Calcium and Ceftriaxone interaction

Calcium and Ceftriaxone: the Ceftriaxone 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 Ceftriaxone (CEFTRIAXONE AND DEXTROSE) label · effective 2022-01-13

Major

Do not administer simultaneously with calcium-containing IV solutions.

Warnings and precautionsnames CalciumView label on DailyMed
Major

Ceftriaxone for Injection and Dextrose Injection must not be administered simultaneously with calcium-containing IV solutions, including continuous calcium-containing infusions such as parenteral nutrition via a Y-site.

Warnings and precautionsnames CalciumView label on DailyMed
Moderate

Ceftriaxone for Injection and Dextrose Injection and calcium-containing solutions may be administered sequentially. [see Warnings and Precautions (5.2) ]

Drug interactionsnames CalciumView label on DailyMed
Minor

Interaction with Calcium-containing Products: Precipitation can occur.

Warnings and precautionsnames CalciumView label on DailyMed
Minor

Interaction with Calcium-containing Products Precipitation of ceftriaxone-calcium can occur when Ceftriaxone for Injection and Dextrose Injection is mixed with calcium-containing solutions in the same IV administration line.

Warnings and precautionsnames CalciumView 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.