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Drug interactions

Chenodeoxycholic acid + Colestipol

Severity: Moderate

Chenodeoxycholic acid and Colestipol: 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

Colestipol is a bile acid sequestrant that binds bile acids in the intestine. It reduces absorption of chenodeoxycholic acid and may lessen its efficacy.

What this interaction means in plain words

Chenodeoxycholic acid and Colestipol 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.

Chenodeoxycholic acid belongs to Gastrointestinal Tract; Colestipol belongs to Cardiovascular.

Evidence level: High

Why it happens

Colestipol binds chenodeoxycholic acid in the gut, preventing absorption and enterohepatic recirculation.

What to do

Give chenodeoxycholic acid at least 2 hours before or after colestipol. Monitor response, or choose an alternative lipid-lowering agent.

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 Chenodeoxycholic acid with Colestipol?

MediHelp rates the interaction as moderate. Chenodeoxycholic acid and Colestipol 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. Colestipol is a bile acid sequestrant that binds bile acids in the intestine. It reduces absorption of chenodeoxycholic acid and may lessen its efficacy.

How serious is the interaction between Chenodeoxycholic acid and Colestipol?

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 chenodeoxycholic acid at least 2 hours before or after colestipol. Monitor response, or choose an alternative lipid-lowering agent.

What other medicines interact with Chenodeoxycholic acid?

MediHelp also lists interactions of Chenodeoxycholic acid with, for example, Cyclosporin, Sirolimus, Aluminum hydroxide. The full list is on the Chenodeoxycholic acid page.

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

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