Interaction databaseSupplement × PrescriptionReviewed May 2026

Losartan and Zinc, a caution.

A systematic review of antihypertensive therapy and zinc identified increased urinary zinc loss in losartan-treated patients. The effect is smaller than with sulfhydryl-containing ACE inhibitors but is consistent across studies of ARB therapy. 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.
Same shape as the other 1,729 pairs in the public database.

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Every entry follows the same shape: what is happening, the mechanism, the recommendation, and the primary literature.

At a glance

Substances
Losartan and Zinc
Pair type
Caution
Evidence (highest tier)
Emerging
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 · Emerging evidence

Caution

What is happening. A systematic review of antihypertensive therapy and zinc identified increased urinary zinc loss in losartan-treated patients. The effect is smaller than with sulfhydryl-containing ACE inhibitors but is consistent across studies of ARB therapy. Symptoms of zinc deficiency include altered taste, slow wound healing, hair loss, and reduced immune function.

Mechanism. AT1 receptor blockade alters renal handling of trace minerals including zinc, contributing to increased urinary zinc excretion. Chronic loss can deplete intracellular zinc pools even when serum looks normal.

Recommendation. If you take losartan long term, a modest zinc supplement (15-30 mg/day) or a multivitamin containing zinc is reasonable, especially if you notice altered taste or recurrent infections. Take zinc with food to limit GI upset.

Sources (2)
  1. 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
  2. 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 Losartan 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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