Enalapril and Garlic Extract, a synergy.
Garlic Extract lowers blood pressure modestly and has independent ACE-inhibitory activity in vitro. When combined with enalapril the effects are additive, which is helpful in uncontrolled hypertension but can produce mild hypotension if blood pressure is already at goal.
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
- Enalapril and Garlic Extract
- Pair type
- Synergy
- Evidence (highest tier)
- Moderate
- Source citations
- 2 sources
- Stack Score effect
- +2 to your Stack Score (per scored synergy row).
- Scope
- Supplement × Prescription
- Last verified
- May 30, 2026
Synergy · Moderate evidence
Synergy
What is happening. Garlic Extract lowers blood pressure modestly and has independent ACE-inhibitory activity in vitro. When combined with enalapril the effects are additive, which is helpful in uncontrolled hypertension but can produce mild hypotension if blood pressure is already at goal.
Mechanism. Allicin and S-allylcysteine in garlic inhibit angiotensin-converting enzyme and promote endothelial nitric oxide production. These mechanisms add to those of enalapril.
Recommendation. If your blood pressure is already well controlled on enalapril, monitor at home before and after starting Garlic Extract. Typical aged garlic doses are 600-1200 mg/day. Tell your prescriber so your enalapril dose can be adjusted if needed.
Sources (2)
- Wang HP, Yang J, Qin LQ, Yang XJ. Effect of garlic on blood pressure: a meta-analysis. J Clin Hypertens (Greenwich). 2015;17(3):223-31. PMID 25557383
- Ried K, Frank OR, Stocks NP. Aged garlic extract reduces blood pressure in hypertensives: a dose-response trial. Eur J Clin Nutr. 2013;67(1):64-70. PMID 23169470
Stack Score
How this pair moves the number.
Effect on the composite score
If both Enalapril and Garlic Extract 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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