Drug & supplement interaction

Ozone Therapy + Diltiazem, Enalapril

Diltiazem, Enalapril brand name: Teczem.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Sep 13, 2026
The bottom line No known interaction

We found no known interaction between Ozone Therapy and Diltiazem, Enalapril in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first.

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Interaction report

Ozone Therapy and Diltiazem, Enalapril

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Diltiazem, Enalapril and Ozone Therapy in our sources. This does not guarantee that the combination is completely free of risk — research on Ozone Therapy alongside specific medications may be limited.

Worth understanding: our licensed dataset holds no drug-interaction record for Ozone Therapy at all — not against Diltiazem, Enalapril, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

Ozone Therapy is a treatment rather than something you take. Tell whoever provides it which medicines you use, and ask your prescriber whether it is appropriate for your health and treatment. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Ozone Therapy safety at a glance

Ozone Therapy overall Use caution Ozone is a toxic gas if inhaled, and most uses lack strong proof of benefit, so professional medical oversight is essential.
Pregnancy Avoid There is not enough safety data, so it is best avoided during pregnancy.
Breastfeeding Avoid There is not enough safety data, so it is best avoided while breastfeeding.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Diltiazem, Enalapril and Ozone Therapy? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Ozone Therapy Itself Has Been Linked To

This is not an interaction — nothing below involves Diltiazem, Enalapril. It is the side-effect record for Ozone Therapy on its own, from the licensed Natural Medicines monograph. If something new turns up after you add Ozone Therapy, this list is the first place to look. 2 entries are worth acting on rather than waiting out — marked below.

  • Loss of vision / A stroke or mini-stroke / A heart attack / Blood clots Worth acting on Additional detail

    “Ozone therapy, applied locally or rectally, has not been linked to serious adverse effects; however, a thorough evaluation of safety outcomes with these routes of administration has not been conducted.

    Inhaled ozone therapy and ozone therapy injected into a herniated disc have been linked to cases of Anton syndrome, involving blindness secondary to ischemic stroke or secondary to encephalopathy, and also cases of hea…”

    Ozone Therapy · Natural Medicines adverse-effect record, reported in cardiac arrest.

    6 sources cited
    1. 16181. Re L, Mawsouf MN, Menendez S, et al. Ozone therapy: clinical and basic evidence of its therapeutic potential. Arch Med Res 2008;39:17-26. PubMed
    2. 16182. Bocci VA. Tropospheric ozone toxicity vs. usefulness of ozone therapy. Arch Med Res 2007;38:265-7. PubMed
    3. 106465. Santos GM, Pacheco RL, Bussadori SK, et al. Effectiveness and Safety of Ozone Therapy in Dental Caries Treatment: Systematic Review and Meta-analysis. J Evid Based Dent Pract 2020;20(4):101472. PubMed
    4. 98145. Avci S, Büyükcam F, Demir ÖF, Özkan S. Anton syndrome during oxygen-ozone therapy. Am J Emerg Med. 2015;33(6):856.e1-2. PubMed
    5. 98153. Vaiano AS, Valente C, De Benedetti G, Caramello G. Transient cortical blindness after intradiscal oxygen-ozone therapy. Indian J Ophthalmol. 2016;64(12):944-946. PubMed
    6. 102986. Chirchiglia D, Chirchiglia P, Stroscio C, Volpentesta G, Lavano A. Suspected Pulmonary Embolism after Oxygen-Ozone Therapy for Low Back Pain. J Neurol Surg A Cent Eur Neurosurg. 2019;80(6):503-506. PubMed

    “Inhaled ozone therapy and ozone therapy injected into a herniated disc have been associated with cases of Anton syndrome. Anton syndrome involves blindness secondary to ischemic stroke. The patient is typically unaware of the blindness due to cerebral damage. Intravenously, ozone infusion has been linked to pulmonary embolism and death.”

    Ozone Therapy · Natural Medicines adverse-effect record, reported in cardiac arrest.

    5 sources cited
    1. 98145. Avci S, Büyükcam F, Demir ÖF, Özkan S. Anton syndrome during oxygen-ozone therapy. Am J Emerg Med. 2015;33(6):856.e1-2. PubMed
    2. 98153. Vaiano AS, Valente C, De Benedetti G, Caramello G. Transient cortical blindness after intradiscal oxygen-ozone therapy. Indian J Ophthalmol. 2016;64(12):944-946. PubMed
    3. 16183. Bocci VA. Scientific and medical aspects of ozone therapy. State of the art. Arch Med Res 2006;37:425-35. PubMed
    4. 102986. Chirchiglia D, Chirchiglia P, Stroscio C, Volpentesta G, Lavano A. Suspected Pulmonary Embolism after Oxygen-Ozone Therapy for Low Back Pain. J Neurol Surg A Cent Eur Neurosurg. 2019;80(6):503-506. PubMed
    5. 102989. He R, Huang Q, Yan X, Liu Y, Yang J, Chen X. A Case of Paradoxical Embolism Causing Anterior Spinal Cord Syndrome and Acute Myocardial Infarction Following the Intradiscal Oxygen-Ozone Therapy. Front Neurol. 2019;10:137. PubMed
  • Hearing loss / Memory problems Worth acting on Additional detail

