From the databaseWhat the row says.
Every entry follows the same shape: what is happening, the mechanism, and the recommendation.
Scope
Supplement × Prescription
Last verified
June 4, 2026
CautionModerate evidence
What is happening. Garlic extract has a modest antihypertensive effect, particularly aged garlic extract, and may add to the blood-pressure-lowering action of nebivolol. The combination is generally well tolerated but can occasionally produce additive hypotension.
Mechanism. Garlic-derived organosulfur compounds enhance nitric-oxide-mediated vasodilation and reduce vascular resistance, an effect that can be additive with nebivolol's own nitric-oxide-mediated vasodilatory and beta-blocking actions.
Recommendation. The combination is acceptable and may be intentional for blood-pressure support. Monitor blood pressure when starting or increasing garlic extract, and report dizziness or lightheadedness. No dose separation is required.
Stack Score
How it moves the number.
Effect on the composite score
If both Garlic Extract and Nebivolol 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.
SourcesSources, by evidence tier.
Every claim on this page is cited. PMIDs link straight to PubMed.
Reference material
2- 1Ried K, Frank OR, Stocks NP, et al. Effect of garlic on blood pressure: a systematic review and meta-analysis. BMC Cardiovasc Disord. 2008.Needs sourceNo link
- 2Ried K. Garlic lowers blood pressure in hypertensive individuals, regulates serum cholesterol, and stimulates immunity: an updated meta-analysis and review. J Nutr. 2016.Needs sourceNo link