Iron Bisglycinate and Levofloxacin, timing-sensitive.
Iron bisglycinate, despite being a chelated and gentler form, still releases iron available for fluoroquinolone chelation in the gut. Co-administration with levofloxacin reduces antibiotic absorption and can cause treatment failure.
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At a glance
- Substances
- Iron Bisglycinate and Levofloxacin
- Pair type
- Timing Sensitive
- Evidence (highest tier)
- Strong
- Source citations
- 2 sources
- Stack Score effect
- −5 to your Stack Score (per scored timing-sensitive row).
- Scope
- Supplement × Prescription
- Last verified
- May 30, 2026
Timing Sensitive · Strong evidence
Timing Sensitive
What is happening. Iron bisglycinate, despite being a chelated and gentler form, still releases iron available for fluoroquinolone chelation in the gut. Co-administration with levofloxacin reduces antibiotic absorption and can cause treatment failure.
Mechanism. Iron from bisglycinate chelates the 3-carboxyl and 4-oxo groups on levofloxacin, forming nonabsorbable complexes in the intestinal lumen.
Recommendation. Take levofloxacin at least 2 hours before or 2 hours after iron bisglycinate. Do not take in the same dose.
Minimum separation. 120
Sources (2)
- Fish DN, Chow AT. The clinical pharmacokinetics of levofloxacin. Clin Pharmacokinet. 1997;32(2):101-19. PMID 9068926
- Wiesner A, Zagrodzki P, Gawalska A, Paśko P. Together or Apart? Revealing the Impact of Dietary Interventions on Bioavailability of Quinolones: A Systematic Review with Meta-analyses. Clin Pharmacokinet. 2024;63(6):773-818. PMID 38807006
Stack Score
How this pair moves the number.
Effect on the composite score
If both Iron Bisglycinate and Levofloxacin 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 documented at /methodology/stack-score.
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