Iron and Lisinopril, timing-sensitive.
Iron supplements may modestly reduce the absorption of ACE inhibitors when taken simultaneously. While the interaction is minor compared to other iron-drug chelations, separating doses is a reasonable precaution to ensure optimal drug absorption.
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At a glance
- Substances
- Iron and Lisinopril
- Pair type
- Timing Sensitive
- Evidence (highest tier)
- Emerging
- Source citations
- 5 sources
- Stack Score effect
- −5 to your Stack Score (per scored timing-sensitive row).
- Scope
- Supplement × Prescription
- Last verified
- May 30, 2026
Timing Sensitive · Emerging evidence
Timing Sensitive
What is happening. Iron supplements may modestly reduce the absorption of ACE inhibitors when taken simultaneously. While the interaction is minor compared to other iron-drug chelations, separating doses is a reasonable precaution to ensure optimal drug absorption.
Mechanism. Iron may form weak chelation complexes with the carboxyl groups of ACE inhibitors, modestly reducing their dissolution and absorption in the GI tract. The interaction is considerably less significant than iron chelation with tetracyclines or fluoroquinolones.
Recommendation. Separate lisinopril and iron supplements by at least 2 hours as a precaution. This is a minor interaction and unlikely to be clinically significant at standard doses, but good practice for maximizing drug absorption.
Minimum separation. 120
Sources (5)
- Campbell NR, Hasinoff BB. Iron supplements: a common cause of drug interactions. Br J Clin Pharmacol. 1991;31(3):251-255. PMID 2054263
- Fischer JAJ, Cherian AM, Bone JN, Karakochuk CD. The effects of oral ferrous bisglycinate supplementation on hemoglobin and ferritin concentrations in adults and children: a systematic review and meta-analysis of randomized controlled trials. Nutrition Reviews. 2023. PMID 36728680
- Rehman T, Agrawal R, Ahamed F et al.. Optimal dose and duration of iron supplementation for treating iron deficiency anaemia in children and adolescents: A systematic review and meta-analysis. PLoS One. 2025. PMID 39951396
- Gutema BT, Sorrie MB, Megersa ND et al.. Effects of iron supplementation on cognitive development in school-age children: Systematic review and meta-analysis. PLoS One. 2023. PMID 37368919
- Hansen R, Sejer EPF, Holm C, Schroll JB. Iron supplements in pregnant women with normal iron status: A systematic review and meta-analysis. Acta Obstetricia et Gynecologica Scandinavica. 2023. PMID 37403900
Stack Score
How this pair moves the number.
Effect on the composite score
If both Iron and Lisinopril are in the same stack, this pair applies −5 to your Stack Score (per scored timing-sensitive row).
The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.
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