Valsartan and Zinc, a caution.
A systematic review of zinc and antihypertensive therapy reported that valsartan reduced erythrocyte and plasma zinc concentrations in treated hypertensives. The effect is smaller than with sulfhydryl-containing ACE inhibitors but still meaningful over chronic use. 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
- 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 zinc and antihypertensive therapy reported that valsartan reduced erythrocyte and plasma zinc concentrations in treated hypertensives. The effect is smaller than with sulfhydryl-containing ACE inhibitors but still meaningful over chronic use. Symptoms of zinc deficiency include altered taste, slow wound healing, hair loss, and reduced immune function.
Mechanism. Mechanism is not fully established but appears to involve increased renal zinc handling and possibly altered intracellular zinc distribution secondary to RAAS blockade. Net effect is reduced plasma and erythrocyte zinc over months of therapy.
Recommendation. If you take valsartan 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)
- 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 Valsartan 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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