Supplement × Prescription·timing-sensitive·Moderate evidence

Calcium + Dicloxacillin

Timing Sensitive Moderate evidence

Calcium supplements and calcium-rich products can bind oral penicillins in the gastrointestinal tract and, together with food, reduce dicloxacillin absorption. Dicloxacillin is already best absorbed on an empty stomach, and concurrent calcium adds a further chelation/dilution effect that can blunt serum levels.

From the database

What the row says.

Every entry follows the same shape: what is happening, the mechanism, and the recommendation.

Substances
Pair type
Timing Sensitive
Evidence
Moderate
Source citations
2
Scope
Supplement × Prescription
Last verified
June 4, 2026
Timing SensitiveModerate evidence

What is happening. Calcium supplements and calcium-rich products can bind oral penicillins in the gastrointestinal tract and, together with food, reduce dicloxacillin absorption. Dicloxacillin is already best absorbed on an empty stomach, and concurrent calcium adds a further chelation/dilution effect that can blunt serum levels.

Mechanism. Divalent calcium cations complex with the beta-lactam and, with food, slow gastric emptying and lower the bioavailable antibiotic fraction.

Recommendation. Take dicloxacillin on an empty stomach and separate calcium supplements (and antacids) by at least 2 hours. Maintain a consistent schedule for the full antibiotic course.

Timing

Timing & separation.

Space the doses apart by at least this window to avoid the conflict.

Minimum separation
120
Stack Score

How it moves the number.

Effect on the composite score

If both Calcium and Dicloxacillin 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.

Sources

Sources, by evidence tier.

Every claim on this page is cited. PMIDs link straight to PubMed.

Reference material

2
  • 1Doluisio JT, et al. Influence of formulation and food on the bioavailability of dicloxacillin. J Pharm Sci. 1969.Needs sourceNo link
  • 2McCarthy CG, Finland M. Absorption and excretion of cloxacillin and dicloxacillin. N Engl J Med. 1960.Needs sourceNo link

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