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Drug interactions

Benazepril + Phentolamine

Severity: Moderate

Benazepril and Phentolamine: 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

Phentolamine is a potent alpha-adrenergic blocker that causes vasodilation and hypotension. With benazepril, an exaggerated drop in blood pressure may occur, especially after the first dose.

What this interaction means in plain words

Benazepril and Phentolamine 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.

Benazepril belongs to Cardiovascular; Phentolamine belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Additive vasodilation from alpha-adrenergic blockade and ACE inhibition.

What to do

Monitor blood pressure closely during phentolamine administration, with the patient supine initially. Be ready to adjust doses or give fluids if significant hypotension occurs.

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 Phentolamine?

MediHelp rates the interaction as moderate. Benazepril and Phentolamine 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. Phentolamine is a potent alpha-adrenergic blocker that causes vasodilation and hypotension. With benazepril, an exaggerated drop in blood pressure may occur, especially after the first dose.

How serious is the interaction between Benazepril and Phentolamine?

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 blood pressure closely during phentolamine administration, with the patient supine initially. Be ready to adjust doses or give fluids if significant hypotension occurs.

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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