Kids Cubes Soft + Yummy Vanilla Melts Ingredients & Drug Interactions
by up4
What is this page for?
First and foremost: checking Kids Cubes Soft + Yummy Vanilla Melts against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.
Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy
Kids Cubes Soft + Yummy Vanilla Melts is a dietary supplement by up4 with 3 active ingredients. Its ingredients are commonly taken for bone health and osteoporosis, correcting vitamin d deficiency, immune system support.Based on those ingredients, 879 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Vitamin D2, Lactobacillus acidophilus DDS-1. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Kids Cubes Soft + Yummy Vanilla Melts by up4
Ask about any prescription or over-the-counter medication and we check it for interactions with Kids Cubes Soft + Yummy Vanilla Melts by up4 — and tell you which ingredient is responsible.
AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
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HelloPharmacist Scorecard of Kids Cubes Soft + Yummy Vanilla Melts by up4
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Low disclosure
Kids Cubes Soft + Yummy Vanilla Melts contains 3 active ingredients: vitamin D2 (which your body uses to absorb calcium and support bone health), Lactobacillus acidophilus DDS-1 (a beneficial bacteria that supports digestive and immune function), and a proprietary probiotic blend (additional beneficial microorganisms). The product also contains inactive ingredients — maltitol, palm oil, fructooligosaccharide, skim milk powder, natural vanilla flavor, sunflower lecithin, and tocopherol ascorbyl palmitate — which give the cubes their texture and taste.
Does it work?
Moderate evidence
Vitamin D2 is effective for treating rickets, familial hypophosphatemia (a genetic condition affecting phosphate levels), hypoparathyroidism (underactive parathyroid glands), osteomalacia (soft bones from vitamin D deficiency), and renal osteodystrophy (bone disease from kidney disease). The Lactobacillus acidophilus is possibly effective for irritable bowel syndrome (IBS), antibiotic-associated diarrhea, bacterial vaginosis, and for supporting immunity against Helicobacter pylori bacteria.
For other uses, evidence in our data is either limited or not established.
How safe is it?
Well-documented data
Vitamin D2 is generally well tolerated at recommended doses, but very high doses over a long time can cause toxicity with symptoms like high blood calcium, kidney problems, and anemia. In children, excessive vitamin D can slow growth.
Lactobacillus acidophilus is generally well tolerated in healthy children. Rarely, the live organisms in probiotic products have caused serious infections in people with very weakened immune systems.
Taking the probiotic with other probiotics may occasionally cause mild digestive discomfort like bloating, gas, or stomach pain. There is not enough data on file for Bifidobacterium lactis UABla-12 to comment on its safety.
Meds to double-check
Moderate interaction found
Before giving this product, check whether your child takes thiazide diuretics (water pills), heart rhythm drugs like verapamil, diltiazem, or digoxin, atorvastatin (cholesterol medicine), or antibiotics. Worst severity first: the thiazide diuretics, heart medications, and atorvastatin carry moderate interaction concerns with the vitamin D2; antibiotics may reduce the probiotic's effectiveness.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
This product is designed to support kids' bone health and digestion. If your child takes any heart medications, blood pressure pills, cholesterol drugs, or antibiotics, check their specific medications with our tool below before starting.
Talk with your pediatrician or pharmacist — especially if your child has kidney problems, immune issues, or takes multiple medications.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 3 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Mar 25, 2021.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about Kids Cubes Soft + Yummy Vanilla Melts, straight from the product label.
