From the databaseWhat the row says.
Every entry follows the same shape: what is happening, the mechanism, and the recommendation.
Scope
Supplement × Prescription
Last verified
June 4, 2026
CautionEmerging evidence
What is happening. Creatine can raise measured serum creatinine and complicate renal assessment for Tenofovir Disoproxil, which depends on kidney function for dosing or toxicity monitoring.
Mechanism. Creatine conversion to creatinine can confound creatinine-based eGFR interpretation; dehydration or kidney disease increases concern.
Recommendation. Tell the prescriber about creatine use and avoid creatine loading during acute illness, kidney injury, or therapy requiring close renal dosing.
Stack Score
How it moves the number.
Effect on the composite score
If both Creatine and Tenofovir Disoproxil are in the same stack, this pair applies −5 to your Stack Score (per scored caution 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- 1DailyMed labeling and renal dosing guidance for the affected drug; creatine renal marker reviews.Needs sourceNo link