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Drug interactions

Calcium carbonate + Nilotinib

Severity: Moderate

Calcium carbonate and Nilotinib: 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

Nilotinib solubility falls as gastric pH rises, so antacids may reduce its absorption. Lower exposure could reduce efficacy in leukemia treatment.

What this interaction means in plain words

Calcium carbonate and Nilotinib 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; Nilotinib belongs to Oncology.

Evidence level: Moderate

Why it happens

Increased gastric pH decreases the pH-dependent solubility and absorption of nilotinib.

What to do

Take the antacid at least 2 hours before or 2 hours after nilotinib. Remember nilotinib must be taken fasting.

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 Nilotinib?

MediHelp rates the interaction as moderate. Calcium carbonate and Nilotinib 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. Nilotinib solubility falls as gastric pH rises, so antacids may reduce its absorption. Lower exposure could reduce efficacy in leukemia treatment.

How serious is the interaction between Calcium carbonate and Nilotinib?

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 the antacid at least 2 hours before or 2 hours after nilotinib. Remember nilotinib must be taken fasting.

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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