    “Inhaled and injected ozone has been associated with blindness and encephalopathy. In a case report, a 36-year-old female presented with Anton syndrome, or ischemic stroke resulting in sudden bilateral blindness, nausea, vomiting and loss of strength after using inhalation ozone therapy for 1 week intended to help with hearing loss and tinnitus from Meniere disease. Reversal of blindness was not reported.”

    Ozone Therapy · Natural Medicines adverse-effect record, reported in cluster headache.

    3 sources cited
    1. 98145. Avci S, Büyükcam F, Demir ÖF, Özkan S. Anton syndrome during oxygen-ozone therapy. Am J Emerg Med. 2015;33(6):856.e1-2. PubMed
    2. 98153. Vaiano AS, Valente C, De Benedetti G, Caramello G. Transient cortical blindness after intradiscal oxygen-ozone therapy. Indian J Ophthalmol. 2016;64(12):944-946. PubMed
    3. 102994. Nociti V, Picarelli C, Losavio FA, et al. Posterior Reversible Encephalopathy Syndrome After Intramuscular Oxygen-Ozone Therapy. Can J Neurol Sci. 2020;47(3):416-418. PubMed
  • Ringing in the ears / Fever / Vomiting / Headache Additional detail

    Recorded for Ozone Therapy in the same Natural Medicines adverse-effect record shown under Hearing loss / Memory problems above.

Showing the 10 most notable of 11 recorded effects — ranked by how unusual each one is across medicines generally, with serious effects weighted up.

Everything above comes from the Natural Medicines adverse-effect record for Ozone Therapy — expand a row for the licensed statement it rests on. We haven’t matched Diltiazem, Enalapril to its FDA label in our system yet, so we can’t compare its own side-effect list here — the leaflet that comes with your prescription is the authoritative list for Diltiazem, Enalapril.

Everything else you take

See Every Supplement That Interacts With Diltiazem, Enalapril

This page covers Ozone Therapy only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Diltiazem, Enalapril page lists 271 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), American Hellebore (major), American Mistletoe (major), Asarabacca (major) and Coleus (major).

By severity: 9 major · 220 moderate · 42 minor.

From our pharmacist’s overview on the Diltiazem, Enalapril page

“Anyone taking Teczem (diltiazem with enalapril) for blood pressure should know that most of the 271 supplements with an interaction on file hit the same targets as the drug itself. The bulk either add to its blood-pressure-lowering effect or change how the body handles diltiazem, which is processed by an enzyme called CYP3A4.”

Reviewed by 2 · Jul 18, 2026

Open the Diltiazem, Enalapril interaction page

How much people look this up

Where Ozone Therapy and Diltiazem, Enalapril Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Ozone Therapy
Steady interest

#945 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Diltiazem, Enalapril
Steady interest

#1,686 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Ozone Therapy reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Ozone Therapy and Diltiazem, Enalapril records this page draws on were last updated July 10, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Treatment approach

About Ozone Therapy

What is Ozone Therapy?

  • Wound and skin infections
  • Joint and back pain
  • Immune support
  • Dental and gum care
  • Chronic infections
  • General 'detox' and wellness claims

Ozone therapy uses a reactive form of oxygen for a wide range of unproven health claims, and it is not a dietary supplement or herb. High-quality evidence for most uses is limited, and breathing ozone is harmful to the lungs. If you are considering it, talk to a licensed doctor or pharmacist first, since safety and benefit are not well established.

Medical ozone gas (a mixture of oxygen and ozone) · Gas insufflation, ozonated water, ozonated oils, major and minor autohemotherapy (blood treatment), injections

An interaction check asks whether these two react with each other — it does not ask whether Ozone Therapy is a good idea for someone in your situation. Here is what our Ozone Therapy record says about it on its own.

Ozone Therapy: dosing

There is no standardized, proven dose for ozone therapy, and it varies widely between providers and methods. Concentrations, volumes, and treatment schedules are not well established by high-quality research.Because ozone is reactive and potentially harmful, you should never try to make or use it at home. If you are considering ozone therapy, only do so under the supervision of a licensed, experienced healthcare professional, and discuss it with your own doctor or pharmacist first to make sure it is appropriate and safe for you.

From our Ozone Therapy monograph — the full record covers uses, side effects and every documented interaction.

