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Drug interactions

Calcium carbonate + Cyclopenthiazide

Severity: Moderate

Calcium carbonate and Cyclopenthiazide: 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

Thiazide diuretics reduce urinary calcium excretion, so combining them with calcium supplements can raise serum calcium. With large calcium doses or alkali intake, hypercalcemia and metabolic alkalosis can occur.

What this interaction means in plain words

Calcium carbonate and Cyclopenthiazide 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.

Evidence level: High

Why it happens

Thiazides enhance distal tubular calcium reabsorption, decreasing renal calcium clearance.

What to do

Monitor serum calcium periodically, especially in patients on high-dose calcium or with renal impairment. Reduce calcium dose 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 Calcium carbonate with Cyclopenthiazide?

MediHelp rates the interaction as moderate. Calcium carbonate and Cyclopenthiazide 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. Thiazide diuretics reduce urinary calcium excretion, so combining them with calcium supplements can raise serum calcium. With large calcium doses or alkali intake, hypercalcemia and metabolic alkalosis can occur.

How serious is the interaction between Calcium carbonate and Cyclopenthiazide?

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 periodically, especially in patients on high-dose calcium or with renal impairment. Reduce calcium dose if hypercalcemia develops.

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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