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 SensitiveInsufficient evidence
What is happening. Divalent mineral cations such as zinc can form complexes with certain antibiotics. While the chelation interaction is far stronger and well established for tetracyclines and fluoroquinolones than for penicillins, separating mineral supplements from antibiotic doses is prudent and avoids any reduction in penicillin absorption.
Mechanism. Divalent metal cations can chelate with antibiotic molecules in the gut lumen to form poorly absorbed complexes; the affinity of penicillins for this interaction is low, so any reduction in absorption is expected to be minor.
Recommendation. Take zinc supplements separated from penicillin V doses by about 2 hours as a general precaution. This interaction is of low concern for penicillins specifically; the precaution is most important if the patient is also taking a tetracycline or fluoroquinolone, where mineral chelation markedly reduces 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 Penicillin V Potassium 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- 1Lomaestro BM, Bailie GR. Absorption interactions with fluoroquinolones. Drug Saf. 1995.Needs sourceNo link
- 2Penicillin V Potassium prescribing information. Pharmacokinetics and administration. Manufacturer label. Current edition.Needs sourceNo link