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Drug interactions

Benazepril + Sirolimus

Severity: Moderate

Benazepril and Sirolimus: 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

Sirolimus combined with ACE inhibitors is associated with an increased risk of angioedema. Reactions can involve the face, lips, tongue, or airway and may be serious.

What this interaction means in plain words

Benazepril and Sirolimus 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; Sirolimus belongs to Miscellaneous.

Evidence level: Moderate

Why it happens

Probably additive impairment of bradykinin metabolism, as mTOR inhibition may reduce DPP-4 activity alongside ACE inhibition.

What to do

Counsel patients to report any facial or throat swelling promptly. Stop the ACE inhibitor and consider an alternative antihypertensive if angioedema 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 Sirolimus?

MediHelp rates the interaction as moderate. Benazepril and Sirolimus 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. Sirolimus combined with ACE inhibitors is associated with an increased risk of angioedema. Reactions can involve the face, lips, tongue, or airway and may be serious.

How serious is the interaction between Benazepril and Sirolimus?

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 any facial or throat swelling promptly. Stop the ACE inhibitor and consider an alternative antihypertensive if angioedema 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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