Drug & supplement interaction

Selenium + Enalapril Maleate, Hydrochlorothiazide

Enalapril Maleate, Hydrochlorothiazide brand name: Vaseretic.

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 Selenium and Enalapril Maleate, Hydrochlorothiazide 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. Additionally, although there is no interaction, the two are separately associated with some of the same side effects, which would make a new symptom harder to attribute to one or the other.

Know someone taking this? Share
Facebook Post Reddit Email
On this page
Interaction report

Selenium and Enalapril Maleate, Hydrochlorothiazide

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 Enalapril Maleate, Hydrochlorothiazide and Selenium in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. 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.

Selenium safety at a glance

Selenium overall Use caution Safe in small recommended amounts, but excess selenium can be toxic.
Pregnancy Possibly Safe When used orally and appropriately. Selenium appears to be safe when used short-term in amounts that do not exceed the tolerable upper intake level (UL) of 400... Read the full pregnancy detail
Breastfeeding Possibly Safe When used orally and appropriately. Selenium appears to be safe when used short-term in amounts that do not exceed the tolerable upper intake level (UL) of 400... Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center) — the full detail is in the Special populations card below. Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Enalapril Maleate, Hydrochlorothiazide and Selenium? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Enalapril Maleate, Hydrochlorothiazide

Interactions in our licensed database are recorded against drug classes, not just single drug names. Enalapril Maleate, Hydrochlorothiazide is filed under 10 classifications — including sulfonamide antibiotics, ace inhibitors (aceis), thiazide diuretics. Selenium has documented interactions with 6 drug classes — the most serious being anticoagulant/antiplatelet drugs (moderate), barbiturates (moderate) and immunosuppressants (moderate) — and none of Enalapril Maleate, Hydrochlorothiazide’s classifications are among them.

Classification data comes from our licensed Natural Medicines dataset. A medication can belong to classes beyond those recorded there, so this describes how the check was run — it is not a safety guarantee.

Keep it in perspective

Selenium Does Interact With Other Medications

Selenium has 288 moderate, 33 minor known drug interactions in our database — Enalapril Maleate, Hydrochlorothiazide isn’t one of them. If you take anything else, check it against the full list below.

Moderate 288 Minor 33 No known interaction 2,509 (incl. Enalapril Maleate, Hydrochlorothiazide)
Taking anything else?

Check Another of Your Medications Against Selenium

Covers the 2,830 medications we’ve checked against Selenium. Pick one to open its full report.

What to actually watch for

No Interaction Found — But Data Suggests Selenium and Enalapril Maleate, Hydrochlorothiazide May Share Several of the Same Side Effects

This is not an interaction. Neither one changes how your body handles the other, and nothing here says they react together. What our sources do show is that each has separately been linked to the effects below — so taking both can make those effects more likely to turn up, and harder to pin on one or the other if they do.

  • Muscle pain Additional detail

    Selenium

    “Chronic selenium exposure of 30 mg daily for up to 24 weeks may cause arthralgia, myalgia, and muscle spasms.”

    Selenium · Natural Medicines adverse-effect record, reported in myalgia.

    1 source cited
    1. 113660. Malpas CB, Vivash L, Genc S, et al. A Phase IIa Randomized Control Trial of VEL015 (Sodium Selenate) in Mild-Moderate Alzheimer's Disease. J Alzheimers Dis. 2016;54(1):223-232. PubMed

    Enalapril Maleate, Hydrochlorothiazide

    Listed in the ADVERSE REACTIONS section of the FDA label for Enalapril Maleate, Hydrochlorothiazide. Read the label on DailyMed ›

  • Tiredness Additional detail

    Selenium

    “Orally, selenium is generally well-tolerated when used in doses that do not exceed the tolerable upper intake level (UL) of 400 mcg daily. Intravenously, selenium is generally well-tolerated.

    Most Common Adverse Effects:

    Orally: Gastric discomfort, headache, and rash.”

    Selenium · Natural Medicines adverse-effect record, reported in alopecia.

