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 SensitiveEmerging evidence
What is happening. Zinc supplements supply divalent zinc cations that can chelate cefdinir in the gastrointestinal tract by the same mechanism that drives the iron and magnesium interactions, potentially reducing antibiotic absorption when taken together.
Mechanism. Divalent zinc cations complex with the cephalosporin in the gut, forming a less absorbable species and reducing cefdinir bioavailability.
Recommendation. Separate zinc supplements from cefdinir by at least 2 hours to avoid diminished antibiotic absorption.
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 Cefdinir and Zinc 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- 1Lomaestro BM, Bailie GR. Absorption interactions with antibiotics: chelation by divalent and trivalent cations. Drug Safety. 1995.Needs sourceNo link