Lisinopril and Magnesium Citrate, a synergy.
Magnesium supplementation lowers blood pressure modestly, with meta-analyses reporting about 2-3 mm Hg systolic and 2 mm Hg diastolic reductions in hypertensive patients on antihypertensive medication. Combined with lisinopril, the effect is additive and generally beneficial, though it may produce mild hypotension if blood pressure is already at goal. The risk of meaningful hyperkalemia from magnesium itself is low.
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
- Lisinopril and Magnesium Citrate
- Pair type
- Synergy
- Evidence (highest tier)
- Strong
- 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 · Strong evidence
Synergy
What is happening. Magnesium supplementation lowers blood pressure modestly, with meta-analyses reporting about 2-3 mm Hg systolic and 2 mm Hg diastolic reductions in hypertensive patients on antihypertensive medication. Combined with lisinopril, the effect is additive and generally beneficial, though it may produce mild hypotension if blood pressure is already at goal. The risk of meaningful hyperkalemia from magnesium itself is low.
Mechanism. Magnesium acts as a calcium channel modulator in vascular smooth muscle, promotes nitric oxide release, and inhibits angiotensin-induced vasoconstriction. These actions complement ACE inhibition.
Recommendation. Magnesium Citrate 200-350 mg elemental magnesium daily is a reasonable add-on; monitor home blood pressure after starting. Tell your prescriber so your lisinopril dose can be reviewed. Reduce dose if you develop loose stools.
Sources (2)
- Kass L, Weekes J, Carpenter L. Effect of magnesium supplementation on blood pressure: a meta-analysis. Eur J Clin Nutr. 2012;66(4):411-8. PMID 22318649
- Alharran AM, et al. Impact of Magnesium Supplementation on Blood Pressure: An Umbrella Meta-Analysis of Randomized Controlled Trials. Curr Ther Res Clin Exp. 2024;101:100755. PMID 39280209
Stack Score
How this pair moves the number.
Effect on the composite score
If both Lisinopril and Magnesium Citrate 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.
Check your full routine
One pair was the worked example. NutriStack runs every pair in your stack at once.
Drop in your supplements and prescriptions and the public database surfaces every interaction, synergy, timing rule, and contraindication, every one linked to its primary source.