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Drug interactions

Cabotegravir + Calcium carbonate

Severity: Moderate

Cabotegravir and Calcium carbonate: 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

Calcium-containing antacids may bind oral cabotegravir in the gut and reduce its absorption. Lower exposure could weaken virologic control.

What this interaction means in plain words

Cabotegravir and Calcium carbonate 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.

Cabotegravir belongs to Anti Virals; Calcium carbonate belongs to Gastrointestinal Tract.

Evidence level: Moderate

Why it happens

Calcium cations chelate cabotegravir in the gastrointestinal tract, decreasing absorption.

What to do

Give oral cabotegravir at least 2 hours before or 4 hours after calcium carbonate antacids.

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 Cabotegravir with Calcium carbonate?

MediHelp rates the interaction as moderate. Cabotegravir and Calcium carbonate 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. Calcium-containing antacids may bind oral cabotegravir in the gut and reduce its absorption. Lower exposure could weaken virologic control.

How serious is the interaction between Cabotegravir and Calcium carbonate?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give oral cabotegravir at least 2 hours before or 4 hours after calcium carbonate antacids.

What other medicines interact with Calcium carbonate?

MediHelp also lists interactions of Calcium carbonate with, for example, Acalabrutinib, Alendronate, Amlodipine-hydrochlorothiazide-valsartan. The full list is on the Calcium carbonate page.

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