Lisinopril and Zinc, a caution.
ACE inhibitors as a class increase urinary zinc excretion and lower intracellular zinc over months of use. A systematic review of zinc and antihypertensive therapy identified depletion across multiple ACE inhibitors, with lisinopril patients showing similar patterns of altered zinc status. Symptoms of zinc deficiency include altered taste, slow wound healing, hair loss, and reduced immune function.
One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
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What the row says.
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At a glance
- Substances
- Lisinopril and Zinc
- Pair type
- Caution
- Evidence (highest tier)
- Moderate
- Source citations
- 2 sources
- Stack Score effect
- −5 to your Stack Score (per scored caution row).
- Scope
- Supplement × Prescription
- Last verified
- May 30, 2026
Caution · Moderate evidence
Caution
What is happening. ACE inhibitors as a class increase urinary zinc excretion and lower intracellular zinc over months of use. A systematic review of zinc and antihypertensive therapy identified depletion across multiple ACE inhibitors, with lisinopril patients showing similar patterns of altered zinc status. Symptoms of zinc deficiency include altered taste, slow wound healing, hair loss, and reduced immune function.
Mechanism. ACE inhibitors complex with zinc and increase its renal excretion. Chronic use depletes intracellular zinc pools even when serum zinc looks normal.
Recommendation. If you take lisinopril long term, consider a modest zinc supplement (15-30 mg/day) or a multivitamin containing zinc, especially if you notice loss of taste or recurrent infections. Take zinc with food to limit GI upset.
Sources (2)
- Braun LA, Rosenfeldt F. Pharmaco-nutrient interactions - a systematic review of zinc and antihypertensive therapy. Int J Clin Pract. 2013;67(8):717-25. PMID 23279674
- Golik A, Zaidenstein R, Dishi V, Blatt A, Cohen N, Cotter G, Berman S, Weissgarten J. Effects of captopril and enalapril on zinc metabolism in hypertensive patients. J Am Coll Nutr. 1998;17(1):75-8. PMID 9477394
Stack Score
How this pair moves the number.
Effect on the composite score
If both Lisinopril and Zinc 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 documented at /methodology/stack-score.
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