Benazepril and Lithium Orotate, a caution.
Benazepril is an ACE inhibitor that reduces sodium reabsorption and lowers glomerular filtration. This causes the kidney to retain lithium and raises serum lithium concentrations. Case series of patients on prescription lithium have shown rises of about 36% in steady-state lithium levels after starting an ACE inhibitor. Lithium Orotate doses are smaller, but the same renal handling applies and the margin to toxicity is narrow.
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.
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
- Benazepril and Lithium Orotate
- Pair type
- Caution
- Evidence (highest tier)
- Moderate
- Source citations
- 2 sources
- Stack Score effect
- −5 to your Stack Score (per scored caution row).
- Scope
- Supplement × Prescription
- Last verified
- May 30, 2026
Caution · Moderate evidence
Caution
What is happening. Benazepril is an ACE inhibitor that reduces sodium reabsorption and lowers glomerular filtration. This causes the kidney to retain lithium and raises serum lithium concentrations. Case series of patients on prescription lithium have shown rises of about 36% in steady-state lithium levels after starting an ACE inhibitor. Lithium Orotate doses are smaller, but the same renal handling applies and the margin to toxicity is narrow.
Mechanism. ACE inhibition reduces angiotensin II and aldosterone, causing natriuresis and a fall in GFR. Lithium reabsorption in the proximal tubule tracks sodium, so sodium loss and reduced filtration both increase fractional lithium reabsorption.
Recommendation. Avoid Lithium Orotate while taking benazepril. If used together, keep the dose low, stay well hydrated, and ask your prescriber to check serum lithium after 1-2 weeks. Hold the supplement during any vomiting, diarrhea, or fever.
Sources (2)
Stack Score
How this pair moves the number.
Effect on the composite score
If both Benazepril and Lithium Orotate are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).
The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.
Check your full routine
One pair was the worked example. NutriStack runs every pair in your stack at once.
Drop in your supplements and prescriptions and the public database surfaces every interaction, synergy, timing rule, and contraindication, every one linked to its primary source.