Interaction databaseSupplement × PrescriptionReviewed May 2026

Alpha-Lipoic Acid and Lisinopril, a synergy.

Alpha-Lipoic Acid lowers blood pressure modestly and improves endothelial function. The QUALITY study found that the blood pressure and endothelial benefits of alpha-lipoic acid were strongly potentiated when combined with the ACE inhibitor quinapril in diabetic patients with stage 1 hypertension. The combination is well tolerated; mild hypotension is possible.

One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.

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From the interaction database

What the row says.

Every entry follows the same shape: what is happening, the mechanism, the recommendation, and the primary literature.

At a glance

Substances
Alpha-Lipoic Acid and Lisinopril
Pair type
Synergy
Evidence (highest tier)
Emerging
Source citations
1 source
Stack Score effect
+2 to your Stack Score (per scored synergy row).
Scope
Supplement × Prescription
Last verified
May 30, 2026

Synergy · Emerging evidence

Synergy

What is happening. Alpha-Lipoic Acid lowers blood pressure modestly and improves endothelial function. The QUALITY study found that the blood pressure and endothelial benefits of alpha-lipoic acid were strongly potentiated when combined with the ACE inhibitor quinapril in diabetic patients with stage 1 hypertension. The combination is well tolerated; mild hypotension is possible.

Mechanism. Alpha-lipoic acid scavenges reactive oxygen species, regenerates other antioxidants, and increases nitric oxide bioavailability in endothelial cells. ACE inhibition independently raises bradykinin and nitric oxide. The combined endothelial effects are amplified.

Recommendation. Alpha-Lipoic Acid 300-600 mg/day is a typical research dose; monitor home blood pressure after starting and tell your prescriber so your lisinopril dose can be reviewed. Best taken on an empty stomach.

Sources (1)
  1. Rahman ST, Merchant N, Haque T, Wahi J, Bhaheetharan S, Ferdinand KC, Khan BV. The impact of lipoic acid on endothelial function and proteinuria in quinapril-treated diabetic patients with stage I hypertension: results from the QUALITY study. J Cardiovasc Pharmacol Ther. 2012;17(2):139-45. PMID 21750253

Stack Score

How this pair moves the number.

Effect on the composite score

If both Alpha-Lipoic Acid and Lisinopril are in the same stack, this pair applies +2 to your Stack Score (per scored synergy row).

The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.

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