Calcium acetate and Ciprofloxacin interaction

Calcium acetate and Ciprofloxacin: both prescribing labels 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 Calcium acetate label · effective 2026-05-28

Moderate

Ciprofloxacin In a study of 15 healthy subjects, a co-administered single dose of 4 calcium acetate tablets approximately 2.7 g decreased the bioavailability of ciprofloxacin by approximately 50%.

Drug interactionsnames CiprofloxacinView label on DailyMed
Moderate

Calcium acetate capsules may decrease the bioavailability of tetracyclines or fluoroquinolones via this mechanism.

Drug interactionsby drug classView label on DailyMed
Moderate

Calcium acetate capsules may decrease the bioavailability of tetracyclines or fluoroquinolones.

Drug interactionsby drug classView label on DailyMed

From the Ciprofloxacin label · effective 2026-06-30

Moderate

…polymeric phosphate binders (for example, sevelamer, lanthanum carbonate); sucralfate; Videx ® (didanosine) chewable/buffered tablets or pediatric powder; other highly buffered drugs; or products containing calcium, iron, or zinc and dairy products) Ciprofloxacin should be taken at least two hours before or six hours after Multivalent cation-containing products administration…

Drug interactionsby drug classView label on DailyMed

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

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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.