    Enalapril Maleate, Hydrochlorothiazide

    Listed in the ADVERSE REACTIONS section of the FDA label for Enalapril Maleate, Hydrochlorothiazide. Read the label on DailyMed ›

  • Headache Additional detail

    Selenium

    “Chronic exposure to organic and inorganic selenium may cause neurotoxicity, particularly motor neuron degeneration, leading to an increased risk of amyotrophic lateral sclerosis (ALS). Headache has been reported in patients taking up to 200 mcg of selenium daily for up to 12 months and in patients taking sodium selenate 30 mg daily for up to 24 weeks.”

    Selenium · Natural Medicines adverse-effect record, reported in amyotrophic lateral sclerosis (als, lou gehrig's disease).

    3 sources cited
    1. 74304. Vinceti, M., Wei, E. T., Malagoli, C., Bergomi, M., and Vivoli, G. Adverse health effects of selenium in humans. Rev.Environ.Health 2001;16(4):233-251. PubMed
    2. 97943. Wichman J, Winther KH, Bonnema SJ, Hegedüs L. Selenium supplementation significantly reduces thyroid autoantibody levels in patients with chronic autoimmune thyroiditis: a systematic review and meta-analysis. Thyroid 2016;26(12):1681-92. PubMed
    3. 113660. Malpas CB, Vivash L, Genc S, et al. A Phase IIa Randomized Control Trial of VEL015 (Sodium Selenate) in Mild-Moderate Alzheimer's Disease. J Alzheimers Dis. 2016;54(1):223-232. PubMed

    Enalapril Maleate, Hydrochlorothiazide

    Listed in the ADVERSE REACTIONS section of the FDA label for Enalapril Maleate, Hydrochlorothiazide. Read the label on DailyMed ›

  • Nausea Additional detail

    Selenium

    “In human research, nausea, vomiting, and liver dysfunction has been reported as a result of high selenium exposure. Mild gastric discomfort has been reported in patients taking up to 200 mcg of selenium daily for up to 12 months.”

    Selenium · Natural Medicines adverse-effect record, reported in nausea and vomiting.

    4 sources cited
    1. 74439. Kamble, P., Mohsin, N., Jha, A., Date, A., Upadhaya, A., Mohammad, E., Khalil, M., Pakkyara, A., and Budruddin, M. Selenium intoxication with selenite broth resulting in acute renal failure and severe gastritis. Saudi.J Kidney Dis.Transpl. 2009;20(1):106
    2. 74376. Spiller, H. A. and Pfiefer, E. Two fatal cases of selenium toxicity. Forensic Sci Int 8-24-2007;171(1):67-72. PubMed
    3. 113660. Malpas CB, Vivash L, Genc S, et al. A Phase IIa Randomized Control Trial of VEL015 (Sodium Selenate) in Mild-Moderate Alzheimer's Disease. J Alzheimers Dis. 2016;54(1):223-232. PubMed
    4. 97943. Wichman J, Winther KH, Bonnema SJ, Hegedüs L. Selenium supplementation significantly reduces thyroid autoantibody levels in patients with chronic autoimmune thyroiditis: a systematic review and meta-analysis. Thyroid 2016;26(12):1681-92. PubMed

    Enalapril Maleate, Hydrochlorothiazide

    Listed in the ADVERSE REACTIONS section of the FDA label for Enalapril Maleate, Hydrochlorothiazide. Read the label on DailyMed ›

Reported for Selenium but not commonly for Enalapril Maleate, Hydrochlorothiazide: high blood sugar, a change in thyroid levels, weight loss and a skin rash.

Effects for Enalapril Maleate, Hydrochlorothiazide come from the ADVERSE REACTIONS section of its FDA label; effects for Selenium come from the Natural Medicines adverse-effect record, quoted above. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

Special populations

Selenium in Pregnancy & Breastfeeding

Pregnancy Possibly Safe

When used orally and appropriately. Selenium appears to be safe when used short-term in amounts that do not exceed the tolerable upper intake level (UL) of 400 mcg daily; however, there is concern that long-term use might not be safe.

