Drug Interactions With Cholestyramine

Digoxin
Cholestyramine may bind with digoxin in the intestines, preventing the drug from getting completely absorbed into the body. It is recommended that you take digoxin at least one hour before or four to six hours after you take your Cholestyramine to help avoid this.
 
Oral Phosphate Supplements
Cholestyramine may bind with oral phosphate supplements in the intestines and prevent them from getting completely absorbed into the body. You can prevent this by taking oral phosphate supplements at least one hour before or four to six hours after you take your Cholestyramine.
 
Vitamin K Products or Phytonadione
Cholestyramine may bind with vitamin K products in the intestines, which decreases their absorption into the body. Cholestyramine may also prevent dietary sources of vitamin K (spinach, broccoli, etc.) from getting completely absorbed. Even though this interaction has not been fully studied in humans, you may be able to prevent this by taking any kind of vitamin K product at least one hour before or four to six hours after you take your Cholestyramine.
 
Ursodiol
Cholestyramine may bind with ursodiol in the intestines, preventing it from getting completely absorbed into the body. It is recommended that you take ursodiol at least one hour before or four to six hours after you take your Cholestyramine to help prevent this.
 
Ezetimibe
Cholestyramine may bind with ezetimibe in the intestines, which may prevent it from getting completely absorbed into the body. You can prevent this by taking ezetimibe at least two hours before or four hours after you take your Cholestyramine.
 

Drug Interactions With Cholestyramine: A Summary

It is possible that not every potential drug interaction was discussed in this article. Therefore, you should talk with your pharmacist or doctor about any possible drug interactions with Cholestyramine that may apply to you.
 
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Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD
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