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Drug interactions

Ciprofloxacin + Lanthanum carbonate

Severity: Moderate

Ciprofloxacin and Lanthanum carbonate: 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

Lanthanum is a polyvalent cation that binds oral ciprofloxacin in the gut and reduces its absorption. Lower antibiotic levels could lead to treatment failure.

What this interaction means in plain words

Ciprofloxacin and Lanthanum carbonate 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.

Ciprofloxacin belongs to Anti Bacterial; Lanthanum carbonate belongs to Miscellaneous.

Evidence level: Moderate

Why it happens

Chelation of ciprofloxacin by lanthanum in the gastrointestinal tract, reducing oral bioavailability.

What to do

Give oral ciprofloxacin at least 2 hours before or 6 hours after lanthanum. Intravenous ciprofloxacin is not affected.

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 Ciprofloxacin with Lanthanum carbonate?

MediHelp rates the interaction as moderate. Ciprofloxacin and Lanthanum carbonate 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. Lanthanum is a polyvalent cation that binds oral ciprofloxacin in the gut and reduces its absorption. Lower antibiotic levels could lead to treatment failure.

How serious is the interaction between Ciprofloxacin and Lanthanum carbonate?

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 oral ciprofloxacin at least 2 hours before or 6 hours after lanthanum. Intravenous ciprofloxacin is not affected.

What other medicines interact with Ciprofloxacin?

MediHelp also lists interactions of Ciprofloxacin with, for example, Agomelatine, Fezolinetant, Thioridazine. The full list is on the Ciprofloxacin page.

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

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