Interaction databaseSupplement × PrescriptionReviewed May 2026

Grape Seed Extract and Lisinopril, a synergy.

Grape Seed Extract lowers blood pressure modestly (about 6 mm Hg systolic and 3 mm Hg diastolic in meta-analyses) through improved endothelial function and antioxidant effects. Combined with lisinopril the effects are additive and generally well tolerated, though mild hypotension is possible 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.

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At a glance

Substances
Grape Seed Extract and Lisinopril
Pair type
Synergy
Evidence (highest tier)
Moderate
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 · Moderate evidence

Synergy

What is happening. Grape Seed Extract lowers blood pressure modestly (about 6 mm Hg systolic and 3 mm Hg diastolic in meta-analyses) through improved endothelial function and antioxidant effects. Combined with lisinopril the effects are additive and generally well tolerated, though mild hypotension is possible if blood pressure is already at goal.

Mechanism. Grape seed proanthocyanidins increase endothelial nitric oxide production, scavenge superoxide, and improve flow-mediated dilation. These actions complement ACE inhibition by lisinopril.

Recommendation. Grape Seed Extract 100-300 mg/day is a typical research dose; monitor home blood pressure after starting and tell your prescriber so your lisinopril dose can be reviewed.

Sources (1)
  1. Zhang H, Liu S, Li L, Liu S, Liu S, Mi J, Tian G. The impact of grape seed extract treatment on blood pressure changes: A meta-analysis of 16 randomized controlled trials. Medicine (Baltimore). 2016;95(33):e4247. PMID 27537554

Stack Score

How this pair moves the number.

Effect on the composite score

If both Grape Seed Extract 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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