Drug Interaction Report

Moexipril and Gold Sodium Thiomalate: Interaction Details

Name: Moexipril and Gold Sodium Thiomalate Interaction
Creator: Dr. Brian Staiger, PharmD, BCPS

A pharmacist-reviewed analysis of the Moexipril and Gold Sodium Thiomalate interaction: the documented clinical effects, severity rating, onset, mechanism, and management considerations, with cited references throughout.

AI-assisted, pharmacist-reviewed · Source data updated Aug 8, 2026 · Sources: FDA labeling, DDInter 2.0, cited literature

Moexipril

Univasc®

Gold Sodium Thiomalate

No brand names on record

Medically reviewed by

Dr. Brian Staiger, PharmD, BCPS

Updated Aug 8, 2026

Editorial policy · Data sources

Interaction severity

Moderate

Can be significant — usually manageable with monitoring.

Minor

Moderate

Major

Contraindicated

How we grade severity & evidence

Severity levels

Contraindicated: These should generally not be used together.
Major: Potentially serious — often needs a change or close monitoring.
Moderate: Can be significant — usually manageable with monitoring.
Minor: Usually limited clinical impact.

Evidence grades

Established: Well documented — supported by controlled studies or strong clinical data.
Probable: Good supporting evidence, though not definitively proven.
Suspected: Some evidence suggests this interaction, but it is not well established.
Possible: Limited or conflicting evidence; the interaction may occur.
Theoretical: Predicted from the drugs' pharmacology; not yet confirmed in people.

Ratings come from the documented interaction literature and are reviewed by a pharmacist. They describe the documented risk of the combination, not what will necessarily happen to you — your dose, timing, and health picture all matter.

Of 194 documented Moexipril interactions, 152 are rated moderate — including this one.

Onset

unspecified

Evidence

probable

Severity

Moderate

What happens

Nitritoid reactions (facial flushing, nausea, vomiting, and hypotension)

Interaction Deep Dive

On rare occasions, concomitant use of injectable gold sodium thiomalate and an ACE inhibitor, such as fosinopril or lisinopril, has resulted in nitritoid reactions with symptoms including facial flushing, nausea, vomiting, and hypotension¹².

Why it happens (mechanism)

Unknown

Common questions

Can I take Moexipril and Gold Sodium Thiomalate together?

Nitritoid reactions (facial flushing, nausea, vomiting, and hypotension) Always confirm with your pharmacist or prescriber before making any change.

How serious is the Moexipril and Gold Sodium Thiomalate interaction?

It is rated moderate. Can be significant — usually manageable with monitoring.

How quickly could this interaction happen?

The documented onset is "unspecified". The timing of this interaction is not well characterized.

How strong is the evidence for this interaction?

The evidence is graded "probable". Good supporting evidence, though not definitively proven.

Questions for your pharmacist

Does my dose of Moexipril or Gold Sodium Thiomalate need adjusting while I take them together?
What symptoms should prompt me to call you or my prescriber right away?
Does the timing of my doses matter for this combination?
Is there anything you'd monitor while I'm on both?

References (2)

Product Information: MONOPRIL(R) oral tablets, fosinopril sodium oral tablets. Bristol-Myers Squibb Company, Princeton, NJ, 2008. DailyMed
Product Information: PRINIVIL(R) oral tablets, lisinopril oral tablets. Merck & Co.Inc, Whitehouse Station, NY, 2008. DailyMed

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Moexipril

Keep reading about Moexipril

All Moexipril interactions (194) Moexipril drug information

Also serious with: Aliskiren Valsartan Sacubitril Trimethoprim

Gold Sodium Thiomalate

Keep reading about Gold Sodium Thiomalate

All Gold Sodium Thiomalate interactions (7)

Beyond drug–drug

These medications also interact with supplements

Prescription drugs aren't the whole picture — herbal and dietary supplements can interact with them too. From the evidence-graded Natural Medicines database:

Moexipril + Activated Charcoal American Hellebore American Mistletoe Arsenic Asarabacca Cesium Ephedra Grapefruit + 169 more

major · moderate · minor — check everything you take with our drug–supplement interaction checker.

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A message from HelloPharmacist

About our interaction database: depth, not breadth

HelloPharmacist doesn't license one of the big commercial interaction databases, so what you'll find here is not a complete list of every known drug interaction. Instead, each entry is researched, analyzed, and written up individually — documented from the published literature, reviewed by a pharmacist, and cited so you can check every source yourself.

If a combination isn't listed here, it means we haven't documented it yet — never that it's safe. For screening a full medication list, we recommend pairing this site with a comprehensive tool like the Drugs.com Interaction Checker and, most importantly, a review by your own pharmacist. For a deep, plain-English, fully sourced explanation of a specific documented interaction — that's exactly what we built this for.

This information is for education, not a substitute for professional medical advice. Do not start, stop, or change any medication without talking to your pharmacist or prescriber.