Drug interactions
Calcium carbonate + Levofloxacin
Severity: Moderate
Calcium carbonate and Levofloxacin: 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 can complex with levofloxacin in the gut, modestly lowering absorption and potentially reducing antibacterial effect.
What this interaction means in plain words
Calcium carbonate and Levofloxacin 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 carbonate belongs to Gastrointestinal Tract; Levofloxacin belongs to Anti Bacterial.
Why it happens
Chelation of levofloxacin by calcium ions reduces its intestinal absorption.
What to do
Give levofloxacin 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?
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Other interactions of Calcium carbonate
Other interactions of Levofloxacin
- Dronedarone + Levofloxacin Contraindicated
- Ibutilide + Levofloxacin Contraindicated
- Levofloxacin + Thioridazine Contraindicated
- Levofloxacin + Vandetanib Contraindicated
- Levofloxacin + Ziprasidone Contraindicated
- Adagrasib + Levofloxacin Major
Frequently asked questions
Can I take Calcium carbonate with Levofloxacin?
MediHelp rates the interaction as moderate. Calcium carbonate and Levofloxacin 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 can complex with levofloxacin in the gut, modestly lowering absorption and potentially reducing antibacterial effect.
How serious is the interaction between Calcium carbonate and Levofloxacin?
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 levofloxacin at least 2 hours before or after calcium-containing products.
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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