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Drug interactions

Calcium acetate + Gemifloxacin

Severity: Moderate

Calcium acetate and Gemifloxacin: 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 acetate binds gemifloxacin in the gut and reduces its absorption, which can lower antibiotic levels and risk treatment failure.

What this interaction means in plain words

Calcium acetate and Gemifloxacin 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 acetate belongs to Genitourinary; Gemifloxacin belongs to Anti Bacterial.

Evidence level: High

Why it happens

Chelation of gemifloxacin by calcium cations in the gastrointestinal tract.

What to do

Take gemifloxacin at least 2 hours before or 3 hours after calcium acetate. Check that the timing is kept if the calcium is a phosphate binder taken with meals.

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 Calcium acetate with Gemifloxacin?

MediHelp rates the interaction as moderate. Calcium acetate and Gemifloxacin 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 acetate binds gemifloxacin in the gut and reduces its absorption, which can lower antibiotic levels and risk treatment failure.

How serious is the interaction between Calcium acetate and Gemifloxacin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Take gemifloxacin at least 2 hours before or 3 hours after calcium acetate. Check that the timing is kept if the calcium is a phosphate binder taken with meals.

What other medicines interact with Gemifloxacin?

MediHelp also lists interactions of Gemifloxacin with, for example, Arsenic trioxide, Dofetilide, Ibutilide. The full list is on the Gemifloxacin page.

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

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