Drug Interaction Report

Calcitriol Topical and Magnesium Hydroxide: Interaction Details

AI-assisted, pharmacist-reviewed · Source data updated Aug 8, 2026 · Sources: FDA labeling, DDInter 2.0, cited literature

Magnesium Hydroxide

Almacone® (containing Aluminum Hydroxide, Magnesium Hydroxide, Simethicone) Alumox® (containing Aluminum Hydroxide, Magnesium Hydroxide, Simethicone) ConRX® AR (containing Aluminum Hydroxide, Magnesium Hydroxide) Duo Fusion® (containing Calcium Carbonate, Famotidine, Magnesium Hydroxide) Milk of Magnesia® Mirafast Pedia-Lax Chewable Pedia-Lax®
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Calcitriol Topical

Vectical Vectical®
Dr. Brian Staiger, PharmD, BCPS
Medically reviewed by
Updated Aug 8, 2026
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Interaction severity
Moderate
Can be significant — usually manageable with monitoring.
How we grade severity & evidence

Severity levels

  • Contraindicated: These should generally not be used together.
  • Major: Potentially serious — often needs a change or close monitoring.
  • Moderate: Can be significant — usually manageable with monitoring.
  • Minor: Usually limited clinical impact.

Evidence grades

  • Established: Well documented — supported by controlled studies or strong clinical data.
  • Probable: Good supporting evidence, though not definitively proven.
  • Suspected: Some evidence suggests this interaction, but it is not well established.
  • Possible: Limited or conflicting evidence; the interaction may occur.
  • Theoretical: Predicted from the drugs' pharmacology; not yet confirmed in people.

Ratings come from the documented interaction literature and are reviewed by a pharmacist. They describe the documented risk of the combination, not what will necessarily happen to you — your dose, timing, and health picture all matter.

Of 14 documented Calcitriol Topical interactions, 13 are rated moderate — including this one.
Onset
unspecified
Evidence
theoretical
Severity
Moderate

What happens

Hypermagnesemia

Interaction Deep Dive

The concomitant administration of calcitriol and magnesium-containing antacids may lead to the development of hypermagnesemia1.

Why it happens (mechanism)

Unknown

Common questions

Can I take Calcitriol Topical and Magnesium Hydroxide together?

Hypermagnesemia Always confirm with your pharmacist or prescriber before making any change.

How serious is the Calcitriol Topical and Magnesium Hydroxide interaction?

It is rated moderate. Can be significant — usually manageable with monitoring.

How quickly could this interaction happen?

The documented onset is "unspecified". The timing of this interaction is not well characterized.

How strong is the evidence for this interaction?

The evidence is graded "theoretical". Predicted from the drugs' pharmacology; not yet confirmed in people.

Questions for your pharmacist

  • Does my dose of Calcitriol Topical or Magnesium Hydroxide need adjusting while I take them together?
  • What symptoms should prompt me to call you or my prescriber right away?
  • Does the timing of my doses matter for this combination?
  • Is there anything you'd monitor while I'm on both?

References (1)

  1. Product Information: Calcijex(R), calcitriol injection. Abbott Laboratories, North Chicago, IL, 2001. DailyMed
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This information is for education, not a substitute for professional medical advice. Do not start, stop, or change any medication without talking to your pharmacist or prescriber.