Antacids (Tums, Maalox, Mylanta) and Ciprofloxacin interaction

Antacids (Tums, Maalox, Mylanta) and Ciprofloxacin: the Ciprofloxacin prescribing label describe an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Ciprofloxacin label · effective 2026-06-30

Moderate

Drug(s) Affecting Pharmacokinetics of Ciprofloxacin Antacids, Sucralfate, Multivitamins and Other Products Containing Multivalent Cations (magnesium/aluminum antacids; polymeric phosphate binders (for example, sevelamer, lanthanum carbonate); sucralfate; Videx ® (didanosine) chewable/buffered tablets or pediatric powder; other highly buffered drugs; or products…

Drug interactionsnames Antacids (Tums, Maalox, Mylanta)View label on DailyMed
Moderate

Multivalent cation-containing products including antacids, metal cations or didanosine Decreased ciprofloxacin absorption.

Drug interactionsnames Antacids (Tums, Maalox, Mylanta)View label on DailyMed

Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

Open in the checker

Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.