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Drug interactions

Ergocalciferol + Metolazone

Severity: Moderate

Ergocalciferol and Metolazone: 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

Metolazone, a thiazide-like diuretic, decreases urinary calcium excretion and may contribute to hypercalcemia when given with vitamin D.

What this interaction means in plain words

Ergocalciferol and Metolazone 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.

Ergocalciferol belongs to Musculoskeletal; Metolazone belongs to Cardiovascular.

Evidence level: Low

Why it happens

Metolazone increases renal calcium reabsorption, which adds to vitamin D-enhanced calcium absorption.

What to do

Monitor serum calcium during combined therapy. Reduce the vitamin D dose if hypercalcemia develops.

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 Ergocalciferol with Metolazone?

MediHelp rates the interaction as moderate. Ergocalciferol and Metolazone 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. Metolazone, a thiazide-like diuretic, decreases urinary calcium excretion and may contribute to hypercalcemia when given with vitamin D.

How serious is the interaction between Ergocalciferol and Metolazone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor serum calcium during combined therapy. Reduce the vitamin D dose if hypercalcemia develops.

What other medicines interact with Ergocalciferol?

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

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