Supplement × Prescription·timing-sensitive·Insufficient evidence

Calcium + Penicillin V Potassium

Timing Sensitive Insufficient evidence

Calcium is a divalent cation that can theoretically bind some oral antibiotics in the gut. For penicillin V the effect on absorption is minimal, but spacing calcium supplements from antibiotic doses is a reasonable general practice and prevents confusion with antibiotics where the interaction is significant.

From the database

What the row says.

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

Pair type
Timing Sensitive
Evidence
Insufficient
Source citations
2
Scope
Supplement × Prescription
Last verified
June 4, 2026
Timing SensitiveInsufficient evidence

What is happening. Calcium is a divalent cation that can theoretically bind some oral antibiotics in the gut. For penicillin V the effect on absorption is minimal, but spacing calcium supplements from antibiotic doses is a reasonable general practice and prevents confusion with antibiotics where the interaction is significant.

Mechanism. Divalent calcium can form chelation complexes with susceptible antibiotic molecules, reducing their luminal absorption; penicillins have low affinity for this interaction so any absorption reduction is expected to be clinically insignificant.

Recommendation. Separate calcium supplements and calcium-rich antacids from penicillin V doses by about 2 hours as a low-priority precaution. Penicillin V absorption is best on an empty stomach. The strong calcium-chelation interaction applies to tetracyclines and fluoroquinolones, not to penicillins.

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 Penicillin V Potassium 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
  • 1Neuvonen PJ. Interactions with the absorption of tetracyclines. Drugs. 1976.Needs sourceNo link
  • 2Penicillin V Potassium prescribing information. Administration with food and minerals. Manufacturer label. Current edition.Needs sourceNo link

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