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Can you take Ferric maltol with Lipram?

1 drug interaction and 5 additional warnings found for the following 2 drugs:

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Drug interactions

Moderate drug interactions

Moderate:

pancrelipase ferric maltol

Applies to: Lipram (pancrelipase) and ferric maltol

Pancrelipase may reduce the effectiveness of folic acid and iron by interfering with their absorption.

To prevent or minimize the interaction, you should separate the dosing times of pancrelipase and any product containing folic acid or iron by as much as possible.

It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Food/lifestyle interactions

Moderate food/lifestyle interactions

Moderate:

ferric maltol Food/Lifestyle

Applies to: ferric maltol

Food may reduce the absorption and blood levels of ferric maltol. In addition, some oral medications can also interfere with ferric maltol absorption into the bloodstream, which may make the medication less effective in treating your condition. Likewise, ferric maltol may interfere with the absorption of other orally administered medications.

You should take ferric maltol on an empty stomach at least one hour before or two hours after a meal.

Your doctor may be able to prescribe alternatives that do not interact, or you may need a dose adjustment or more frequent monitoring to safely use both medications.

Talk to your doctor or pharmacist if you have questions about how to take this or other medications you are prescribed. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Moderate:

pancrelipase multivitamins with minerals

Applies to: Lipram (pancrelipase)

Pancrelipase may reduce the effectiveness of folic acid and iron by interfering with their absorption.

To prevent or minimize the interaction, you should separate the dosing times of pancrelipase and any product containing folic acid or iron by as much as possible.

It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Disease interactions

3 potential interactions Applies to: 3 conditions, including Gout, Inflammatory Bowel Disease, and Renal Dysfunction.

Gout

Moderate:

Lipram

The pancrelipase in Lipram has a moderate potential interaction with Gout.

Porcine-derived pancreatic enzyme products contain purines that may increase blood uric acid levels. Extremely high dosages of exogenous pancreatic enzymes have also been associated with hyperuricosuria and hyperuricemia. Therapy with pancrelipase should be administered cautiously in patients with preexisting hyperuricemia, gout, or renal impairment. Monitoring of serum uric acid levels is recommended.

Inflammatory Bowel Disease

Moderate:

ferric maltol

Ferric maltol has a moderate potential interaction with Inflammatory Bowel Disease.

Iron can be irritating and damaging to gastrointestinal mucosa. Iron therapy should be avoided during an active flare of inflammatory bowel disease.

Renal Dysfunction

Moderate:

Lipram

The pancrelipase in Lipram has a moderate potential interaction with Renal Dysfunction.

Porcine-derived pancreatic enzyme products contain purines that may increase blood uric acid levels. Extremely high dosages of exogenous pancreatic enzymes have also been associated with hyperuricosuria and hyperuricemia. Therapy with pancrelipase should be administered cautiously in patients with preexisting hyperuricemia, gout, or renal impairment. Monitoring of serum uric acid levels is recommended.

More resources

ferric maltol

A total of 89 drugs are known to interact with ferric maltol.

Lipram

A total of 26 drugs are known to interact with Lipram.

Drug Interaction Classification

These classifications are only a guideline. The relevance of a particular drug interaction to a specific individual is difficult to determine. Always consult your healthcare provider before starting or stopping any medication.
Major Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit.
Moderate Moderately clinically significant. Usually avoid combinations; use it only under special circumstances.
Minor Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan.
Unknown No interaction information available.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.