Pregnancy Possibly Unsafe

When used orally in excessive doses. Doses above 400 mcg daily may cause significant toxicity.

Lactation Possibly Safe

When used orally and appropriately. Selenium appears to be safe when used short-term in amounts that do not exceed the tolerable upper intake level (UL) of 400 mcg daily when taken short-term; however, there is concern that long-term use might not be safe.

Lactation Possibly Unsafe

When used orally in excessive doses. Doses above 400 mcg daily may cause significant toxicity. ...when used orally in HIV-positive women. Selenium supplementation in HIV-positive women not taking highly active antiretroviral therapy may increase HIV-1 levels in breast milk.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.© 2026 Therapeutic Research Center

Overlapping uses

What Enalapril Maleate, Hydrochlorothiazide Is Prescribed For, and What Selenium Has Been Studied For

These two come up together because they touch the same health topic — not because they do the same job. Enalapril Maleate, Hydrochlorothiazide is a prescription medicine with approved uses on its FDA label. Selenium is a supplement: what follows is what researchers have looked at it for, and how strong that evidence is.

Enalapril Maleate, Hydrochlorothiazide is prescribed for: Enalapril and hydrochlorothiazide tablets — sold under brand names including Vaseretic and Enalapril maleate and hydrochlorothiazide — are used to treat high blood pressure (hypertension). This combination is not meant as the first treatment tried; it's generally used when a single blood pressure medicine hasn't done the job on its own. Because this is a fixed-dose combination, your doctor will typically adjust each medicine separately first, then switch you to the combination tablet once the right doses are found.

Selenium has been studied for:

  • Stroke studied, not established Selenium has been studied for this. Natural Medicines rates the evidence: Insufficient Reliable Evidence To Rate Read what the research shows

    Selenium for stroke

    It is unclear if intravenous selenium improves neurological outcomes following a stroke.

Effectiveness ratings and the research summaries above are the verbatim record from the Natural Medicines database, which grades evidence from “Effective” down to “Insufficient Reliable Evidence To Rate”. A rating below the top of that scale means researchers have looked at it — not that it works, and never that it can stand in for a prescribed medicine. Do not stop or replace Enalapril Maleate, Hydrochlorothiazide on your own; if you are taking Selenium for the same health topic, tell your prescriber, especially if the medicine is being adjusted to a target.

From our Q&A

Questions About Selenium or Enalapril Maleate, Hydrochlorothiazide

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Selenium or Enalapril Maleate, Hydrochlorothiazide, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Enalapril Maleate, Hydrochlorothiazide

This page covers Selenium only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Enalapril Maleate, Hydrochlorothiazide page lists 238 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 Dolomite (major).

By severity: 11 major · 200 moderate · 27 minor.

From our pharmacist’s overview on the Enalapril Maleate, Hydrochlorothiazide page

“If you take Vaseretic (enalapril with hydrochlorothiazide) for blood pressure, check this list carefully before adding any supplement; 11 of the 238 entries are rated major. Most run one of two ways: herbs that also drop blood pressure and can take it too low, or ones that raise it and fight the medicine.”

Reviewed by 2 · Jul 18, 2026

Open the Enalapril Maleate, Hydrochlorothiazide interaction page

One more smart check

Taking Selenium as Part of a Dietary Supplement Product? Check It for Interactions

We hold 16,942 real supplement products containing Selenium, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Selenium. Even though Selenium itself has no known interaction with Enalapril Maleate, Hydrochlorothiazide, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Selenium and Enalapril Maleate, Hydrochlorothiazide 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 Selenium
Top 1%

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

29 days ago today
Medication Enalapril Maleate, Hydrochlorothiazide
Top half

#800 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 Selenium reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Selenium and Enalapril Maleate, Hydrochlorothiazide records this page draws on were last updated July 11, 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 .
Supplement

About Selenium

What is Selenium?

