Supplement × Prescription·a synergy·Moderate evidence

Pioglitazone + Vitamin D3

Synergy Moderate evidence

Pioglitazone increases fracture risk; correcting vitamin D deficiency is relevant to bone-health risk reduction.

From the database

What the row says.

Every entry follows the same shape: what is happening, the mechanism, and the recommendation.

Substances
Pair type
Synergy
Evidence
Moderate
Source citations
1
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.

Sources

Sources, 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

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