NSTK · 01.2026Independent supplement reference
NutriStack
Edition 1.0Updated August 1, 2026

Supplement × Prescription·Evidence index

Calcium and Tenofovir Disoproxil: what the published research says

PubMed indexes 8 records that name Calcium and Tenofovir Disoproxil together, either in the title or in an interaction, co-administration, or pharmacokinetic context. Each one is listed below with its study design and, where the abstract states one, the authors’ own conclusion, quoted and linked. This page reports that literature. It does not tell you whether to combine them.

Read this first

An evidence index, not guidance.

Every statement below is attributed to a named, dated, linked source.

This page lists published research relevant to Calcium and Tenofovir Disoproxil. It deliberately does not state whether the combination is safe, whether it interacts, in which direction, at what dose, or how far apart to take them.

The research

8 studies naming Calcium and Tenofovir Disoproxil.

Strongest relevance first: papers naming both substances in the title, then human trials and systematic reviews.

Vitamin D and Calcium Supplement Attenuate Bone Loss among HIVInfected Patients Receiving Tenofovir Disoproxil Fumarate/Emtricitabine/ Efavirenz: An Open-Label, Randomized Controlled Trial.

Current HIV research · 2020 · PMID 31906840

Randomized Controlled Trial18 participants

“Vitamin D2 and calcium supplements should be considered for HIV-infected patients receiving TDF/FTC/EFV in a resource-limited setting where there are limited ART options (Clinicaltrials. gov NCT0287643).”

Boontanondha et al. · Authors' conclusion

Names both Calcium and Tenofovir Disoproxil in its title.

Vitamin D and calcium prevent bone loss in vitamin D-deficient chronic hepatitis B patients treated with tenofovir disoproxil fumarate: A randomized controlled trial.

Journal of the Formosan Medical Association = Taiwan yi zhi · 2026 · PMID 42025507

“In TDF-treated CHB patients, 48-week vitamin D2 and calcium supplementation did not meet the primary endpoint of PTH change. However, it was associated with a trend toward preserving BMD, particularly in those with baseline vitamin D deficiency.”

Atthakitmongkol et al. · Authors' conclusion

Names both Calcium and Tenofovir Disoproxil in its title.

Tenofovir Disoproxil Fumarate Is Associated with a Set-Point Variation in the Calcium-Parathyroid Hormone-Vitamin D Axis: Results from a German Cohort.

Advances in pharmacological sciences · 2018 · PMID 30687401

“Optimal concentrations for 25-hydroxy vitamin D and calcium might therefore be different in people using TDF than expected from general populations but also people living with HIV with non-TDF-containing antiretroviral therapy. This might require different supplementation strategies but warrants further investigation.”

Noe et al. · From the abstract

Names both Calcium and Tenofovir Disoproxil in its title.

Brief Report: Postpartum Maternal Monitoring for Renal Safety Related to Tenofovir Exposure During Breastfeeding in the PROMISE 1077BF Randomized Trial.

Journal of acquired immune deficiency syndromes (1999) · 2026 · PMID 41474755

Randomized Controlled Trial

“Although participants randomized to TDF-ART had larger decreases in CrCl from entry compared with participants randomized to iNVP, differences attenuated overtime and were not clinically significant. TDF-containing ART had no observed safety concerns for maternal renal function during the postpartum period.”

Baltrusaitis et al. · Authors' conclusion

Names Calcium and Tenofovir Disoproxil together in an interaction, co-administration, or pharmacokinetic context.

Maternal and infant renal safety following tenofovir disoproxil fumarate exposure during pregnancy in a randomized control trial.

BMC infectious diseases · 2022 · PMID 35858874

Randomized Controlled Trial

“Although mean maternal calculated CrCl at Delivery was lower in the TDF-ART arm, the difference between arms is unlikely to be clinically significant. During pregnancy, the TDF-ART regimen had no observed safety concerns for maternal or infant renal function.”

Baltrusaitis et al. · Authors' conclusion

Names Calcium and Tenofovir Disoproxil together in an interaction, co-administration, or pharmacokinetic context.

Limitations

What this evidence cannot tell you.

Search-based evidence indexes have real limits, and it is worth being explicit about them:

NutriStack

Track what you actually take.

NutriStack is a free iPhone app for organising a supplement routine: what you take, when, and what the published record says about it. Its exploratory interaction checker covers Calcium, Tenofovir Disoproxil, and several hundred other substances.

The checker is a research and organisation tool, not a clinical decision aid, and its per-pair assessments are excluded from search until they pass claim-level review.

NutriStack is an informational and organizational tool, not a medical service, and not a substitute for professional advice. Always consult a qualified healthcare professional before starting, stopping, or changing any supplement or medication.