  • Thyroid health support
  • Antioxidant support
  • Immune support
  • General nutrient supplementation
  • Reproductive/fertility support

Selenium is an essential trace mineral your body needs in small amounts for thyroid function, antioxidant defense, and immune health. Most people who eat a varied diet get enough, and supplements are mainly useful for those who are deficient. Because too much selenium can be toxic, stick to recommended amounts and check with your pharmacist or doctor before supplementing.

Not applicable (selenium is a mineral, not a plant) · Tablets, capsules, softgels, multivitamin/mineral products; common forms include selenomethionine, sodium selenite, and selenium-enriched yeast

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

Selenium: dosing

Selenium needs are usually measured in micrograms (mcg) per day, and recommended amounts differ by age and life stage. Most adults need only a small daily amount, which many people already get from food. Health authorities also set an upper limit for safe daily intake that should not be exceeded.Because the right amount depends on your diet, health, and whether you are actually deficient, there is no single dose that fits everyone. Follow the product label and avoid stacking multiple products that all contain selenium.

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

Read the full Selenium monograph & all interactions
Medication

About Enalapril and Hydrochlorothiazide

What Is Enalapril and Hydrochlorothiazide Used For?

Brand name: Vaseretic

Enalapril and hydrochlorothiazide tablets — sold under brand names including Vaseretic and Enalapril maleate and hydrochlorothiazide — are used to treat high blood pressure (hypertension). This combination is not meant as the first treatment tried; it's generally used when a single blood pressure medicine hasn't done the job on its own.

Because this is a fixed-dose combination, your doctor will typically adjust each medicine separately first, then switch you to the combination tablet once the right doses are found.

See full Enalapril and Hydrochlorothiazide drug information
Keep checking

Other Drugs & Selenium

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

0Major
288Moderate
33Minor
2,508No known interaction
288 Moderate 33 Minor 2,508 No interaction
Moderate

288 interactions

Showing 60 of 288 moderate interactions — see all 288 on the Selenium page.

Minor

33 interactions

No interaction 2,508 drugs checked — show the list

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

Showing the 60 most looked-up of 2,508 medications checked with no known interaction — see the full Selenium list.

See the full Selenium interactions page
See every supplement checked against Enalapril Maleate, Hydrochlorothiazide, ranked by severity
Evidence & sources

Selenium References

The 36 references that drive our Selenium 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. Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Vitamin C, Vitamin E, Selenium, and Carotenoids. Washington, DC: National Academy Press, 2000. Available at: http://www.nap.edu/books/0309069351/html/.
  2. Brown BG, Zhao XQ, Chait A, et al. Simvastatin and niacin, antioxidant vitamins, or the combination for the prevention of coronary disease. N Engl J Med 2001;345:1583-93. DOI
  3. Trafikowska U, Zachara BA, Wiacek M, et al. Selenium supply and glutathione peroxidase activity in breastfed Polish infants. Acta Paediatr 1996;85:1143-5. PubMed
  4. Duffield-Lillico AJ, Slate EH, Reid ME, et al. Selenium supplementation and secondary prevention of nonmelanoma skin cancer in a randomized trial. J Natl Cancer Inst 2003;95:1477-81.. PubMed
  5. Cheung MC, Zhao XQ, Chait A, et al. Antioxidant supplements block the response of HDL to simvastatin-niacin therapy in patients with coronary artery disease and low HDL. Arterioscler Thromb Vasc Biol 2001;21:1320-6. PubMed
  6. Schiavon R, Freeman GE, Guidi GC, et al. Selenium enhances prostacyclin production by cultured endothelial cells: possible explanation for increased bleeding times in volunteers taking selenium as a dietary supplement. Thromb Res 1984;34:389-96. PubMed
  7. Davila JC, Edds GT, Osuna O, Simpson CF. Modification of the effects of aflatoxin B1 and warfarin in young pigs given selenium. Am J Vet Res 1983;44:1877-83. DOI
  8. Heese HD, Lawrence MA, Dempster WS, Pocock F. Reference concentrations of serum selenium and manganese in healthy nulliparas. S Afr Med J 1988;73:163-5.
  9. Lloyd B, Lloyd RS, Clayton BE. Effect of smoking, alcohol and other factors on the selenium status of a healthy population. J Epidemiol Commun Health 1983;37:213-7. PubMed
  10. Capel ID, Jenner M, Williams DC, et al. The effect of prolonged oral contraceptive steroid use on erythrocyte glutathione peroxidase activity. J Steroid Biochem 1981;14:729-32. PubMed
  11. Contempre B, Dumont JE, Ngo B, et al. Effect of selenium supplementation in hypothyroid subjects of an iodine and selenium deficient area: the possible danger of indiscriminate supplementation of iodine-deficient subjects with selenium. J Clin Endocrinol PubMed
  12. Hofbauer LC, Spitzweg C, Magerstadt RA, Heufelder AE. Selenium-induced thyroid dysfunction. Postgrad Med J 1997;73:103-4. PubMed
  13. Debski B, Milner JA. Dietary selenium supplementation prolongs pentobarbital induced hypnosis. J Nutr Biochem 2004;15:548-53. PubMed
  14. Ishikawa M, Sasaki M, Koiwai K, et al. Inhibition of hepatic mixed-function oxidase enzymes in mice by acute and chronic treatment with selenium. J Pharmacobiodyn 1992;15:377-85. PubMed
  15. Lippmann SM, Klein EA, Goodman PJ, et al. Effect of selenium and vitamin E on risk of prostate cancer and other cancers: the selenium and vitamin E cancer prevention trial (SELECT). JAMA 2009;301:39-51. DOI

