Drug & supplement interaction

Whey Protein + Retapamulin

Retapamulin brand names: Altabax, Altargo.

Moderate Interaction
The bottom line Moderate

Retapamulin falls into 2 drug categories that Whey Protein can interact with; the most serious is rated moderate. Theoretically, whey protein might decrease quinolone absorption.

Read the full interaction report
SeverityModerate
LikelihoodProbable
Interactions2
EvidenceD
What do Severity, Likelihood & Evidence mean?
Know someone taking this? Share
Interaction report

Whey Protein and Retapamulin

These two interact in 2 distinct ways. Each one is explained separately below.

Why Are There 2 Interactions?

Whey Protein interacts with whole categories of medication. Retapamulin falls into 2 of those categories, so it can interact with Whey Protein in 2 different ways. We’ve listed each one below — your overall risk is driven by the most serious of them (Moderate).

Moderate

QUINOLONE ANTIBIOTICS

1 of 2

Why this applies to Retapamulin

Retapamulin falls under QUINOLONE ANTIBIOTICS — the group Whey Protein interacts with.

Theoretically, whey protein might decrease quinolone absorption.
Whey protein contains minerals, such as calcium, that can bind to quinolones in the gut. To avoid this interaction, advise patients to take oral quinolones at least 2 hours before or 4-6 hours after whey protein.
Severity Moderate Likelihood Probable Evidence D

Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports..

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's some good news that should put your mind at ease. The interaction on file is about whey protein possibly binding to oral quinolone antibiotics in the gut and lowering how much gets absorbed. But Retapamulin (Altabax) isn't actually a quinolone, and more importantly, it's a topical ointment you rub onto the skin for impetigo. It isn't swallowed, so there's no real chance for whey protein in your stomach to interfere with it.

Because this drug works right at the surface of your skin and doesn't rely on gut absorption, your protein shake won't weaken its effect or change how well it clears up the infection. Feel free to enjoy your whey as usual, but if you have any doubts, your pharmacist is always happy to double-check.

References
  1. Martindale W. Martindale the Extra Pharmacopoeia. Pharmaceutical Press, 1999.
  2. Pletz MW, Petzold P, Allen A, et al. Effect of calcium carbonate on bioavailability of orally administered gemifloxacin. Antimicrob Agents Chemother 2003;47:2158-60.. PubMed
Moderate

TETRACYCLINE ANTIBIOTICS

2 of 2

Retapamulin also falls under TETRACYCLINE ANTIBIOTICS.

Theoretically, whey protein might decrease tetracycline absorption.
Whey protein contains minerals, such as calcium, that bind to tetracyclines in the gut. To avoid this interaction, advise patients to take oral tetracyclines at least 2 hours before or 4-6 hours after whey protein.
Severity Moderate Likelihood Probable Evidence D

Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports..

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's some good news for you. The interaction we have on file is really about oral tetracycline antibiotics, where the calcium in whey protein can bind up the drug in your gut and keep your body from absorbing it. But Retapamulin (Altabax) is different. It's an ointment you rub directly onto the skin to treat impetigo, so it isn't traveling through your stomach where that binding could happen.

Because of that, drinking a whey protein shake shouldn't affect how well your Retapamulin works on a skin infection. This whole concern is theoretical and based on how minerals interact with swallowed antibiotics, not skin creams. If you ever switch to an oral antibiotic, that's worth revisiting with your pharmacist, but for the topical ointment, you can use both with confidence.

References
  1. Martindale W. Martindale the Extra Pharmacopoeia. Pharmaceutical Press, 1999.
  2. Maton PN, Burton ME. Antacids revisited: a review of their clinical pharmacology and recommended therapeutic use. Drugs 1999;57:855-70.

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Whey Protein Also Interacts With Other Medications

Whey Protein has 5 major, 47 moderate known drug interactions in our database — the Retapamulin one above is among them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Whey Protein

Covers the 2,830 medications we’ve checked against Whey Protein. Pick one to open its full report.

From our Q&A

Questions About Whey Protein or Retapamulin

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Whey Protein or Retapamulin, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Retapamulin

This page covers Whey Protein only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Retapamulin page lists 81 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Oleander (major), Para-aminobenzoic Acid (paba) (major), Acerola (moderate), Alpha-lipoic Acid (moderate) and Bacillus Coagulans (moderate).

By severity: 2 major · 71 moderate · 8 minor.

Open the Retapamulin interaction page

One more smart check

Taking Whey Protein as Part of a Dietary Supplement Product? Check It for Interactions

We hold 1,276 real supplement products containing Whey Protein, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Whey Protein. Your product may carry other ingredients that interact with Retapamulin too, on top of Whey Protein — and those would not show on this page. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Whey Protein and Retapamulin Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Whey Protein
Top 10%

#123 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Retapamulin
Steady interest

#1,967 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Supplement

About Whey Protein

What is Whey Protein?

Whey Protein
  • Muscle building and recovery
  • Increasing daily protein intake
  • Weight management
  • Sports nutrition
  • Meal replacement

Whey protein is a high-quality, complete protein made from cow's milk that can help people meet protein needs and support muscle growth when combined with exercise. It is generally safe for most healthy adults, but people with milk allergies should avoid it, and those with kidney disease or who are lactose intolerant should use caution.

Read the full Whey Protein monograph & all interactions
Medication

About Retapamulin

What Is Retapamulin Used For?

Brand names: Altabax, Altargo

  • Retapamulin is used to treat impetigo (a skin infection caused by bacteria) in children and adults. Retapamulin is in a class of medications called antibacterials. It works by killing and stopping the growth of bacteria on the skin.

See full Retapamulin drug information
Keep checking

Other Drugs & Whey Protein

Browse every other medication we’ve checked against Whey Protein — both the ones with a known interaction and the ones without. Select any drug for the full detail.

5Major
47Moderate
0Minor
2,777No known interaction
Major

5 interactions

Moderate

47 interactions

No interaction 2,777 drugs checked — show the list
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

Keep exploring
Pharmacist Counseling Corner

Taking Whey Protein and Retapamulin Together: Common Questions

Can you take Whey Protein with Retapamulin?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
Why are there 2 interactions listed for Whey Protein and Retapamulin?
Retapamulin belongs to more than one drug category, and Whey Protein interacts with each of those categories a little differently. We list every one so nothing is missed — your overall risk is driven by the most serious of them.
How serious is the Whey Protein and Retapamulin interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Retapamulin and Whey Protein?

Our pharmacists answer your medication & supplement questions — free.

Ask a pharmacist

This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.