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
SynergyModerate evidence
What is happening. Pioglitazone increases fracture risk; correcting vitamin D deficiency is relevant to bone-health risk reduction.
Mechanism. Bone-risk mitigation rather than a direct drug-level interaction.
Recommendation. Check 25-hydroxyvitamin D and address bone health in high-risk patients.
Stack Score
How it moves the number.
Effect on the composite score
If both Pioglitazone and Vitamin D3 are in the same stack, this pair applies +2 to your Stack Score (per scored synergy 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. Pioglitazone US prescribing information. 2026.Needs sourceNo link