| Brand | up4 |
|---|---|
| Barcode (UPC) | 725334014157 |
| Net contents | 60 Soft Melt(s) |
| Market status | On market |
| Date entered into DSLD | Mar 25, 2021 |
| DSLD ID | 243445 |
| Product type | Other Combinations |
| Supplement form | Other (e.g. Tea Bag) |
| Dietary claims / uses | Nutrient, All Other, Structure/Function |
| Intended target group(s) | Children 4 or More Years of Age, Kosher, Halal, Gluten Free, Sugar Free, Children more than 1 but less than 4 |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Kids Cubes Soft + Yummy Vanilla Melts by up4, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Calories | 15 Calorie(s) | -- |
| Total Carbohydrates | 2 Gram(s) | 1%, 1% |
| Saturated Fat | 1 Gram(s) | 7%, 3% |
| Total Fat | 1 Gram(s) | 2%, 1% |
| Vitamin D2 | 20 mcg | 133%, 100% |
| Added Sugars | 0 Gram(s) | -- |
| Total Sugars | 0 Gram(s) | -- |
| Sugar Alcohol | 1 Gram(s) | -- |
| Bifidobacterium lactis UABla-12 | 0 NP | -- |
| A Proprietary Probiotic Blend | 18.5 mg | -- |
| Lactobacillus acidophilus DDS-1 | 0 NP | -- |
Other ingredients: Maltitol, Palm Oil, Fructooligosaccharide, Skim Milk powder, natural Vanilla flavor, Sunflower Lecithin, Tocopherol Ascorbyl Palmitate
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Precautions
Contains: milk & soy
Keep out of reach of children. Not intended for children under 3 years of age due to risk of choking.
Inform a healthcare professional before starting any dietary supplement, particularly if there is a known immune-compromised condition. Tamper Evident: Product is sealed within blisters in a foil pack. Do not use if any part of the blister is torn, open or damaged.
For questions, concerns or to report an adverse event, please call: 1-800-722-3476
Formulation
Made in Israel.
Preservative free Gluten free Sugar free
Probiotics Digestive + immune support
Sugar free
Seals/Symbols
Crescent M (Halal)
Suggested/Recommended/Usage/Directions
Directions for use and storage: Chew 1 soft melt daily.
Storage
Refrigerate for best use. Store in a cool, dry place away from direct sunlight.
Formula
Age: Ages 3+
Certified sustainable palm oil with respect to deforestation and fair labor practices.
Kosher Certified
Vitamin D for bone support
1 billion CFUs guaranteed
Prioritize your kids' health every day with up4 Kids Cubes. This multi-strain formula contains superstrain Lactobacillus acidophilus DDS-1, and Bifidobacterium lactis UABla-12, which supports digestive comfort and a healthy immune system. These creamy, chewable soft melt cubes are the delicious way to help support your kids' overall wellness.
FDA Disclaimer Statement
This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
Brand IP Statement(s)
up4, Kids Cubes and what are you up4 are trademarks of DSM. DDS and UABla-12 are trademarks of UAS Laboratories LLC and used under license.
General Statements
Made with simple goodness
Not a reduced calorie food
FDA Statement of Identity
Probiotic Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Kids Cubes Soft + Yummy Vanilla Melts by up4 label
The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.
Label images are published by the NIH Dietary Supplement Label Database for the version of this product on file. Always read your actual product label.
View the full label (PDF)The Ingredients in Kids Cubes Soft + Yummy Vanilla Melts by up4
These are the 3 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Soft Melt(s) Dosage formOther (e.g. Tea Bag) Servings per container60 Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Vitamin D2
Interacts with715 drugs
Vitamin D is a fat-soluble vitamin that helps your body absorb calcium and is important for healthy bones, muscles, and immune function. Many people,...
Vitamin D2 monograph & interactionsA Proprietary Probiotic Blend
- › Bifidobacterium lactis UABla-12
- › Lactobacillus acidophilus DDS-1
Other (inactive) ingredients: Maltitol, Palm Oil, Fructooligosaccharide, Skim Milk powder, Natural Vanilla flavor, Sunflower Lecithin, Tocopherol Ascorbyl Palmitate. These complete the product’s ingredient list but are not active constituents.
Kids Cubes Soft + Yummy Vanilla Melts by up4 Drug Interactions
HelloPharmacist Interaction Report
Kids Cubes Soft + Yummy Vanilla Melts by up4 contains vitamin D2, which does interact with several medication types.
The most serious concern is with thiazide diuretics (water pills used for high blood pressure) — vitamin D can theoretically increase the risk of high calcium levels (hypercalcemia) in the blood when combined with these drugs.
