Lisinopril + St. Johns Wort

SAFE — No Known Interaction

🟢 SAFE — St. Johns Wort and Lisinopril can be taken together safely.

Evidence level: THEORETICAL

What this interaction means

St. Johns Wort and Lisinopril are safe to take together. No adverse interactions have been reported in medical literature.

How it works (mechanism)

No clinically significant interaction between St. Johns Wort and Lisinopril has been documented in medical literature or FDA drug labeling.

Practical advice

No interaction between St. Johns Wort and Lisinopril has been documented. As a best practice, keep a list of everything you take — including St. Johns Wort — and share it with your healthcare provider at every visit. This helps them spot potential issues early.

Timing

Take each at their usual times. Botanicals with diuretic effects (dandelion, juniper, parsley) may amplify blood pressure lowering. Licorice root can raise blood pressure and counteract ACE inhibitors — avoid it or use deglycyrrhizinated (DGL) forms only. Monitor blood pressure when adding any new herbal supplement.

Risk factors

Higher risk for: those with renal impairment, hyperkalemia risk, concurrent potassium-sparing diuretics or potassium supplements, elderly, dehydrated patients, or those with bilateral renal artery stenosis.

Symptoms to watch for

Monitor blood pressure and heart rate when combining St. Johns Wort with Lisinopril. Watch for: dizziness, lightheadedness (especially when standing up), fatigue, cold extremities, slow heartbeat, or swelling in ankles/feet. Check your blood pressure at home if possible. When to seek emergency help: Fainting, chest pain, heart rate below 50 bpm, severe dizziness, difficulty breathing, or allergic reactions (swelling of face, lips, or tongue).

What to tell your doctor

No urgent need to discuss, but always keep your doctor informed of your full supplement and medication list. An up-to-date list helps them make the best treatment decisions.

Safer alternatives

Safe combination at standard doses. Continue your medication as prescribed. Inform your doctor or pharmacist that you are using both, so they can monitor for any changes over time.

Frequently asked questions

Can I take Lisinopril and St. Johns Wort together?

St. Johns Wort and Lisinopril are safe to take together. No adverse interactions have been reported in medical literature.

When should I take Lisinopril vs St. Johns Wort?

Take each at their usual times. Botanicals with diuretic effects (dandelion, juniper, parsley) may amplify blood pressure lowering. Licorice root can raise blood pressure and counteract ACE inhibitors — avoid it or use deglycyrrhizinated (DGL) forms only. Monitor blood pressure when adding any new herbal supplement.

What symptoms should I watch for if I combine Lisinopril and St. Johns Wort?

Monitor blood pressure and heart rate when combining St. Johns Wort with Lisinopril. Watch for: dizziness, lightheadedness (especially when standing up), fatigue, cold extremities, slow heartbeat, or swelling in ankles/feet. Check your blood pressure at home if possible. When to seek emergency help: Fainting, chest pain, heart rate below 50 bpm, severe dizziness, difficulty breathing, or allergic reactions (swelling of face, lips, or tongue).

Are there safer alternatives to combining Lisinopril with St. Johns Wort?

Safe combination at standard doses. Continue your medication as prescribed. Inform your doctor or pharmacist that you are using both, so they can monitor for any changes over time.

What should I tell my doctor about taking Lisinopril and St. Johns Wort?

No urgent need to discuss, but always keep your doctor informed of your full supplement and medication list. An up-to-date list helps them make the best treatment decisions.

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