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Drug interactions

Calcifediol + Dexamethasone

Severity: Minor

Calcifediol and Dexamethasone: minor 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

Corticosteroids can impair vitamin D activity and calcium absorption, and enzyme induction may shorten calcifediol half-life. This may reduce the effectiveness of vitamin D therapy.

What this interaction means in plain words

Calcifediol and Dexamethasone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Calcifediol belongs to Musculoskeletal; Dexamethasone belongs to Endocrine.

Evidence level: Low

Why it happens

Dexamethasone induces hydroxylating enzymes that accelerate vitamin D metabolite catabolism.

What to do

Monitor serum calcium, phosphate, parathyroid hormone and 25-hydroxyvitamin D during prolonged co-therapy. Adjust calcifediol dose as needed.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Dexamethasone?

MediHelp rates the interaction as minor. Calcifediol and Dexamethasone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Corticosteroids can impair vitamin D activity and calcium absorption, and enzyme induction may shorten calcifediol half-life. This may reduce the effectiveness of vitamin D therapy.

How serious is the interaction between Calcifediol and Dexamethasone?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor serum calcium, phosphate, parathyroid hormone and 25-hydroxyvitamin D during prolonged co-therapy. Adjust calcifediol dose as needed.

What other medicines interact with Dexamethasone?

MediHelp also lists interactions of Dexamethasone with, for example, Bcg vaccine live, Mifepristone, Rilpivirine. The full list is on the Dexamethasone page.

Full monographs, dosing and an interaction checker in the MediHelp app

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