Read the full breakdown — every affected drug type, severity by severity
Vitamin D2 also has moderate interactions with heart rhythm medications like verapamil, diltiazem, and digoxin; the calcium-raising effect of vitamin D can interfere with how these drugs work. It may reduce how well atorvastatin (a cholesterol medication) is absorbed, and it theoretically increases the risk of high blood calcium when combined with calcipotriene, a topical psoriasis treatment.
There's also a minor concern that vitamin D might affect how your body processes certain other medications broken down by the liver.
The product also contains Lactobacillus acidophilus, a probiotic. Taking it at the same time as antibiotics may reduce how well the probiotic works, since antibiotics can kill the live organisms.
We could not check Bifidobacterium lactis UABla-12 for interactions.
Although the product is designed for kids, the interaction risks above apply if a child were taking any of these medications. Altogether, these interactions span 869 individual medications.
Use the medication checker below to search your child's exact drugs before starting this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Kids Cubes Soft + Yummy Vanilla Melts?
Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.
Go to the checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in Kids Cubes Soft + Yummy Vanilla Melts interact with 879 drugs. Click any drug to see the details.
2 of the 3 ingredients in Kids Cubes Soft + Yummy Vanilla Melts interact with drugs. Each result below shows which ingredient is responsible. Vitamin D2 Lactobacillus acidophilus DDS-1
Alginic Acid, Aluminum HydroxideRafton
How Alginic Acid, Aluminum Hydroxide interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Vitamin D2Aluminum Moderate
Interaction Summary
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
Read the full Vitamin D2 + Alginic Acid, Aluminum Hydroxide interactionAluminum Acetate, Benzethonium ChlorideBuro-Sol Otic Solution
How Aluminum Acetate, Benzethonium Chloride interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Vitamin D2Aluminum Moderate
Interaction Summary
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
Read the full Vitamin D2 + Aluminum Acetate, Benzethonium Chloride interactionAluminum ChlorideAluminum Chloride, Anhydrol Forte, Driclor, Drysol
How Aluminum Chloride interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Vitamin D2Aluminum Moderate
Interaction Summary
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
Read the full Vitamin D2 + Aluminum Chloride interactionAluminum HydroxideAlu-Cap, Amphojel, Gaviscon
How Aluminum Hydroxide interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Vitamin D2Aluminum Moderate
Interaction Summary
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
Read the full Vitamin D2 + Aluminum Hydroxide interactionAluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2
How Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Vitamin D2Aluminum Moderate
Interaction Summary
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
Read the full Vitamin D2 + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionAluminum Hydroxide, Aspirin, Magnesium HydroxideAscriptin
How Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Vitamin D2Aluminum Moderate
Interaction Summary
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
Read the full Vitamin D2 + Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interactionAluminum Hydroxide, Magnesium Hydroxide (otc Drug)Maalox, Mucogel
How Aluminum Hydroxide, Magnesium Hydroxide (otc Drug) interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Vitamin D2Aluminum Moderate
Interaction Summary
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
Read the full Vitamin D2 + Aluminum Hydroxide, Magnesium Hydroxide (otc Drug) interactionAluminum Hydroxide, Magnesium Hydroxide, Simethicone (otc Drug)Mylanta
How Aluminum Hydroxide, Magnesium Hydroxide, Simethicone (otc Drug) interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Vitamin D2Aluminum Moderate
Interaction Summary
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
Read the full Vitamin D2 + Aluminum Hydroxide, Magnesium Hydroxide, Simethicone (otc Drug) interactionAluminum, CalciumDomeboro
How Aluminum, Calcium interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Vitamin D2Aluminum Moderate
Interaction Summary
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
Read the full Vitamin D2 + Aluminum, Calcium interactionAluminum, Magnesium (otc Drug)Almagel
How Aluminum, Magnesium (otc Drug) interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Vitamin D2Aluminum Moderate
Interaction Summary
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
Read the full Vitamin D2 + Aluminum, Magnesium (otc Drug) interactionAluminum, Magnesium Hydroxide (otc Drug)Wingel
How Aluminum, Magnesium Hydroxide (otc Drug) interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Vitamin D2Aluminum Moderate
Interaction Summary
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
Read the full Vitamin D2 + Aluminum, Magnesium Hydroxide (otc Drug) interactionAmikacinAmikin, Arikayce
How Amikacin interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Lactobacillus Acidophilus Dds-1Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus Dds-1 + Amikacin interactionAmiloride, HydrochlorothiazideAmil-Co, Amilzide, Moduret 25, Moduretic
How Amiloride, Hydrochlorothiazide interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Vitamin D2Thiazide Diuretics Moderate
Interaction Summary
Theoretically, taking thiazide diuretics and high-dose vitamin D can increase the risk of hypercalcemia.
