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 SensitiveStrong evidence
What is happening. Calcium taken near oral ibandronate can markedly reduce absorption and treatment efficacy.
Mechanism. Divalent cations chelate bisphosphonates and prevent absorption.
Recommendation. Take calcium later in the day, at least 60 minutes after ibandronate and preferably with a meal.
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 Ibandronate 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
1- 1U.S. National Library of Medicine. Ibandronate Sodium Tablets US Prescribing Information. 2026.Needs sourceNo link