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Drug interactions

Cholestyramine + Vitamin a

Severity: Minor

Cholestyramine and Vitamin a: 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

Cholestyramine can reduce absorption of fat-soluble vitamins, including vitamin A, particularly with long-term use or poor dietary intake. Deficiency may develop over time.

What this interaction means in plain words

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

Cholestyramine belongs to Cardiovascular; Vitamin a belongs to Gastrointestinal Tract.

Evidence level: Moderate

Why it happens

Cholestyramine binds bile acids and impairs micelle formation, reducing absorption of fat-soluble vitamins.

What to do

Separate vitamin A from cholestyramine by at least 4 hours after, or 1 hour before. Consider monitoring vitamin A status in long-term therapy.

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 Cholestyramine with Vitamin a?

MediHelp rates the interaction as minor. Cholestyramine and Vitamin a have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Cholestyramine can reduce absorption of fat-soluble vitamins, including vitamin A, particularly with long-term use or poor dietary intake. Deficiency may develop over time.

How serious is the interaction between Cholestyramine and Vitamin a?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Separate vitamin A from cholestyramine by at least 4 hours after, or 1 hour before. Consider monitoring vitamin A status in long-term therapy.

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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