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Drug interactions

Calcium carbonate + Sulphasalazine

Severity: Minor

Calcium carbonate and Sulphasalazine: 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 can alter urinary pH and thereby salicylate excretion, but the effect is relevant mainly with high-dose salicylates. With sulfasalazine the impact is expected to be negligible.

What this interaction means in plain words

Calcium carbonate and Sulphasalazine 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; Sulphasalazine belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Theoretical change in renal salicylate reabsorption with urinary pH shifts.

What to do

No routine action required.

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 Sulphasalazine?

MediHelp rates the interaction as minor. Calcium carbonate and Sulphasalazine 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 can alter urinary pH and thereby salicylate excretion, but the effect is relevant mainly with high-dose salicylates. With sulfasalazine the impact is expected to be negligible.

How serious is the interaction between Calcium carbonate and Sulphasalazine?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine action required.

What other medicines interact with Sulphasalazine?

MediHelp also lists interactions of Sulphasalazine with, for example, Deferiprone, Pexidartinib, Sepiapterin. The full list is on the Sulphasalazine 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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