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vitamin d3

Vitamin

Vitamin
CDSCO approved
EXCRETION
not curated
INTERACTIONS
none in our sources
PREGNANCY
not curated

Mechanism

Vitamin D deficiency is a cofactor of chemotherapy-induced mucocutaneous toxicity and dysgeusia.

Indications

Patients with smell and taste complaints during or following chemotherapy (especially for chemotherapy-induced mucocutaneous toxicity and dysgeusia where vitamin D deficiency is a cofactor)

Dosing

Adult
1000–2000 units per day

Drug interactions

Barbiturates (e.g., Phenobarbital)
Moderate
Database

Reduced serum 25(OH)D levels, leading to vitamin D deficiency, hypocalcemia, and osteomalacia/rickets with long-term use.

Monitor serum 25(OH)D and calcium levels. Higher doses of vitamin D3 supplementation may be required.

Carbamazepine
Moderate
Database

Reduced serum 25(OH)D levels, leading to vitamin D deficiency, hypocalcemia, and osteomalacia/rickets with long-term use.

Monitor serum 25(OH)D and calcium levels. Higher doses of vitamin D3 supplementation may be required. Consider active vitamin D metabolites in severe cases.

Cholestyramine
Moderate
Database

Reduced absorption of vitamin D3, leading to vitamin D deficiency.

Administer vitamin D3 at least 1 hour before or 4-6 hours after cholestyramine to minimize interaction. Monitor serum 25(OH)D levels and adjust vitamin D3 dose as needed.

Corticosteroids (e.g., Prednisone, Dexamethasone)
Moderate
Database

Reduced calcium absorption, increased calcium loss, and potential for vitamin D deficiency, leading to bone loss and osteoporosis.

Monitor serum 25(OH)D and calcium levels. Supplementation with vitamin D3 and calcium is often recommended in patients on long-term corticosteroid therapy. Higher doses of vitamin D3 may be needed.

Digoxin
Moderate
Database

Increased risk of digoxin toxicity (e.g., arrhythmias, nausea, vomiting) due to hypercalcemia.

Avoid excessive vitamin D3 supplementation in patients on digoxin. Monitor serum calcium and digoxin levels closely. If hypercalcemia occurs, discontinue vitamin D3 and manage hypercalcemia promptly.

Ketoconazole
Moderate
Database

Reduced conversion of 25(OH)D to active calcitriol, potentially leading to reduced efficacy of vitamin D3 supplementation.

Monitor serum 25(OH)D and calcium levels. Higher doses of vitamin D3 or consideration of active vitamin D metabolites may be necessary.

Orlistat
Moderate
Database

Reduced absorption of vitamin D3, leading to vitamin D deficiency.

Administer vitamin D3 at a different time than orlistat (e.g., at bedtime) or consider supplementing with a water-miscible form of vitamin D. Monitor serum 25(OH)D levels and adjust vitamin D3 dose as needed.

Phenytoin
Moderate
Database

Reduced serum 25(OH)D levels, leading to vitamin D deficiency, hypocalcemia, and osteomalacia/rickets with long-term use.

Monitor serum 25(OH)D and calcium levels. Higher doses of vitamin D3 supplementation may be required. Consider active vitamin D metabolites (e.g., calcitriol) in severe cases or if standard vitamin D3 is ineffective.

Rifampicin
Moderate
Database

Reduced serum 25(OH)D levels, leading to vitamin D deficiency and potential for bone demineralization.

Monitor serum 25(OH)D and calcium levels. Higher doses of vitamin D3 supplementation may be required during and after rifampicin therapy.

Thiazide Diuretics (e.g., Hydrochlorothiazide)
Moderate
Database

Increased risk of hypercalcemia, especially in susceptible individuals or with high doses of vitamin D3.

Monitor serum calcium levels, especially at the initiation of therapy or with dose adjustments of either drug. Adjust vitamin D3 dose downwards if hypercalcemia develops.

Mineral Oil
Mild
Database

Reduced absorption of vitamin D3, potentially leading to vitamin D deficiency with chronic use.

Advise patients to take vitamin D3 at a different time than mineral oil (e.g., several hours apart). Monitor serum 25(OH)D levels with long-term concomitant use.

Related guidelines

Other Unclassified drugs

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Sources: Harrison 22e·Verified: 2026-05-10 · House clinical team