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. Oral zinc can form poorly absorbed complexes with beta-lactam antibiotics. Although best characterized for the antipseudomonal penicillins and for cephalosporins, divalent cations such as zinc may reduce the oral absorption and peak serum concentrations of penicillins when taken together, potentially lowering antibiotic efficacy.
Mechanism. Divalent metal cation (zinc) chelation/complexation with the beta-lactam in the gut lumen reduces the fraction of antibiotic available for intestinal absorption.
Recommendation. Separate zinc supplements from dicloxacillin by at least 2 to 3 hours. Take dicloxacillin on an empty stomach (1 hour before or 2 hours after food and mineral supplements) as directed, since food and minerals both reduce its 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 Dicloxacillin 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
2- 1Penttila O, et al. Effect of zinc sulphate on the absorption of tetracycline and doxycycline in man. Eur J Clin Pharmacol. 1975.Needs sourceNo link
- 2Neuvonen PJ. Interactions with the absorption of tetracyclines. Drugs. 1976.Needs sourceNo link