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Drug interactions

Omadacycline + Selenium

Severity: Minor

Omadacycline and Selenium: minor 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

Tetracyclines bind polyvalent cations in the gut, reducing absorption. Selenium is not a classic chelating cation, so any reduction in omadacycline exposure is theoretical but could weaken antibacterial efficacy.

What this interaction means in plain words

Omadacycline and Selenium have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Omadacycline belongs to Anti Bacterial; Selenium belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Possible chelation of omadacycline by mineral supplements in the gastrointestinal tract.

What to do

Separate oral omadacycline from selenium-containing mineral supplements by at least 4 hours.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Omadacycline with Selenium?

MediHelp rates the interaction as minor. Omadacycline and Selenium have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Tetracyclines bind polyvalent cations in the gut, reducing absorption. Selenium is not a classic chelating cation, so any reduction in omadacycline exposure is theoretical but could weaken antibacterial efficacy.

How serious is the interaction between Omadacycline and Selenium?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Separate oral omadacycline from selenium-containing mineral supplements by at least 4 hours.

What other medicines interact with Selenium?

MediHelp also lists interactions of Selenium with, for example, Alendronate, Eltrombopag, Ibandronate. The full list is on the Selenium page.

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

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