Supplement × Prescription·timing-sensitive·Emerging evidence

Iron + Quinapril

Timing Sensitive Emerging evidence

Oral iron salts can chelate ACE inhibitors in the gastrointestinal tract, and quinapril's magnesium carbonate formulation may also reduce iron absorption when taken together. Co-administration risks lowering the bioavailability of both agents. Data are clearer for related ACE inhibitors, but the chelation mechanism is shared.

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What the row says.

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Substances
Pair type
Timing Sensitive
Evidence
Emerging
Source citations
1
Scope
Supplement × Prescription
Last verified
June 4, 2026
Timing SensitiveEmerging evidence

What is happening. Oral iron salts can chelate ACE inhibitors in the gastrointestinal tract, and quinapril's magnesium carbonate formulation may also reduce iron absorption when taken together. Co-administration risks lowering the bioavailability of both agents. Data are clearer for related ACE inhibitors, but the chelation mechanism is shared.

Mechanism. Ferrous and ferric cations form insoluble chelates with ACE inhibitors and with the carbonate excipients in quinapril, reducing gastrointestinal absorption of both the drug and the iron.

Recommendation. Separate oral iron supplements from quinapril by at least 2 hours. Monitor blood pressure and, if treating iron deficiency, recheck iron studies to confirm adequate response.

Timing

Timing & separation.

Space the doses apart by at least this window to avoid the conflict.

Minimum separation
120
Stack Score

How it moves the number.

Effect on the composite score

If both Iron and Quinapril 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 at /methodology/stack-score.

Sources

Sources, by evidence tier.

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

Reference material

1
  • 1Campbell NR, Hasinoff BB. Iron supplements: a common cause of drug interactions. Br J Clin Pharmacol. 1991.Needs sourceNo link

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