سعر افيروكال دي شراب 120 مل 2024

• DolutegravirCalcium supplements can substantially reduce dolutegravir levels (chelation); US labels advise taking dolutegravir 2 hours before or 6 hours after calcium supplements.NIH Office of Dietary Supplements (ODS)
• LevothyroxineCalcium (carbonate) supplements can interfere with levothyroxine absorption; separate administration by 4 hours.NIH Office of Dietary Supplements (ODS)
• LithiumLong-term lithium can cause hypercalcaemia; combined use with calcium supplements could increase this risk.NIH Office of Dietary Supplements (ODS)
• Quinolone antibiotics (e.g., ciprofloxacin, moxifloxacin)Simultaneous calcium reduces quinolone absorption; take the antibiotic 2 hours before or 2 hours after calcium.NIH Office of Dietary Supplements (ODS)
• Thiazide diureticsThiazides decrease urinary calcium excretion; combined with vitamin D supplements this might lead to hypercalcaemia, especially in older adults or with impaired renal function or hyperparathyroidism.NIH Office of Dietary Supplements (ODS)
• OrlistatOrlistat with a reduced-fat diet can reduce vitamin D absorption.NIH Office of Dietary Supplements (ODS)
• Statins (atorvastatin, lovastatin, simvastatin)High vitamin D intakes might reduce the potency of these statins (shared CYP3A4 metabolism); statins may also reduce endogenous vitamin D synthesis.NIH Office of Dietary Supplements (ODS)
• Warfarin and similar vitamin K antagonists (phenprocoumon, acenocoumarol)Vitamin K can have a serious, potentially dangerous interaction with these anticoagulants; patients need a consistent vitamin K intake because sudden changes can increase or decrease the anticoagulant effect.NIH Office of Dietary Supplements (ODS)
• Metformin; gastric acid inhibitors (PPIs, H2-receptor antagonists)These medicines may reduce vitamin B12 absorption and serum levels (they affect vitamin B12 status rather than the reverse).NIH Office of Dietary Supplements (ODS)

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