Drug interactions
Cholestyramine + Omadacycline
Severity: Moderate
Cholestyramine and Omadacycline: 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
Cholestyramine may bind oral omadacycline and reduce its absorption, risking reduced antibacterial efficacy.
What this interaction means in plain words
Cholestyramine and Omadacycline 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.
Cholestyramine belongs to Cardiovascular; Omadacycline belongs to Anti Bacterial.
Why it happens
Binding of omadacycline to the resin in the gut reduces absorption.
What to do
Separate omadacycline from cholestyramine by at least 2 hours, giving the antibiotic first, and monitor clinical response.
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?
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Other interactions of Cholestyramine
Other interactions of Omadacycline
- Acitretin + Omadacycline Contraindicated
- Isotretinoin + Omadacycline Major
- Omadacycline + Tretinoin Major
- Aluminum hydroxide + Omadacycline Moderate
- Amoxicillin-clavulanic acid + Omadacycline Moderate
- Amoxicillin + Omadacycline Moderate
Frequently asked questions
Can I take Cholestyramine with Omadacycline?
MediHelp rates the interaction as moderate. Cholestyramine and Omadacycline 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. Cholestyramine may bind oral omadacycline and reduce its absorption, risking reduced antibacterial efficacy.
How serious is the interaction between Cholestyramine and Omadacycline?
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 omadacycline from cholestyramine by at least 2 hours, giving the antibiotic first, and monitor clinical response.
What other medicines interact with Cholestyramine?
MediHelp also lists interactions of Cholestyramine with, for example, Cholic acid, Deferasirox, Leflunomide. The full list is on the Cholestyramine page.
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