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Drug interactions

Benazepril + Gold sodium thiomalate

Severity: Moderate

Benazepril and Gold sodium thiomalate: moderate 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

Rare nitritoid reactions have been reported with injectable gold in patients taking ACE inhibitors. These include facial flushing, nausea, vomiting and hypotension, usually shortly after the gold injection.

What this interaction means in plain words

Benazepril and Gold sodium thiomalate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: Moderate

Why it happens

Thought to involve vasodilatory effects of gold combined with reduced breakdown of vasoactive kinins during ACE inhibition, although the mechanism is not fully established.

What to do

Monitor patients for flushing and hypotension after each injection. If reactions recur, consider alternative antihypertensive therapy or a different disease-modifying agent.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Gold sodium thiomalate?

MediHelp rates the interaction as moderate. Benazepril and Gold sodium thiomalate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Rare nitritoid reactions have been reported with injectable gold in patients taking ACE inhibitors. These include facial flushing, nausea, vomiting and hypotension, usually shortly after the gold injection.

How serious is the interaction between Benazepril and Gold sodium thiomalate?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor patients for flushing and hypotension after each injection. If reactions recur, consider alternative antihypertensive therapy or a different disease-modifying agent.

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.

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