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It is important to be aware of potential interactions and precautions when using this medication, especially when taken with other substances. Here are key considerations to ensure your safety:

• Drug Interactions: Certain medications may interact with this drug, including digoxin and phosphate binders. Calcium can also reduce the absorption of specific drugs like tetracycline antibiotics (e.g., doxycycline, minocycline), bisphosphonates (e.g., alendronate), estramustine, levothyroxine, and quinolone antibiotics (e.g., ciprofloxacin, levofloxacin).

• Absorption Concerns: Some medicines can decrease the absorption of vitamin D, including bile acid sequestrants (such as cholestyramine and colestipol), mineral oil, and orlistat. It is advisable to space out the administration of these medications and your calcium/vitamin D doses. Consult your doctor or pharmacist for advice on timing your doses to minimize interactions.

• Product Labels: Examine the labels of all your prescription, non-prescription, and herbal products (like antacids, laxatives, vitamins) as they might contain calcium, phosphate, or vitamin D. Discuss with your pharmacist whether these products are safe for use alongside your current medication.

• Avoid Similar Products: Vitamin D is quite similar to calcitriol. Do not use any products containing calcitriol while you are taking vitamin D.

• Lab Test Interference: This medication may interfere with certain laboratory tests, including cholesterol tests, potentially leading to inaccurate results. Ensure that lab personnel and all your healthcare providers are informed that you are using this product.

By following these guidelines, you can help prevent potential complications and ensure that your treatment is as effective and safe as possible.

Some medications that can interact with this drug include Digoxin and phosphate binders. Calcium can reduce the absorption of certain drugs, such as tetracycline antibiotics (e.g., doxycycline, Minocycline), bisphosphonates (e.g., Alendronate), estramustine, Levothyroxine, and quinolone antibiotics (e.g., Ciprofloxacin, Levofloxacin). Additionally, some medications can lower the absorption of Vitamin D, including bile acid sequestrants like Cholestyramine and Colestipol, as well as Mineral Oil and Orlistat. To minimize these interactions, space out the doses of these medications from your calcium/vitamin D doses. Consult your doctor or pharmacist to determine the appropriate interval between doses and create a compatible dosing schedule for all your medications.

Be sure to check the labels on all your prescription, non-prescription, and herbal products, such as antacids, laxatives, and vitamins, as they may contain calcium, phosphate, or vitamin D. Consult your pharmacist about using these products safely. Avoid using medications that contain Calcitriol while taking vitamin D, as they are very similar.

This product might affect certain laboratory tests, like cholesterol tests, potentially leading to inaccurate results. Inform lab personnel and all your healthcare providers that you are using this product.