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Beetroot extract may have an additive effect when combined with blood pressure-lowering drugs, including: ACE inhibitors (e.g., ramipril, lisinopril) Angiotensin receptor blockers (ARBs) (e.g., losartan, candesartan) Beta-blockers (e.g., bisoprolol, atenolol) Calcium channel blockers (e.g., amlodipine, diltiazem) Diuretics (e.g., bendroflumethiazide, furosemide) This combination may result in excessive hypotension, causing dizziness, syncope, or fallsparticularly concerning in elderly patients

Epub 2008 Aug 7