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Drug interactions

Ferrous sulfate + Vadadustat

Severity: Moderate

Ferrous sulfate and Vadadustat: 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 salts bind vadadustat in the gut and reduce its absorption. This can lower vadadustat exposure and weaken its effect on anemia of chronic kidney disease.

What this interaction means in plain words

Ferrous sulfate and Vadadustat 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.

Ferrous sulfate belongs to Miscellaneous; Vadadustat belongs to Endocrine.

Evidence level: Moderate

Why it happens

Iron cations chelate vadadustat in the gastrointestinal tract, decreasing its absorption.

What to do

Take vadadustat at least 1 hour before oral iron or iron-containing phosphate binders. Monitor hemoglobin 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?

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 Ferrous sulfate with Vadadustat?

MediHelp rates the interaction as moderate. Ferrous sulfate and Vadadustat 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 salts bind vadadustat in the gut and reduce its absorption. This can lower vadadustat exposure and weaken its effect on anemia of chronic kidney disease.

How serious is the interaction between Ferrous sulfate and Vadadustat?

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 vadadustat at least 1 hour before oral iron or iron-containing phosphate binders. Monitor hemoglobin response.

What other medicines interact with Ferrous sulfate?

MediHelp also lists interactions of Ferrous sulfate with, for example, Ciprofloxacin, Dimercaprol, Acetohydroxamic acid. The full list is on the Ferrous sulfate page.

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