Prescription Clinical MonographAngiotensin II Receptor Blocker (ARB)
Verified Evidence Sources: openFDA & NLM MedlinePlus

Valsartan and Sacubitril

ARBs selectively block the binding of angiotensin II to the AT1 receptor subtype, blunting vasoconstriction and aldosterone release without inhibiting bradykinin degradation.

Generic Active Chemical: Valsartan and Sacubitril
Brand Formulations:Entresto

Kitchen Food, Drink & Dietary Conflicts

Biochemical interactions with common foods, beverages & cooking ingredients
3 Flagged Foods
Official Patient Dietary Instruction (NLM MedlinePlus)

Do not use salt substitutes containing potassium without talking to your doctor. If your doctor prescribes a low-salt or low-sodium diet, follow these directions carefully.

HIGH

Green Tea, Black Tea & Matcha (Tannins & OATP Inhibitors)

NutriDive Kitchen Food Biochemical Ontology & openFDA
Bioactive Compound:Polyphenolic Tannins & Catechins (EGCG)
Biological Target:Ionic Iron Transporters & OATP1A2 / OATP2B1
Clinical Mechanism:

Tannins form insoluble macromolecular iron-tannate precipitates, dropping non-heme iron absorption by up to 80%. Catechins additionally inhibit intestinal OATP uptake transporters, drastically reducing bioavailability of beta-blockers (atenolol) and allergy medications (fexofenadine).

Patient Actionable Rule:Do not take oral iron supplements with tea; drink tea between meals at least 2 hours apart. If taking fexofenadine or nadolol, avoid green tea within 4 hours.
CRITICAL

Potassium-Enriched Salt Substitutes (Low-Sodium Table Salt)

NutriDive Kitchen Food Biochemical Ontology & openFDA
Bioactive Compound:Potassium Chloride (KCl)
Biological Target:Renal Cortical Collecting Duct Electrophysiology
Clinical Mechanism:

Provides 500-1400 mg potassium per 1/4 teaspoon. When renal potassium excretion is suppressed by ACE inhibitors, ARBs, or aldosterone antagonists (spironolactone), acute severe hyperkalemia (>6.5 mEq/L) can trigger sudden flaccid paralysis and fatal ventricular fibrillation.

Patient Actionable Rule:Strictly verify ingredients of low-sodium seasonings. Avoid potassium-chloride based salt alternatives completely if taking Lisinopril, Losartan, or Spironolactone.
HIGH

Dairy Milk, Yogurt & Calcium-Enriched Foods

NutriDive Kitchen Food Biochemical Ontology & openFDA
Bioactive Compound:Ionic Calcium (Ca2+) & Casein Micelles
Biological Target:Intestinal Chelation & Luminal Complexation
Clinical Mechanism:

Divalent calcium binds fluoroquinolone (ciprofloxacin) and tetracycline (doxycycline) antibiotics into unabsorbable ring complexes, reducing systemic antibacterial coverage by up to 90% and causing therapy failure.

Patient Actionable Rule:Separate all dairy ingestion from oral antibiotics, bisphosphonates, and thyroid medications by at least 2 to 4 hours.

Prescription & OTC Drug Interactions (DDI)

Documented pharmacological conflicts & contraindicated co-prescriptions
1 Warning Classes
HIGH RISK

NSAIDs (Ibuprofen, Naproxen) & Non-Cardioprotective Analgesics

openFDA SPL Section 7 (Drug Interactions)

Mechanism: Inhibition of renal vasodilatory prostaglandins (PGI2, PGE2) causes afferent arteriolar vasoconstriction, blunts blood pressure control, and increases risk of acute kidney injury (AKI).

Clinical Consequence: Loss of blood pressure reduction, fluid retention, or acute renal hemodynamic compromise.
Physician Precaution: Consult your physician before taking OTC pain relievers. Acetaminophen may be preferred for occasional pain depending on liver status.

Dietary Supplements, Herbs & Minerals (DNI)

Interactions with over-the-counter vitamins, minerals, and herbal preparations
0 Monitored
No acute supplement or herb contraindications identified. Notify your healthcare provider of any multi-vitamins or botanicals you take daily.

Chronotherapy & Meal Administration Protocols

Optimal absorption, meal-timing rules & GI tolerability protocols
2 Protocols
MEALMealtime Administration

The sprinkle capsules are mixed with food and taken twice a day.

Rationale: Food enhances bioavailability, prevents gastric mucosal irritation, or stabilizes peak-to-trough pharmacokinetic variations.

MEALMealtime Administration

To take the sprinkle capsules mixed with food, open the capsule and sprinkle the entire contents onto 1 or 2 teaspoonfuls of soft foods, such as applesauce, yogurt, or pudding.

Rationale: Food enhances bioavailability, prevents gastric mucosal irritation, or stabilizes peak-to-trough pharmacokinetic variations.

Frequently Researched Drug-Substance Combinations

Explore pairwise interaction dossiers and laboratory safety analyses
Multi-Substance Interactive Radar

Taking Valsartan and Sacubitril alongside daily coffee, supplements, or other medications?

Add all your daily medications, foods (Dairy, Spinach, Coffee, Grapefruit), and botanicals (Ashwagandha, Curcumin, Melatonin) into the SafeStack interactive engine to run full multi-way synergy collision analysis in real time.

Launch SafeStack Radar with Valsartan and Sacubitril→
Authoritative Clinical Evidence & Regulatory Sources

Data on this clinical monograph is compiled from the U.S. National Library of Medicine (MedlinePlus), openFDA Structured Product Labeling (SPL Section 7 Drug Interactions), the NIH Office of Dietary Supplements (ODS), and Krause and Mahan's Food & Nutrition Care Process.