Supplement × Prescription·a caution·Moderate evidence

Rifampin + Vitamin D3

Caution Moderate evidence

Rifampin can accelerate vitamin D catabolism during prolonged therapy and may contribute to low vitamin D or bone risk.

From the database

What the row says.

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

Substances
Pair type
Caution
Evidence
Moderate
Source citations
1
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.

Sources

Sources, 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

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