitor.
What to do
Avoid the combination; use one RAS blocker. If unavoidable, monitor potassium, creatinine and blood pressure closely.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Azilsartan-chlorthalidone
Other interactions of Benazepril
- Aliskiren + Benazepril Contraindicated
- Benazepril + Sacubitril / valsartan Contraindicated
- Benazepril + Sacubitril-valsartan Contraindicated
- Amifostine + Benazepril Major
- Amiloride + Benazepril Major
- Amlodipine-hydrochlorothiazide-valsartan + Benazepril Major
Frequently asked questions
Can I take Azilsartan-chlorthalidone with Benazepril?
MediHelp rates the interaction as major. Azilsartan-chlorthalidone and Benazepril can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Combining an angiotensin receptor blocker with an ACE inhibitor gives dual renin-angiotensin system blockade. This increases the risk of hypotension, hyperkalemia and acute kidney injury without clear outcome benefit.
How serious is the interaction between Azilsartan-chlorthalidone and Benazepril?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination; use one RAS blocker. If unavoidable, monitor potassium, creatinine and blood pressure closely.
What other medicines interact with Azilsartan-chlorthalidone?
MediHelp also lists interactions of Azilsartan-chlorthalidone with, for example, Aliskiren, Sparsentan, Aceclofenac. The full list is on the Azilsartan-chlorthalidone page.
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