Read the full Vitamin D2 + Amiloride, Hydrochlorothiazide interactionAmoxicillinAmix, Amoram, Amoxident, Amoxil Capsules, Amoxil Injection, Galenamox +3 more
How Amoxicillin interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Lactobacillus Acidophilus Dds-1Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus Dds-1 + Amoxicillin interactionAmoxicillin VeterinaryBiomox
How Amoxicillin Veterinary interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Lactobacillus Acidophilus Dds-1Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus Dds-1 + Amoxicillin Veterinary interactionAmoxicillin, Clavulanate PotassiumAugmentin, Augmentin '125/31 SF', Augmentin '250/62 SF', Augmentin XR, Augmentin-Duo 400/57, Clavulin
How Amoxicillin, Clavulanate Potassium interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Lactobacillus Acidophilus Dds-1Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus Dds-1 + Amoxicillin, Clavulanate Potassium interactionAmoxicillin, Omeprazole Magnesium, RifabutinTalicia
How Amoxicillin, Omeprazole Magnesium, Rifabutin interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 2 ingredients. Tap an ingredient for the detail:
Lactobacillus Acidophilus Dds-1Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus Dds-1 + Amoxicillin, Omeprazole Magnesium, Rifabutin interactionVitamin D2Cytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Vitamin D might induce CYP3A4 enzymes and reduce the bioavailability of CYP3A4 substrates.
Read the full Vitamin D2 + Amoxicillin, Omeprazole Magnesium, Rifabutin interactionAmphotericin, TetracyclineMysteclin-F
How Amphotericin, Tetracycline interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Lactobacillus Acidophilus Dds-1Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus Dds-1 + Amphotericin, Tetracycline interactionAmpicillinOmnipen, Omnipen-N, Penbritin, Principen, Rimacillin
How Ampicillin interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Lactobacillus Acidophilus Dds-1Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus Dds-1 + Ampicillin interactionAmpicillin, SulbactamUnasyn
How Ampicillin, Sulbactam interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Lactobacillus Acidophilus Dds-1Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus Dds-1 + Ampicillin, Sulbactam interactionAspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #3
How Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Vitamin D2Aluminum Moderate
Interaction Summary
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
Read the full Vitamin D2 + Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interactionAtenolol, ChlortalidoneAtenixCo, Tenoret 50, Totaretic
How Atenolol, Chlortalidone interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Vitamin D2Thiazide Diuretics Moderate
Interaction Summary
Theoretically, taking thiazide diuretics and high-dose vitamin D can increase the risk of hypercalcemia.
Read the full Vitamin D2 + Atenolol, Chlortalidone interactionAtenolol, ChlorthalidoneTenoretic
How Atenolol, Chlorthalidone interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Vitamin D2Thiazide Diuretics Moderate
Interaction Summary
Theoretically, taking thiazide diuretics and high-dose vitamin D can increase the risk of hypercalcemia.
Read the full Vitamin D2 + Atenolol, Chlorthalidone interactionAtorvastatinAtorvaliq
How Atorvastatin interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Vitamin D2Cytochrome P450 3a4 (cyp3a4) Substrates, Atorvastatin (lipitor) Moderate
Interaction Summary
Vitamin D might induce CYP3A4 enzymes and reduce the bioavailability of CYP3A4 substrates.
Read the full Vitamin D2 + Atorvastatin interactionAtorvastatin CalciumLipitor
How Atorvastatin Calcium interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Vitamin D2Atorvastatin (lipitor), Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Vitamin D might reduce absorption of atorvastatin.
