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Drug interactions

Calcium chloride + Gemifloxacin

Severity: Moderate

Calcium chloride and Gemifloxacin: 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

Oral calcium chloride can bind gemifloxacin in the gut, reducing its absorption and potentially causing subtherapeutic antibiotic levels. The concern applies to oral calcium only.

What this interaction means in plain words

Calcium chloride and Gemifloxacin 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: Moderate

Why it happens

Chelation of gemifloxacin by calcium cations in the gut lumen.

What to do

Separate oral gemifloxacin from oral calcium by at least 2 hours before or 3 hours after the calcium dose.

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 chloride with Gemifloxacin?

MediHelp rates the interaction as moderate. Calcium chloride and Gemifloxacin 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. Oral calcium chloride can bind gemifloxacin in the gut, reducing its absorption and potentially causing subtherapeutic antibiotic levels. The concern applies to oral calcium only.

How serious is the interaction between Calcium chloride and Gemifloxacin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Separate oral gemifloxacin from oral calcium by at least 2 hours before or 3 hours after the calcium dose.

What other medicines interact with Gemifloxacin?

MediHelp also lists interactions of Gemifloxacin with, for example, Arsenic trioxide, Dofetilide, Ibutilide. The full list is on the Gemifloxacin page.

Full monographs, dosing and an interaction checker in the MediHelp app

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