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Is Calcium supplement Safe with Iron supplement?

⚠️ HIGH SEVERITY
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Free · No account · based on published sources including NIH ODS, FDA drug labels, and peer-reviewed literature

WHAT YOU NEED TO KNOW

Take iron and calcium supplements at least 2 hours apart. Take iron on an empty stomach or with vitamin C to enhance absorption. Do not take them simultaneously.

Why this interaction occurs

Calcium directly inhibits both heme and non-heme iron absorption in the duodenum by competing for shared divalent metal transporter-1 (DMT-1) pathways. Even a single dose of 300–600 mg calcium can reduce iron absorption by 30–50%.

Evidence

Evidence level: strong.

Reported safety data

The FDA’s adverse event reporting system (FAERS) has received 136,322 reports mentioning Iron supplement. This reflects reported cases involving the medication in general — not confirmed causation, and not specific to the Iron supplement + supplement combination on this page.

FAERS reports are voluntary and cannot prove that a drug caused an event. Do not use report counts to assess the safety of this specific drug-supplement pair.

Frequently asked questions

Can I take Calcium supplement with Iron supplement?
Avoid unless your doctor or pharmacist directs otherwise. Take iron and calcium supplements at least 2 hours apart. Take iron on an empty stomach or with vitamin C to enhance absorption. Do not take them simultaneously.
How long should I wait between Iron supplement and Calcium supplement?
Take iron and calcium supplements at least 2 hours apart. Take iron on an empty stomach or with vitamin C to enhance absorption. Do not take them simultaneously.
Does Calcium supplement affect how well Iron supplement works?
Calcium directly inhibits both heme and non-heme iron absorption in the duodenum by competing for shared divalent metal transporter-1 (DMT-1) pathways. Even a single dose of 300–600 mg calcium can reduce iron absorption by 30–50%.

Related interactions

All Calcium supplement interactions →  ·  All Iron supplement interactions →

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Educational only — not medical advice.
Always confirm with your doctor or pharmacist.