Read the full Vitamin D2 + Atorvastatin Calcium interactionAvibactam Sodium, CeftazidimeAvycaz
How Avibactam Sodium, Ceftazidime interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Lactobacillus Acidophilus Dds-1Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus Dds-1 + Avibactam Sodium, Ceftazidime interactionAzilsartan, ChlorthalidoneEdarbyclor
How Azilsartan, Chlorthalidone interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Vitamin D2Thiazide Diuretics Moderate
Interaction Summary
Theoretically, taking thiazide diuretics and high-dose vitamin D can increase the risk of hypercalcemia.
Read the full Vitamin D2 + Azilsartan, Chlorthalidone interactionAzithromycinAzasite, Zithromax, Zmax
How Azithromycin interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Lactobacillus Acidophilus Dds-1Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus Dds-1 + Azithromycin interactionAztreonamAzactam
How Aztreonam interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Lactobacillus Acidophilus Dds-1Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus Dds-1 + Aztreonam interactionBacampicillinPenglobe
How Bacampicillin interacts with Kids Cubes Soft + Yummy Vanilla Melts — through 1 ingredient. Tap an ingredient for the detail:
Lactobacillus Acidophilus Dds-1Antibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus Dds-1 + Bacampicillin interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Kids Cubes Soft + Yummy Vanilla Melts with known interactions, here are the types of medications they can affect. Open any type for the detail — or search your exact drug in the checker above.
Vitamin D2
Aluminum
Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
The protein that transports calcium across the intestinal wall can also bind and transport aluminum. This protein is stimulated by vitamin D, which may therefore increase aluminum absorption. This mechanism may contribute to increased aluminum levels and toxicity in people with renal failure, when they take vitamin D and aluminum-containing phosphate binders chronically.
Atorvastatin (Lipitor)
Vitamin D might reduce absorption of atorvastatin.
A small, low-quality clinical study shows that taking vitamin D reduces levels of atorvastatin and its active metabolites by up to 55%. However, while atorvastatin levels decreased, total cholesterol, low-density lipoprotein (LDL) cholesterol, and high-density lipoprotein (HDL) cholesterol levels did not substantially change. Atorvastatin is metabolized in the gut by CYP3A4 enzymes, and researchers theorized that vitamin D might induce CYP3A4, causing reduced levels of atorvastatin. However, this proposed mechanism was not specifically studied.
Calcipotriene (Dovonex)
Taking calcipotriene with vitamin D increases the risk for hypercalcemia.
Calcipotriene is a vitamin D analog used topically for psoriasis. It can be absorbed in sufficient amounts to cause systemic effects, including hypercalcemia. Theoretically, combining calcipotriene with vitamin D supplements might increase the risk of hypercalcemia.
Digoxin (Lanoxin)
Theoretically, hypercalcemia induced by high-dose vitamin D can increase the risk of arrhythmia from digoxin.
High doses of vitamin D can cause hypercalcemia. Hypercalcemia increases the risk of fatal cardiac arrhythmias with digoxin. Avoid vitamin D doses above the tolerable upper intake level (4000 IU daily for adults) and monitor serum calcium levels in people taking vitamin D and digoxin concurrently.
Diltiazem (Cardizem, Others)
Theoretically, hypercalcemia induced by high-dose vitamin D can reduce the therapeutic effects of diltiazem for arrhythmia.
High doses of vitamin D can cause hypercalcemia. Hypercalcemia can reduce the effectiveness of verapamil in atrial fibrillation. Theoretically this could also occur with diltiazem. Avoid vitamin D doses above the tolerable upper intake level (4000 IU daily for adults) and monitor serum calcium levels in people taking vitamin D and diltiazem concurrently.
Thiazide Diuretics
Theoretically, taking thiazide diuretics and high-dose vitamin D can increase the risk of hypercalcemia.
Thiazide diuretics decrease urinary calcium excretion, which could lead to hypercalcemia if vitamin D supplements are taken concurrently. This has been reported in people being treated with vitamin D for hypoparathyroidism, and also in elderly people with normal parathyroid function who were taking a thiazide, vitamin D, and calcium-containing antacids daily.
