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Drug interactions

Calcium carbonate + Isoniazid

Severity: Minor

Calcium carbonate and Isoniazid: 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

Antacids, mainly aluminium-containing ones, can reduce isoniazid absorption. Calcium carbonate has less documented effect, but lower levels could risk reduced efficacy.

What this interaction means in plain words

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

Calcium carbonate belongs to Gastrointestinal Tract; Isoniazid belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Possible reduced gastrointestinal absorption of isoniazid in the presence of antacids.

What to do

Give isoniazid on an empty stomach at least 1 to 2 hours before the calcium antacid.

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 Calcium carbonate with Isoniazid?

MediHelp rates the interaction as minor. Calcium carbonate and Isoniazid have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Antacids, mainly aluminium-containing ones, can reduce isoniazid absorption. Calcium carbonate has less documented effect, but lower levels could risk reduced efficacy.

How serious is the interaction between Calcium carbonate and Isoniazid?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give isoniazid on an empty stomach at least 1 to 2 hours before the calcium antacid.

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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