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Valsartan + Hydrochlorothiazide

Valsartan + Hydrochlorothiazide & Zinc

Depletes Zinc. This medication is commonly used for Hypertension

Why Valsartan + Hydrochlorothiazide affects Zinc

This drug is a comprehensive combination of a thiazide diuretic and angiotensin receptor blocker. Thiazide diuretics, a common medication for high blood pressure, can increase how much zinc your body gets rid of through urine. It's advisable to monitor your blood zinc levels while taking these medications and consider zinc supplementation. Studies have shown that treatment with medications like Angiotensin Receptor Blockers (ARBs) can lead to zincuria, which is increased urinary excretion of zinc. This increased excretion may potentially lead to zinc deficiency in some individuals and therefore supplementation should be considered.

Clinical Evidence

Cohen N, Golik A. Zinc balance and medications commonly used in the management of heart failure. Heart Fail Rev. 2006 Mar;11(1):19-24. Effect of clopamide, a thiazide diuretic, on copper and zinc levels in hypertensive patients. J Am Coll Nutr. 1991 Feb;10(1):34-7. A J Reyes, et al. Diuretics and zinc. Afr Med J. 1982 Sep 4;62(11):373-5. M J du Preez et al. Braun LA, Rosenfeldt F. Pharmaco-nutrient interactions - a systematic review of zinc and antihypertensive therapy. Int J Clin Pract. 2013 Aug;67(8):717-25. Maya Koren-Michowitz, Victor Dishy, Ronit Zaidenstein, Orit Yona, Sylvia Berman, Joshua Weissgarten, Ahuva Golik, The effect of losartan and losartan/hydrochlorothiazide fixed-combination on magnesium, zinc, and nitric oxide metabolism in hypertensive patients: A prospective open-label study, American Journal of Hypertension, Volume 18, Issue 3, March 2005, Pages 358–363. Cohen, N., Golik, A. Zinc balance and medications commonly used in the management of heart failure. Heart Fail Rev 11, 19–24 (2006).

Recommended Replacement

Zinc (as zinc bisglycinate and (TRAACS™)12.5 mg

Related Health Impacts

  • Age-Related Vision Loss

    Low zinc status has been linked to a higher risk and faster progression of age-related macular degeneration (AMD), in part because zinc is concentrated in the retina and supports antioxidant defenses there. In the landmark AREDS trial, a supplement formula containing zinc (80 mg as zinc oxide), along with antioxidants, reduced the risk of progression to advanced AMD by about 25% in people with intermediate disease or advanced disease in one eye over roughly 5 years. Other research has shown that inadequate zinc intake is more common in older adults with AMD, reinforcing the idea that maintaining healthy zinc levels may be an important, and often overlooked, strategy for preserving macular health with age.

Supplement Recommendation

Zinc Bisglycinate by Pure Encapsulations15 mg

Other Nutrients Affected by Valsartan + Hydrochlorothiazide

Next Steps
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