Verapamil (Calan, Others)
Hypercalcemia induced by high-dose vitamin D can reduce the therapeutic effects of verapamil for arrhythmia.
Hypercalcemia due to high doses of vitamin D can reduce the effectiveness of verapamil in atrial fibrillation. Avoid vitamin D doses above the tolerable upper intake level (4000 IU daily for adults) and monitor serum calcium levels in people taking vitamin D and verapamil concurrently.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Vitamin D might induce CYP3A4 enzymes and reduce the bioavailability of CYP3A4 substrates.
There is some concern that vitamin D might induce CYP3A4. In vitro research suggests that vitamin D induces CYP3A4 transcription. Additionally, observational research has found that increased UV light exposure and serum vitamin D levels are associated with decreased serum levels of CYP3A4 substrates such as tacrolimus and sirolimus, while no association between UV light exposure or vitamin D levels and levels of mycophenolic acid, a non-CYP3A4 substrate, was found. A small, low-quality clinical study shows that taking vitamin D reduces levels of the CYP3A4 substrate atorvastatin and its active metabolites by up to 55%; however, the clinical effects of atorvastatin were not reduced. While researchers theorized that vitamin D might induce CYP3A4, this proposed mechanism was not specifically studied.
Lactobacillus acidophilus DDS-1
Antibiotic Drugs
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L. acidophilus.
L. acidophilus preparations usually contain live and active organisms. Therefore, simultaneously taking antibiotics might kill a significant number of the organisms. Tell patients to separate administration of antibiotics and L. acidophilus preparations by at least two hours.
Brand information
Manufacturer and brand details for Kids Cubes Soft + Yummy Vanilla Melts, from the product label.
up4
- Name
- i-Health, Inc.
- Street Address
- 55 Sebethe Drive
- City
- Cromwell
- State
- CT
- ZipCode
- 06416
- Phone Number
- 1-800-722-3476
- Web Address
- www.up4probiotics.com
Kids Cubes Soft + Yummy Vanilla Melts by up4: Common Questions
Does Kids Cubes Soft + Yummy Vanilla Melts by up4 interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Is vitamin D2 in this product the same as the vitamin D in fortified milk?
Can I give this product at the same time my child takes antibiotics?
Will my child get an upset stomach from the probiotics?
What are the inactive ingredients—are there fillers I should know about?
Is this safe for kids to take long-term?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Kids Cubes Soft + Yummy Vanilla Melts’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Vitamin D
Interacts with 715 drugsVitamin D is a fat-soluble vitamin that helps your body absorb calcium and is important for healthy bones, muscles, and immune function. Many people, especially those with low sun exposure,...
Read the full Vitamin D monograph → Herb & supplement monographLactobacillus Acidophilus
Interacts with 182 drugsLactobacillus acidophilus is a 'friendly' bacterium used as a probiotic to support gut and vaginal health. It is generally well tolerated in healthy people, and there is reasonable evidence...
Read the full Lactobacillus Acidophilus monograph →Sources & How We Checked
Kids Cubes Soft + Yummy Vanilla Melts's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
The 41 references behind this product’s interaction data
Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.
Vitamin D 26 references
- McEvoy GK, ed. AHFS Drug Information. Bethesda, MD: American Society of Health-System Pharmacists, 1998.
- Tatro DS, ed. Drug Interactions Facts. Facts and Comparisons Inc., St. Louis, MO. 1999.
- Koutkia P, Chen TC, Holick MF. Vitamin D intoxication associated with an over-the-counter supplement. N Engl J Med 2001;345:66-7. PubMed
- Bar-Or D, Yoel G. Calcium and calciferol antagonize effect of verapamil in atrial fibrillation. Br Med J 1981;282:1585-6.
- Demontis R, Leflon A, Fournier A, et al. 1 alpha(OH) vitamin D3 increases plasma aluminum in hemodialyzed patients taking AI(OH)3. Clin Nephrol 1986;26:146-9.
- Crowe M, Wollner L, Griffiths RA. Hypercalcemia following vitamin D and thiazide therapy in the elderly. Practitioner 1984;228:312-3.