Read the full Ozone Therapy monograph & all interactions
Keep checking

Other Drugs & Ozone Therapy

Browse every other medication we’ve checked against Ozone Therapy — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
0Moderate
0Minor
2,829No known interaction
2,829 No interaction
No interaction 2,829 drugs checked — show the list

We also checked Ozone Therapy against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Ozone Therapy list.

See the full Ozone Therapy interactions page
See every supplement checked against Diltiazem, Enalapril, ranked by severity
Evidence & sources

Ozone Therapy References

The 39 references that drive our Ozone Therapy monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Re L, Mawsouf MN, Menendez S, et al. Ozone therapy: clinical and basic evidence of its therapeutic potential. Arch Med Res 2008;39:17-26. PubMed
  2. Bocci VA. Tropospheric ozone toxicity vs. usefulness of ozone therapy. Arch Med Res 2007;38:265-7. PubMed
  3. Bocci VA. Scientific and medical aspects of ozone therapy. State of the art. Arch Med Res 2006;37:425-35. PubMed
  4. Tafil-Klawe M, Wozniak A, Drewa T, et al. Ozone therapy and the activity of selected lysosomal enzymes in blood serum of patients with lower limb ischaemia associated with obliterative atheromatosis. Med Sci Monit 2002;8(7):CR520-5.
  5. Ragab A, Shreef E, Behiry E, et al. Randomised, double-blinded, placebo-controlled, clinical trial of ozone therapy as treatment of sudden sensorineural hearing loss. J Laryngol Otol 2009;123(1):54-60. PubMed
  6. Garber GE, Cameron DW, Hawley-Foss N, et al. The use of ozone-treated blood in the therapy of HIV infection and immune disease: a pilot study of safety and efficacy. AIDS 1991;5(8):981-4. PubMed
  7. Andreula CF, Simonetti L, De Santis F, et al. Minimally invasive oxygen-ozone therapy for lumbar disk herniation. AJNR Am J Neuroradiol 2003;24(5):996-1000.
  8. Pawlak-Osinska K, Kazmierczak H, Kazmierczak W, Szpoper M. Ozone therapy and pressure-pulse therapy in Meniere's disease. Int Tinnitus J 2004;10(1):54-7.
  9. Avci S, Büyükcam F, Demir ÖF, Özkan S. Anton syndrome during oxygen-ozone therapy. Am J Emerg Med. 2015;33(6):856.e1-2. PubMed
  10. Celakil T, Muric A, Gokcen Roehlig B, Evlioglu G, Keskin H. Effect of high-frequency bio-oxidative ozone therapy for masticatory muscle pain: a double-blind randomised clinical trial. J Oral Rehabil. 2017;44(6):442-451. PubMed
  11. Dogan M, Ozdemir Dogan D, Düger C, et al. Effects of high-frequency bio-oxidative ozone therapy in temporomandibular disorder-related pain. Med Princ Pract. 2014;23(6):507-10. PubMed
  12. León Fernández OS, Viebahn-Haensler R, Cabreja GL, et al. Medical ozone increases methotrexate clinical response and improves cellular redox balance in patients with rheumatoid arthritis. Eur J Pharmacol. 2016;789:313-318. PubMed
  13. Magalhaes FN, Dotta L, Sasse A, Teixera MJ, Fonoff ET. Ozone therapy as a treatment for low back pain secondary to herniated disc: a systematic review and meta-analysis of randomized controlled trials. Pain Physician. 2012;15(2):E115-29. DOI
  14. Sivalingam VP, Panneerselvam E, Raja KV, Gopi G. Does Topical Ozone Therapy Improve Patient Comfort After Surgical Removal of Impacted Mandibular Third Molar? A Randomized Controlled Trial. J Oral Maxillofac Surg. 2017;75(1):51.e1-51.e9. PubMed
  15. Sönmez O, Külahli I, Vural A, Sahin MI, Aydin M. The evaluation of ozone and betahistine in the treatment of tinnitus. Eur Arch Otorhinolaryngol. 2013;270(7):1999-2006. PubMed

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Having Ozone Therapy While Taking Diltiazem, Enalapril: Common Questions

Is it safe to have Ozone Therapy while taking Diltiazem, Enalapril?
We do not list a known interaction between Ozone Therapy and Diltiazem, Enalapril. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Does Diltiazem, Enalapril interact with any supplements?
Yes. Diltiazem, Enalapril has documented interactions with 271 supplements in our database — Ozone Therapy is not one of them. The Diltiazem, Enalapril interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Where next

Keep Exploring

Ozone Therapy monograph Uses, safety profile, and every drug interaction in one place Diltiazem, Enalapril supplement interactions Every supplement checked against Diltiazem, Enalapril, ranked by severity Supplement interaction checker Check any supplement or product against your medications Browse medications A–Z Every drug we’ve checked against herbs & supplements References The 39 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.