Supplement × Prescription·a caution·Moderate evidence

Captopril + Garlic Extract

Caution Moderate evidence

Garlic extract has modest blood-pressure-lowering properties and may add to the antihypertensive effect of captopril. While this can be beneficial, the additive effect could occasionally cause blood pressure to fall lower than intended, particularly when starting or up-titrating either agent.

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Pair type
Caution
Evidence
Moderate
Source citations
2
Scope
Supplement × Prescription
Last verified
June 4, 2026
CautionModerate evidence

What is happening. Garlic extract has modest blood-pressure-lowering properties and may add to the antihypertensive effect of captopril. While this can be beneficial, the additive effect could occasionally cause blood pressure to fall lower than intended, particularly when starting or up-titrating either agent.

Mechanism. Garlic constituents promote nitric oxide-mediated vasodilation and have mild ACE-inhibiting and diuretic-like effects, which can add pharmacodynamically to captopril's blood-pressure lowering.

Recommendation. The combination is generally acceptable and may be additive in a helpful way, but monitor blood pressure when adding garlic extract to captopril, especially at higher garlic doses. Report symptoms of low blood pressure such as dizziness, lightheadedness, or fainting.

Stack Score

How it moves the number.

Effect on the composite score

If both Captopril and Garlic Extract 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 at /methodology/stack-score.

Sources

Sources, by evidence tier.

Every claim on this page is cited. PMIDs link straight to PubMed.

Reference material

2
  • 1Ried K, et al. Effect of garlic on blood pressure: a systematic review and meta-analysis. BMC Cardiovascular Disorders. 2008.Needs sourceNo link
  • 2Ried K. Garlic lowers blood pressure in hypertensive individuals: a meta-analysis. Journal of Nutrition. 2016.Needs sourceNo link

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