Asparagus - Entresto (Sacubitril, Valsartan) Interaction
Herbal: Asparagus
Also Known As: Asparagus officinalis, Asparagi Rhizoma Root, Asperge, Asperge Comestible, Asperge Commune, Asperge Officinale, Asperges, Espárrago, Garden Asparagus, Spargelkraut, Spargelwurzelstock, Sparrow Grass
Drug: Sacubitril, Valsartan
Brand names:
Entresto
Medical Content Editor Dr. Brian Staiger, PharmD
Last updated
Jun 29, 2025
Interaction Details
Sacubitril, Valsartan is classified as belonging to the following category: Diuretic Drugs
Theoretically, asparagus root might increase diuresis and electrolyte loss when used with diuretic drugs.
Animal studies show that asparagus root extracts have diuretic effects. This effect has not been reported in humans.
Interaction Rating
Likelihood of Occurrence
PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists
References
- Huang X, Kong L. Steroidal saponins from roots of Asparagus officinalis. Steroids 2006;71:171-6.
- Rodriguez R, Jaramillo S, Rodriguez G, et al. Antioxidant activity of ethanolic extracts from several asparagus cultivars. J Agric Food Chem 2005;53:5212-7.
- Chrubasik S, Droste C, Black A. Asparagus P(R) cannot compete with first-line diuretics in lowering the blood pressure in treatment-requiring antihypertensives. Phytother Res 2009;23:1345-6.
Asparagus Overview
Asparagus officinalis, commonly known as asparagus, is a perennial plant native to central and southern Europe, the Middle East, western Siberia, and northern Africa. It grows to heights of 30-150 cm and is widely cultivated as a vegetable. Asparagus has been part of the human diet for over 2000 years and possibly much longer. Its shoots or "spears," rhizome, root, and juice are used for food and medicine. Asparagus is a good source of fiber, folic acid, vitamin C, vitamin E, and vitamin B6, as well as minerals like copper, iron, zinc, manganese, calcium, magnesium, sodium, potassium, and phosphorous. It contains flavonoids, hydroxycinnamic acids, oligosaccharides, amino acids, carotenoids, sulfur compounds, steroidal saponins, sterols, and fructans.
After ingestion, asparagus produces a distinctive odor in urine due to volatile organic components like asparagusic acid. Asparagus extracts have shown various effects in studies, including anti-allergy, anti-cancer, anti-inflammatory, antimicrobial, antiviral, antioxidant, cholesterol-lowering, diuretic, hepatic, hypotensive, immunostimulatory, and weight-modifying effects. However, some of its constituents, particularly saponins, can irritate mucous membranes and be cytotoxic.
Sacubitril, Valsartan Overview
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The combination of valsartan and sacubitril is usually used in combination with other medications to lower the risk of death and hospitalization in adults with certain types of heart failure. The combination of valsartan and sacubitril is also used to treat certain types of heart failure in children 1 year of age and older. Valsartan is in a class of medications called angiotensin II receptor antagonists. It works by blocking the action of certain natural substances that tighten the blood vessels, allowing the blood to flow more smoothly and the heart to pump more efficiently. Sacubitril is in a class of medications called neprilysin inhibitors. It works to help control blood volume.
Asparagus - More Interactions
Asparagus interacts with 76 drugs
Interaction Rating Key
These severity listings are for informational use only. Never start, stop or otherwise change your therapy before speaking with your provider.
| Major | The combined use of these agents is strongly discouraged as serious side effects or other negative outcomes could occur. |
| Moderate | Use cautiously under the care of a healthcare professional or avoid this combination. A significant interaction or negative outcome could occur. |
| Minor | Be aware that there is a chance of an interaction. Watch for warning signs of a potential interaction. |
| Unknown | No interactions have been reported or no interaction data is currently available. |
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Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC
Drug descriptions are provided by MedlinePlus.
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