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Drug interactions

Benazepril + Gliclazide

Severity: Minor

Benazepril and Gliclazide: 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

ACE inhibitors may improve insulin sensitivity and in some patients enhance the glucose-lowering effect of sulfonylureas, occasionally leading to hypoglycemia. The risk is modest and mostly occurs when therapy is started.

What this interaction means in plain words

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

Benazepril belongs to Cardiovascular; Gliclazide belongs to Endocrine.

Evidence level: Low

Why it happens

ACE inhibition may increase insulin sensitivity through raised bradykinin levels, adding to sulfonylurea action.

What to do

Monitor blood glucose when benazepril is started, especially in the elderly or those with renal impairment. Lower the gliclazide dose if hypoglycemia occurs.

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 Gliclazide?

MediHelp rates the interaction as minor. Benazepril and Gliclazide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. ACE inhibitors may improve insulin sensitivity and in some patients enhance the glucose-lowering effect of sulfonylureas, occasionally leading to hypoglycemia. The risk is modest and mostly occurs when therapy is started.

How serious is the interaction between Benazepril and Gliclazide?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood glucose when benazepril is started, especially in the elderly or those with renal impairment. Lower the gliclazide dose if hypoglycemia occurs.

What other medicines interact with Gliclazide?

MediHelp also lists interactions of Gliclazide with, for example, Ciprofloxacin, Clarithromycin, Disopyramide. The full list is on the Gliclazide page.

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

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