Supplement × Prescription·timing-sensitive·Emerging evidence

Cefpodoxime + Zinc

Timing Sensitive Emerging evidence

Oral zinc supplements may reduce cefpodoxime absorption through formation of poorly absorbed metal-drug complexes in the gut. As with other divalent cations, co-ingestion can lower the antibiotic's bioavailability and risk subtherapeutic levels.

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What the row says.

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Substances
Pair type
Timing Sensitive
Evidence
Emerging
Source citations
2
Scope
Supplement × Prescription
Last verified
June 4, 2026
Timing SensitiveEmerging evidence

What is happening. Oral zinc supplements may reduce cefpodoxime absorption through formation of poorly absorbed metal-drug complexes in the gut. As with other divalent cations, co-ingestion can lower the antibiotic's bioavailability and risk subtherapeutic levels.

Mechanism. Divalent zinc cations can chelate beta-lactam antibiotics in the gastrointestinal lumen, forming insoluble complexes that reduce the absorbable drug fraction and lower systemic exposure.

Recommendation. Separate doses by at least 2 hours. Take cefpodoxime first, then zinc later. This is most relevant for higher-dose zinc supplements taken during a cold or for immune support while on the antibiotic.

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 Cefpodoxime 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.

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 and other drugs by metal-containing preparations. Drugs. 1976.Needs sourceNo link
  • 2Campbell NR, Hasinoff BB. Iron supplements: a common cause of drug interactions. Br J Clin Pharmacol. 1991.Needs sourceNo link

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