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

Taking Selenium and Enalapril Maleate, Hydrochlorothiazide Together: Common Questions

Is it safe to take Selenium with Enalapril Maleate, Hydrochlorothiazide?
We do not list a known interaction between Selenium and Enalapril Maleate, Hydrochlorothiazide. 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.
Do Selenium and Enalapril Maleate, Hydrochlorothiazide have any of the same side effects?
Yes — our sources link each of them separately to 4 of the same effects. That is not an interaction: neither changes how your body handles the other. It does mean that if one of those effects turns up, it can be harder to tell which one is behind it. They are listed on this page with the source behind each.
Are Selenium and Enalapril Maleate, Hydrochlorothiazide used for the same thing?
They overlap in purpose, which usually means the real question is whether you need both rather than whether they are safe together. This page lists the shared uses and how strong the evidence is for Selenium in each. That is a conversation for your prescriber, especially if Enalapril Maleate, Hydrochlorothiazide is being adjusted to a target.
How was the Selenium and Enalapril Maleate, Hydrochlorothiazide combination checked?
Interactions in our licensed database are recorded against drug classes. Enalapril Maleate, Hydrochlorothiazide is filed under 10 classifications, and Selenium has documented interactions with 6 drug classes — none of Enalapril Maleate, Hydrochlorothiazide's classifications are among them. A medication can belong to classes beyond those recorded in our dataset, so this describes how the check was run rather than guaranteeing safety.
Does Selenium interact with any other medications?
Yes. Selenium has 321 documented drug interactions in our database — Enalapril Maleate, Hydrochlorothiazide is simply not one of them. If you take anything else, it is worth checking each one; they are all listed on this page.
Does Enalapril Maleate, Hydrochlorothiazide interact with any supplements?
Yes. Enalapril Maleate, Hydrochlorothiazide has documented interactions with 238 supplements in our database — Selenium is not one of them. The Enalapril Maleate, Hydrochlorothiazide 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

Selenium monograph Uses, safety profile, and every drug interaction in one place Enalapril and Hydrochlorothiazide drug information The full plain-English guide to this medication Enalapril Maleate, Hydrochlorothiazide supplement interactions Every supplement checked against Enalapril Maleate, Hydrochlorothiazide, 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 36 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Enalapril Maleate, Hydrochlorothiazide and Selenium?

Our pharmacists answer your medication & supplement questions — free.

Ask a pharmacist

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.