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Drug interactions

Aluminum hydroxide + Chenodeoxycholic acid

Severity: Moderate

Aluminum hydroxide and Chenodeoxycholic acid: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Aluminium-containing antacids can adsorb bile acids in the gut. This reduces absorption of chenodeoxycholic acid and may weaken its therapeutic effect.

What this interaction means in plain words

Aluminum hydroxide and Chenodeoxycholic acid can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Aluminum hydroxide belongs to Gastrointestinal Tract; Chenodeoxycholic acid belongs to Gastrointestinal Tract.

Evidence level: Moderate

Why it happens

Adsorption of bile acid by aluminium hydroxide in the intestinal lumen reduces absorption.

What to do

Separate the doses by at least 2 hours. Monitor clinical or biochemical response if concomitant use continues.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Aluminum hydroxide with Chenodeoxycholic acid?

MediHelp rates the interaction as moderate. Aluminum hydroxide and Chenodeoxycholic acid can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Aluminium-containing antacids can adsorb bile acids in the gut. This reduces absorption of chenodeoxycholic acid and may weaken its therapeutic effect.

How serious is the interaction between Aluminum hydroxide and Chenodeoxycholic acid?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Separate the doses by at least 2 hours. Monitor clinical or biochemical response if concomitant use continues.

What other medicines interact with Aluminum hydroxide?

MediHelp also lists interactions of Aluminum hydroxide with, for example, Ciprofloxacin, Deferasirox, Dolutegravir. The full list is on the Aluminum hydroxide page.

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