Drug interactions
Ferric maltol + Ibandronate
Severity: Moderate
Ferric maltol and Ibandronate: 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
Oral iron can chelate ibandronate in the gut and lower its absorption, potentially reducing its efficacy.
What this interaction means in plain words
Ferric maltol and Ibandronate 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.
Ferric maltol belongs to Miscellaneous; Ibandronate belongs to Musculoskeletal.
Why it happens
Chelation of ibandronate by polyvalent iron cations in the GI tract reduces absorption.
What to do
Take oral ibandronate with plain water after fasting and delay ferric maltol for at least 60 minutes.
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 Ibandronate
- Aluminum hydroxide + Ibandronate Moderate
- Calcium acetate + Ibandronate Moderate
- Calcium carbonate + Ibandronate Moderate
- Calcium chloride + Ibandronate Moderate
- Calcium citrate + Ibandronate Moderate
- Calcium gluconate + Ibandronate Moderate
Other interactions of Ferric maltol
- Aluminum hydroxide + Ferric maltol Moderate
- Calcium carbonate + Ferric maltol Moderate
- Calcium + Ferric maltol Moderate
- Carbidopa-entacapone-levodopa + Ferric maltol Moderate
- Carbidopa-levodopa + Ferric maltol Moderate
- Cimetidine + Ferric maltol Moderate
Frequently asked questions
Can I take Ferric maltol with Ibandronate?
MediHelp rates the interaction as moderate. Ferric maltol and Ibandronate 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. Oral iron can chelate ibandronate in the gut and lower its absorption, potentially reducing its efficacy.
How serious is the interaction between Ferric maltol and Ibandronate?
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 oral ibandronate with plain water after fasting and delay ferric maltol for at least 60 minutes.
What other medicines interact with Ibandronate?
MediHelp also lists interactions of Ibandronate with, for example, Aluminum hydroxide, Calcium acetate, Calcium carbonate. The full list is on the Ibandronate page.
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