Antacids (Tums, Maalox, Mylanta) and Ketoconazole interaction
Antacids (Tums, Maalox, Mylanta) and Ketoconazole: the Ketoconazole prescribing label describe an interaction that usually calls for monitoring, a dose change, or spacing the doses.
Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.
What the FDA labels say
From the Ketoconazole label · effective 2026-07-07
Drugs that may decrease ketoconazole plasma concentrations Drugs that reduce the gastric acidity (e.g., acid neutralizing medicines such as aluminum hydroxide, or acid secretion suppressors such as H 2 -receptor antagonists and proton pump inhibitors) impair the absorption of ketoconazole from ketoconazole tablets.
Acid neutralizing medicines (e.g., aluminum hydroxide) should be administered at least 1 hour before or 2 hours after the intake of ketoconazole tablets.
Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.
Open in the checkerNot 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.