Antacids (Tums, Maalox, Mylanta) and Sodium polystyrene sulfonate interaction

Antacids (Tums, Maalox, Mylanta) and Sodium polystyrene sulfonate: the Sodium polystyrene sulfonate prescribing label flags this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Sodium polystyrene sulfonate label · effective 2025-05-27

Major

Cation-Donating Antacids The simultaneous oral administration of Sodium Polystyrene Sulfonate Powder, for Suspension with nonabsorbable cation-donating antacids and laxatives may reduce the resin's potassium exchange capability and increase the risk of systemic alkalosis 7.3 Sorbitol Sorbitol may contribute to the risk of intestinal necrosis [ see Warnings and…

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

Cation-Donating Antacids: may reduce the resin’s potassium exchange capability and increase risk of systemic alkalosis ( 7.2 ).

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

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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.