From the databaseWhat the row says.
Every entry follows the same shape: what is happening, the mechanism, and the recommendation.
Pair type
Timing Sensitive
Scope
Supplement × Prescription
Last verified
June 4, 2026
Timing SensitiveInsufficient evidence
What is happening. Although chelation interactions with penicillins are far less pronounced than with tetracyclines or fluoroquinolones, divalent cations such as zinc can form complexes with some beta-lactam antibiotics and may modestly reduce absorption when taken together. The clinical impact for ampicillin is generally small.
Mechanism. Divalent zinc cations can chelate beta-lactam antibiotics in the gut lumen, potentially forming poorly absorbed complexes and lowering antibiotic bioavailability.
Recommendation. To avoid any reduction in antibiotic absorption, take zinc supplements at least 2 hours before or after ampicillin. Ampicillin is also best taken on an empty stomach (1 hour before or 2 hours after food) for optimal absorption.
TimingTiming & separation.
Space the doses apart by at least this window to avoid the conflict.
Stack Score
How it moves the number.
Effect on the composite score
If both Ampicillin and Zinc are in the same stack, this pair applies −5 to your Stack Score (per scored timing-sensitive row).
The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.
SourcesSources, by evidence tier.
Every claim on this page is cited. PMIDs link straight to PubMed.
Reference material
2- 1Lomaestro BM, Bailie GR. Absorption interactions with fluoroquinolones. Drug Saf. 1995.Needs sourceNo link
- 2Neuvonen PJ. Interactions with the absorption of tetracyclines. Drugs. 1976.Needs sourceNo link