Drug interactions
Cholic acid + Colesevelam
Severity: Moderate
Cholic acid and Colesevelam: 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
Bile acid sequestrants bind bile acids in the gut and can reduce absorption of cholic acid, weakening its therapeutic effect in bile acid synthesis disorders.
What this interaction means in plain words
Cholic acid and Colesevelam 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.
Cholic acid belongs to Gastrointestinal Tract; Colesevelam belongs to Endocrine.
Why it happens
Colesevelam binds cholic acid in the gastrointestinal lumen, reducing absorption.
What to do
Take cholic acid at least 1 hour before or 4 to 6 hours after colesevelam, and monitor liver biochemistry and 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 Colesevelam
- Amlodipine-olmesartan-hydrochlorothiazide + Colesevelam Moderate
- Amlodipine-olmesartan + Colesevelam Moderate
- Chenodiol + Colesevelam Moderate
- Colesevelam + Cyclosporin Moderate
- Colesevelam + Cyclosporine Moderate
- Colesevelam + Gliclazide Moderate
Other interactions of Cholic acid
Frequently asked questions
Can I take Cholic acid with Colesevelam?
MediHelp rates the interaction as moderate. Cholic acid and Colesevelam 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. Bile acid sequestrants bind bile acids in the gut and can reduce absorption of cholic acid, weakening its therapeutic effect in bile acid synthesis disorders.
How serious is the interaction between Cholic acid and Colesevelam?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Take cholic acid at least 1 hour before or 4 to 6 hours after colesevelam, and monitor liver biochemistry and clinical response.
What other medicines interact with Colesevelam?
MediHelp also lists interactions of Colesevelam with, for example, Amlodipine-olmesartan-hydrochlorothiazide, Amlodipine-olmesartan, Chenodiol. The full list is on the Colesevelam page.
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