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Drug interactions

Benazepril + Saxagliptin

Severity: Moderate

Benazepril and Saxagliptin: 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

DPP-4 inhibitors have been associated with an increased incidence of angioedema in patients taking ACE inhibitors. Both drugs reduce breakdown of peptides such as bradykinin and substance P.

What this interaction means in plain words

Benazepril and Saxagliptin 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; Saxagliptin belongs to Endocrine.

Evidence level: Moderate

Why it happens

Reduced degradation of bradykinin and substance P through combined ACE and DPP-4 inhibition.

What to do

Counsel patients to report swelling of the face, lips, tongue, or throat immediately. Discontinue the suspected agent and treat angioedema if it 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 Saxagliptin?

MediHelp rates the interaction as moderate. Benazepril and Saxagliptin 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. DPP-4 inhibitors have been associated with an increased incidence of angioedema in patients taking ACE inhibitors. Both drugs reduce breakdown of peptides such as bradykinin and substance P.

How serious is the interaction between Benazepril and Saxagliptin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Counsel patients to report swelling of the face, lips, tongue, or throat immediately. Discontinue the suspected agent and treat angioedema if it 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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