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
CautionModerate evidence
What is happening. Rifampin can accelerate vitamin D catabolism during prolonged therapy and may contribute to low vitamin D or bone risk.
Mechanism. Rifampin induces hepatic enzymes involved in vitamin D metabolism.
Recommendation. Monitor 25-hydroxyvitamin D in prolonged therapy or high-risk patients; supplement based on labs rather than guessing.
Stack Score
How it moves the number.
Effect on the composite score
If both Rifampin and Vitamin D3 are in the same stack, this pair applies −5 to your Stack Score (per scored caution 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. Rifampin US prescribing information. 2026.Needs sourceNo link