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
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