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Drug interactions

Raltegravir + Sodium sulfate / potassium sulfate / magnesium sulfate

Severity: Moderate

Raltegravir and Sodium sulfate / potassium sulfate / magnesium sulfate: 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

This oral bowel preparation contains magnesium that may bind raltegravir in the gut. Lower absorption may reduce antiviral effect.

What this interaction means in plain words

Raltegravir and Sodium sulfate / potassium sulfate / magnesium sulfate 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.

Evidence level: Low

Why it happens

Magnesium cations chelate raltegravir in the gastrointestinal tract, reducing absorption.

What to do

Give raltegravir at least 2 hours before the preparation, or after completion of bowel cleansing. Ensure the usual raltegravir dose is not missed on the preparation day.

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 Raltegravir with Sodium sulfate / potassium sulfate / magnesium sulfate?

MediHelp rates the interaction as moderate. Raltegravir and Sodium sulfate / potassium sulfate / magnesium sulfate 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. This oral bowel preparation contains magnesium that may bind raltegravir in the gut. Lower absorption may reduce antiviral effect.

How serious is the interaction between Raltegravir and Sodium sulfate / potassium sulfate / magnesium sulfate?

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 raltegravir at least 2 hours before the preparation, or after completion of bowel cleansing. Ensure the usual raltegravir dose is not missed on the preparation day.

What other medicines interact with Raltegravir?

MediHelp also lists interactions of Raltegravir with, for example, Elvitegravir / cobicistat / emtricitabine / tenofovir df, Aluminum hydroxide / magnesium carbonate, Aluminum hydroxide / magnesium trisilicate. The full list is on the Raltegravir page.

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