- Parfitt AM. Thiazide-induced hypercalcemia in vitamin D-treated hypoparathyroidism. Ann Intern Med 1972;77:557-63. PubMed
- Thiazide diuretics and the risk of osteoporosis. Pharmacist's Letter/Prescriber's Letter 2003;19(11):191105.
- Moon J. The role of vitamin D in toxic metal absorption. J Am Coll Nutr 1994;13:559-64.
- Demontis R, Reissi D, Noel C, et al. Indirect clinical evidence that 1alphaOH vitamin D<SUB>3</SUB> increases the intestinal absorption of aluminum. Clin Nephrol 1989;31:123-7.
- Adler AJ, Berlyne GM. Duodenal aluminum absorption in the rat: effect of vitamin D. Am J Physiol 1985;249:G209-13. PubMed
- Schwartz JB. Effects of vitamin D supplementation in atorvastatin-treated patients: A new drug interaction with an unexpected consequence. Clin Pharmacol Ther 2009;85:198-203. PubMed
- Dietary reference intakes for calcium and vitamin D. Institute of Medicine, November 30, 2010. Available at: http://www.iom.edu/~/media/Files/Report%20Files/2010/Dietary-Reference-Intakes-for-Calcium-and-Vitamin-D/Vitamin%20D%20and%20Calcium%202010%20Repo
- Cox KA, Dunn MA. Aluminum toxicity alters the regulation of calbindin-D28k protein and mRNA expression in chick intestine. J Nutr 2001;131:2007-13. PubMed
- Escribano, J., Balaguer, A., Pagone, F., Feliu, A., and Roque, I. Figuls. Pharmacological interventions for preventing complications in idiopathic hypercalciuria. Cochrane.Database.Syst.Rev. 2009;(1):CD004754. PubMed
- Carlton, S., Clopton, D., and Cappuzzo, K. A. Vitamin D deficiency: appropriate replenishment therapies and the effects of vitamin D toxicity. Consult Pharm 2010;25(3):171-177. PubMed
- Wang, H., Xia, N., Yang, Y., and Peng, D. Q. Influence of vitamin D supplementation on plasma lipid profiles: a meta-analysis of randomized controlled trials. Lipids Health Dis. 2012;11:42. PubMed
- Turner AN, Carr Reese P, Fields KS, Anderson J, Ervin M, Davis JA, Fichorova RN, Roberts MW, Klebanoff MA, Jackson RD. A blinded, randomized controlled trial of high-dose vitamin D supplementation to reduce recurrence of bacterial vaginosis. Am J Obstet G PubMed
- Weiner M, Epstein FH. Signs and symptoms of electrolyte disorders. Yale J Biol Med. 1970;43(2):76-109.
- Lappe J, Watson P, Travers-Gustafson D, Recker R, Garland C, Gorham E, Baggerly K, McDonnell SL. Effect of Vitamin D and Calcium Supplementation on Cancer Incidence in Older Women: A Randomized Clinical Trial. JAMA. 2017 Mar 28;317(12):1234-1243. PubMed
- Roth DE, Leung M, Mesfin E, Qamar H, Watterworth J, Papp E. Vitamin D supplementation during pregnancy: state of the evidence from a systematic review of randomised trials. BMJ. 2017;359:j5237. PubMed
- Murai IH, Fernandes AL, Sales LP, et al. Effect of a single high dose of vitamin D3 on hospital length of stay in patients with moderate to severe COVID-19: A randomized clinical trial. JAMA. 2021.
- Wang Z, Schuetz EG, Xu Y, Thummel KE. Interplay between vitamin D and the drug metabolizing enzyme CYP3A4. J Steroid Biochem Mol Biol 2013;136:54-8. PubMed
- Doyle D, Browne U, Brickley A, Murphy D. Vitamin D-induced hypercalcaemia and acute kidney injury in sarcoidosis. BMJ Case Rep 2023;16(1):e250580. PubMed
- Williamson A, Martineau AR, Sheikh A, Jolliffe D, Griffiths CJ. Vitamin D for the management of asthma. Cochrane Database Syst Rev 2023;2(2):CD011511. PubMed
- Kinesya E, Santoso D, Gde Arya N, et al. Vitamin D as adjuvant therapy for diabetic foot ulcers: Systematic review and meta-analysis approach. Clin Nutr ESPEN 2023;54:137-143. PubMed
Lactobacillus Acidophilus 15 references
- Pierce A. The American Pharmaceutical Association Practical Guide to Natural Medicines. New York: The Stonesong Press, 1999:19.
