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Drug interactions

Calcifediol + Chlorthalidone

Severity: Moderate

Calcifediol and Chlorthalidone: 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

Chlorthalidone reduces urinary calcium excretion, and calcifediol increases calcium absorption. Together they can cause hypercalcemia, with risk of kidney impairment and arrhythmia.

What this interaction means in plain words

Calcifediol and Chlorthalidone 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.

Calcifediol belongs to Musculoskeletal; Chlorthalidone belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Thiazide-enhanced renal calcium reabsorption adds to vitamin D-driven intestinal calcium absorption.

What to do

Monitor serum calcium regularly and adjust calcifediol or calcium supplements if hypercalcemia develops.

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 Calcifediol with Chlorthalidone?

MediHelp rates the interaction as moderate. Calcifediol and Chlorthalidone 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. Chlorthalidone reduces urinary calcium excretion, and calcifediol increases calcium absorption. Together they can cause hypercalcemia, with risk of kidney impairment and arrhythmia.

How serious is the interaction between Calcifediol and Chlorthalidone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor serum calcium regularly and adjust calcifediol or calcium supplements if hypercalcemia develops.

What other medicines interact with Chlorthalidone?

MediHelp also lists interactions of Chlorthalidone with, for example, Amifostine, Atenolol-chlorthalidone, Candesartan-hydrochlorothiazide. The full list is on the Chlorthalidone page.

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