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Table of Contents > Supplements > Vitamin D > Interactions
Possible Interactions with: Vitamin D
Also listed as: Calciferol; Calcitrol; Cholecalciferol; Ergocalciferol
 

If you are currently being treated with any of the following medications, you should not use vitamin D supplements without first talking to your healthcare provider.

Vitamin D levels may be increased by the following medications:

  • Estrogen: Hormone replacement therapy with estrogen appears to increase vitamin D levels in the blood; this may have a beneficial effect on calcium and bone metabolism. In addition, use of vitamin D supplements in conjunction with estrogen replacement therapy (ERT) increases bone mass more than ERT alone. However, this benefit may be lost with the addition of progesterone.
  • Isoniazid (INH): INH, a medication used to treat tuberculosis, may raise blood levels of vitamin D.
  • Thiazide: Diuretics in this class (such as hydrochlorothiazide) increase the activity of vitamin D and can lead to inappropriately high calcium levels in the blood.

Vitamin D levels may be decreased, or its absorption may be reduced, by the following medications:

  • Antacids: Taking certain antacids for long periods of time may alter the levels, metabolism, and availability of vitamin D.
  • Calcium-channel blockers (such as verapamil): These medications are used to treat high blood pressure and heart conditions may decrease the production of vitamin D by the body.
  • Cholestyramine: This cholesterol-lowering medication, known as a bile acid sequestrant, interferes with the absorption of vitamin D (as well as other fat soluble vitamins).
  • Phenobarbital, phenytoin, and other anticonvulsant medications: These medications may accelerate the body's use of vitamin D.
  • Mineral oil also interferes with absorption.

In addition, Vitamin D may enhance the effects of doxorubicin, a medicine used to treat a variety of cancers. More research is needed.

Some clinicians recommend following calcium levels closely if vitamin D is taken with digoxin, a medication used to treat irregular heart rhythms. This is because vitamin D improves absorption of calcium. Calcium, in turn, can increase the likelihood of a toxic reaction from this medication.

Weight Loss Products
Orlistat, a medication used for weight loss and olestra, a substance added to certain food products, are both intended to bind to fat and prevent the absorption of fat and the associated calories. Because of their effects on fat, orlistat and olestra may also prevent the absorption of fat-soluble vitamins such as vitamin D. Given this concern and possibility, the Food and Drug Administration (FDA) now requires that vitamin D and other fat soluble vitamins (namely, A, E, and K) be added to food products containing olestra. How well vitamin D from such food products is absorbed and used by the body is not clear. In addition, physicians who prescribe orlistat add a multivitamin with fat soluble vitamins to the regimen.


Drug Interactions
Anticonvulsants
Calcium-channel Blockers
Doxorubicin
Estrogen-containing Medications
Orlistat
Phenobarbital-containing Medications
Phenytoin
Phenytoin-containing Medications
Thiazide Diuretics

Copyright © 2004 A.D.A.M., Inc

The publisher does not accept any responsibility for the accuracy of the information or the consequences arising from the application, use, or misuse of any of the information contained herein, including any injury and/or damage to any person or property as a matter of product liability, negligence, or otherwise. No warranty, expressed or implied, is made in regard to the contents of this material. No claims or endorsements are made for any drugs or compounds currently marketed or in investigative use. This material is not intended as a guide to self-medication. The reader is advised to discuss the information provided here with a doctor, pharmacist, nurse, or other authorized healthcare practitioner and to check product information (including package inserts) regarding dosage, precautions, warnings, interactions, and contraindications before administering any drug, herb, or supplement discussed herein.

 
RELATED INFORMATION
Vitamin D
  Uses of this Supplement
Atherosclerosis
Breast Cancer
Depression
Diabetes Mellitus
Hyperparathyroidism
Hypertension
Hypoparathyroidism
Multiple Sclerosis
Obesity
Osteoarthritis
Osteoporosis
Prostate Cancer
Skin Cancer
Tuberculosis
  Supplements with Similar Uses
View List by Use
  Drugs that Interact
Summary
Anticonvulsants
Calcium-channel Blockers
Doxorubicin
Estrogen-containing Medications
Orlistat
Phenobarbital-containing Medications
Phenytoin
Phenytoin-containing Medications
Thiazide Diuretics
  Drugs that Deplete this Substance
View List
  Supplements with Similar Side Effects
View List by Side Effect
  Supplements with Similar Warnings
View List by Warning
  Learn More About
Nutrition
 

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