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Drug interactions

Calcium + Ofloxacin

Severity: Moderate

Calcium and Ofloxacin: 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

Oral calcium may reduce ofloxacin absorption, risking lower antibiotic levels and reduced efficacy.

What this interaction means in plain words

Calcium and Ofloxacin 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 belongs to Gastrointestinal Tract; Ofloxacin belongs to Anti Bacterial.

Evidence level: Moderate

Why it happens

Divalent calcium cations chelate the fluoroquinolone in the gastrointestinal tract, reducing absorption.

What to do

Give oral ofloxacin at least 2 hours before or after calcium-containing products.

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 with Ofloxacin?

MediHelp rates the interaction as moderate. Calcium and Ofloxacin 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. Oral calcium may reduce ofloxacin absorption, risking lower antibiotic levels and reduced efficacy.

How serious is the interaction between Calcium and Ofloxacin?

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 ofloxacin at least 2 hours before or after calcium-containing products.

What other medicines interact with Calcium?

MediHelp also lists interactions of Calcium with, for example, Ceftriaxone, Acalabrutinib, Alendronate. The full list is on the Calcium page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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