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Drug interactions

Capsicum + Captopril

Severity: Minor

Capsicum and Captopril: 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

Capsaicin from capsicum depletes substance P from sensory nerves, and oral intake may aggravate the cough that ACE inhibitors cause. This is a cough-related rather than a serious interaction.

What this interaction means in plain words

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

Evidence level: Low

Why it happens

Both agents affect sensory nerve peptides (substance P, bradykinin) involved in the cough reflex.

What to do

If cough worsens, consider whether capsicum or captopril is responsible and stop capsicum first; switch to an ARB if ACE inhibitor cough persists.

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 Capsicum with Captopril?

MediHelp rates the interaction as minor. Capsicum and Captopril have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Capsaicin from capsicum depletes substance P from sensory nerves, and oral intake may aggravate the cough that ACE inhibitors cause. This is a cough-related rather than a serious interaction.

How serious is the interaction between Capsicum and Captopril?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: If cough worsens, consider whether capsicum or captopril is responsible and stop capsicum first; switch to an ARB if ACE inhibitor cough persists.

What other medicines interact with Captopril?

MediHelp also lists interactions of Captopril with, for example, Aliskiren, Sacubitril / valsartan, Sacubitril-valsartan. The full list is on the Captopril page.

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