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. 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.
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 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.
SourcesSources, 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