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antacids and iron

Antacids significantly reduce iron absorption

What's happening

Iron requires stomach acid for conversion to absorbable Fe2+ form. PPIs and H2 blockers can reduce iron absorption by 65-75%, potentially causing iron deficiency.

Recommendation

Take iron supplements separately from antacids. Consider heme iron sources.

Timing

Take iron 2+ hours before antacids, ideally with vitamin C

Sources

  • Gastroenterology
  • PMID: 17412297

Frequently Asked Questions

Can I take antacids and iron together?

Antacids significantly reduce iron absorption. Take iron supplements separately from antacids. Consider heme iron sources.

How should I time antacids and iron?

Take iron 2+ hours before antacids, ideally with vitamin C

Is this interaction dangerous?

This interaction is rated “Caution” by Formulate. Iron requires stomach acid for conversion to absorbable Fe2+ form. PPIs and H2 blockers can reduce iron absorption by 65-75%, potentially causing iron deficiency.

Want to check your whole stack?

The free checker lets you add any combination of supplements and medications at once. Formulate's desktop app goes further — every stack change surfaces interaction alerts automatically.

Medical disclaimer. This page is for educational purposes only and does not replace advice from a qualified healthcare provider.