- Begtrup LM, de Muckadell OB, Kjeldsen J, Christensen RD, Jarbøl DE. Long-term treatment with probiotics in primary care patients with irritable bowel syndrome--a randomised, double-blind, placebo controlled trial. Scand J Gastroenterol 2013;48(10):1127-35 PubMed
- Chatterjee S, Kar P, Das T, Ray S, Gangulyt S, Rajendiran C, Mitra M. Randomised placebo-controlled double blind multicentric trial on efficacy and safety of Lactobacillus acidophilus LA-5 and Bifidobacterium BB-12 for prevention of antibiotic-associated
- Shavakhi A, Tabesh E, Yaghoutkar A, Hashemi H, Tabesh F, Khodadoostan M,Minakari M, Shavakhi S, Gholamrezaei A. The effects of multistrain probiotic compound on bismuth-containing quadruple therapy for Helicobacter pylori infection: a randomized placebo-c
- Karamali M, Dadkhah F, Sadrkhanlou M, et al. Effects of probiotic supplementation on glycaemic control and lipid profiles in gestational diabetes: a randomized, double-blind, placebo-controlled trial. Diabetes Metab 2016;42(4):234-41. PubMed
- Badehnoosh B, Karamali M, Zarrati M, et al. The effects of probiotic supplementation on biomarkers of inflammation, oxidative stress and pregnancy outcomes in gestational diabetes. J Matern Fetal Neonatal Med. 2018 May;31(9):1128-1136.
- Kumar S, Kumar R, Rohilla L, Jacob N, Yadav J, Sachdeva N. A high potency multi-strain probiotic improves glycemic control in children with new-onset type 1 diabetes mellitus: A randomized, double-blind, and placebo-controlled pilot study. Pediatr Diabete
- Shahriari A, Karimi E, Shahriari M, Aslani N, Khooshideh M, Arab A. The effect of probiotic supplementation on the risk of gestational diabetes mellitus among high-risk pregnant women: A parallel double-blind, randomized, placebo-controlled clinical trial PubMed
- Xiao SD, Zhang DZ, Lu H, et al. Multicenter, randomized, controlled trial of heat-killed Lactobacillus acidophilus LB in patients with chronic diarrhea. Adv Ther. 2003;20(5):253-60.
- Rossi F, Amadoro C, Gasperi M, Colavita G. Lactobacilli infection case reports in the last three years and safety implications. Nutrients. 2022;14(6):1178. PubMed
- Ozer M, Goksu SY, Shahverdiani A, Mustafa M. Lactobacillus acidophilus-induced endocarditis and associated splenic abscess. Case Rep Infect Dis 2020;2020:1382709.
- Sadrin S, Sennoune S, Gout B, et al. A 2-strain mixture of Lactobacillus acidophilus in the treatment of irritable bowel syndrome: A placebo-controlled randomized clinical trial. Dig Liver Dis 2020;52(5):534-540. PubMed
- Stoffer JN, Slingsby TJ, Giuliari GP. Lactobacillus acidophilus endophthalmitis after intravitreal bevacizumab injection requiring intraocular lens explantation. Can J Ophthalmol 2022;57(1):e21-e22. PubMed
- Cukovic-Cavka S, Likic R, Francetic I, Rustemovic N, Opacic M, Vucelic B. Lactobacillus acidophilus as a cause of liver abscess in a NOD2/CARD15-positive patient with Crohn's disease. Digestion 2006;73(2-3):107-10.
- Hui J, Ren Y, Wang Y, Han Q. Lactobacillus acidophilus endophthalmitis postcataract operation: A case report with a literature review. Ocul Immunol Inflamm 2023.
See these in context on the Lactobacillus Acidophilus monograph →
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