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Drug interactions

Cholecalciferol + Colesevelam

Severity: Minor

Cholecalciferol and Colesevelam: 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

Colesevelam may reduce absorption of fat-soluble vitamins, though the effect is smaller than with older resins. Long-term therapy could lower vitamin D levels.

What this interaction means in plain words

Cholecalciferol and Colesevelam have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Cholecalciferol belongs to Musculoskeletal; Colesevelam belongs to Endocrine.

Evidence level: Low

Why it happens

Bile acid sequestration reduces absorption of fat-soluble vitamins.

What to do

Take vitamin D at least 4 hours before colesevelam and check vitamin D status if used long term.

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 Cholecalciferol with Colesevelam?

MediHelp rates the interaction as minor. Cholecalciferol and Colesevelam have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Colesevelam may reduce absorption of fat-soluble vitamins, though the effect is smaller than with older resins. Long-term therapy could lower vitamin D levels.

How serious is the interaction between Cholecalciferol and Colesevelam?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Take vitamin D at least 4 hours before colesevelam and check vitamin D status if used long term.

What other medicines interact with Cholecalciferol?

MediHelp also lists interactions of Cholecalciferol with, for example, Digoxin, Aluminum hydroxide, Calcium acetate. The full list is on the Cholecalciferol page.

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