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 SensitiveEmerging evidence
What is happening. High-dose calcium supplements and calcium-containing antacids can bind cefdinir in the gut and modestly reduce its absorption through divalent-cation chelation, similar in principle to the well-documented iron interaction. While the effect is generally smaller than with iron, large concurrent calcium doses may lower antibiotic exposure.
Mechanism. Divalent calcium cations can complex with the cephalosporin in the gastrointestinal tract, reducing the fraction of drug available for absorption.
Recommendation. Separate calcium supplements or calcium-based antacids from cefdinir by at least 2 hours. Take cefdinir on a consistent schedule and avoid combining each dose with large calcium loads.
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 Calcium and Cefdinir 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- 1Cefdinir prescribing information. Pharmacokinetics and drug interactions with antacids and metal cations.Needs sourceNo link
- 2Lomaestro BM, Bailie GR. Absorption interactions with fluoroquinolones and other antibiotics: divalent and trivalent cation chelation. Drug Safety. 1995.Needs sourceNo link