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Drug interactions

Benazepril + Ferric gluconate

Severity: Minor

Benazepril and Ferric gluconate: minor 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

Intravenous iron can occasionally cause infusion-related hypersensitivity reactions and hypotension. ACE inhibitors have been reported to increase the severity of such reactions with intravenous iron, though the evidence is limited.

What this interaction means in plain words

Benazepril and Ferric gluconate have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

The mechanism is not well established; ACE inhibition may impair compensation for iron-related vasodilatory reactions through reduced angiotensin II and altered bradykinin breakdown.

What to do

Give ferric gluconate by slow infusion with blood pressure monitoring. No routine change to benazepril is needed.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Benazepril with Ferric gluconate?

MediHelp rates the interaction as minor. Benazepril and Ferric gluconate have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Intravenous iron can occasionally cause infusion-related hypersensitivity reactions and hypotension. ACE inhibitors have been reported to increase the severity of such reactions with intravenous iron, though the evidence is limited.

How serious is the interaction between Benazepril and Ferric gluconate?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give ferric gluconate by slow infusion with blood pressure monitoring. No routine change to benazepril is needed.

What other medicines interact with Benazepril?

MediHelp also lists interactions of Benazepril with, for example, Aliskiren, Sacubitril / valsartan, Sacubitril-valsartan. The full list is on the Benazepril page.

Full monographs, dosing and an interaction checker in the MediHelp app

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