Ortho DF 1 mg/3775 IU Capsules Ingredients & Drug Interactions
by Basiem
What is this page for?
First and foremost: checking Ortho DF 1 mg/3775 IU Capsules 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
Ortho DF 1 mg/3775 IU Capsules is a dietary supplement by Basiem with 2 active ingredients. Its ingredients are commonly taken for preventing neural tube birth defects, treating or preventing folate deficiency, supporting pregnancy health.Based on those ingredients, 751 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Vitamin D, Folic Acid. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Ortho DF 1 mg/3775 IU Capsules by Basiem
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HelloPharmacist Scorecard of Ortho DF 1 mg/3775 IU Capsules by Basiem
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
Full disclosure
Ortho DF contains two active ingredients: folic acid (also called folate) at 1 mg, and vitamin D at 3775 IU. Folic acid is a B vitamin your body needs to make new cells and prevent birth defects.
Vitamin D helps your body absorb calcium and maintain bone strength. The capsule also contains several inactive ingredients — microcrystalline cellulose, gelatin, dicalcium phosphate, magnesium stearate, silicon dioxide, and titanium dioxide — which serve as fillers, binders, and capsule material.
Does it work?
Strong evidence
Folic acid is proven effective for treating folate deficiency and likely effective for preventing methotrexate toxicity and neural tube birth defects (like spina bifida) during pregnancy. There's some evidence it may help with depression, gingival hyperplasia (swollen gums from certain anti-seizure drugs), and cognitive decline, though those uses are less well established.
Vitamin D is effective for rickets, osteomalacia (soft bones), familial hypophosphatemia, renal bone disease, and hypoparathyroidism. The data we hold doesn't establish effectiveness for other uses.
How safe is it?
Well-documented data
Folic acid is generally well tolerated at recommended doses — the 1 mg in this product is below the threshold where common side effects (abdominal cramps, diarrhea, rash) typically appear at higher doses. It's recommended during pregnancy at standard prenatal doses and safe while breastfeeding.
At much higher doses (15 mg daily or more), some people report confusion, sleep problems, or irritability. Very high or prolonged use carries rare risks of serious effects.
One caution: if you have undiagnosed anemia from vitamin B12 deficiency, folic acid can mask symptoms and allow nerve damage to develop unnoticed — don't self-treat suspected anemia without a doctor's evaluation. Vitamin D at recommended doses is well tolerated and considered safe during pregnancy and breastfeeding, though pregnancy use should be guided by your doctor.
Excessive doses over time can cause toxicity with symptoms of high blood calcium (hypercalcemia), bone loss in adults, and impaired growth in children. Population research has noted a possible link between folic acid use late in pregnancy and increased childhood asthma risk, though this wasn't seen when taken before or early in pregnancy.
Meds to double-check
Moderate interaction found
Before taking this product, check with your own doctor or pharmacist if you're on anti-seizure medications (phenobarbital, phenytoin, primidone) — folic acid can reduce their effectiveness and increase seizure risk. Also flag it if you take cancer drugs (methotrexate, capecitabine, 5-fluorouracil), antiparasitics (pyrimethamine), heart rhythm drugs (verapamil, diltiazem, digoxin), thiazide diuretics, or cholesterol medications (atorvastatin).
All carry Moderate-severity interactions. Additionally, vitamin D may speed up metabolism of many other drugs via liver enzymes.
The bottom line
Scorecard at a glanceFully disclosed formula with strong clinical evidence behind its ingredients' uses. Moderate medication interactions have been identified, and safety information is well characterized.
Ortho DF is meant for people with low folate levels or those seeking birth-defect prevention and bone support, especially pregnant women or those at high risk. If you take anti-seizure drugs, cancer treatments, antiparasitals, heart medications, diuretics, or cholesterol drugs, talk with your own doctor or pharmacist before starting — several important interactions need clarification first.
The vitamin D dose here is moderate and generally safe, but high blood calcium is a real risk if you're also taking certain other drugs. Check with your healthcare provider before adding this to your routine.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Dec 18, 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 Ortho DF 1 mg/3775 IU Capsules, straight from the product label.
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 Ortho DF 1 mg/3775 IU Capsules by Basiem, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Folic Acid | 1 mg | -- |
| Folate | 1666 mcg DFE | 417% |
| Vitamin D | 94.3 mcg | 472% |
Other ingredients: Microcrystalline Cellulose, Gelatin, Dicalcium Phosphate, Magnesium Stearate, Silicon Dioxide, Titanium Dioxide
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.
Suggested/Recommended/Usage/Directions
Usual dosage: Take one capsule daily or as directed by a healthcare practitioner.
Precautions
If you are pregnant or nursing, ask a healthcare professional.
Keep out of reach of children
Storage
Storage: Store at 20 degrees-25 degrees C (68 degrees-77 degrees F); excursions permitted to 15 degrees-30 degrees C (59 degrees-86 degrees F) [See USP controlled room temperature.]
Formulation
Made in the USA of domestic and international ingredients
General Statements
69597-301-30
Dispensed by prescription
FDA Statement of Identity
Dietary Supplement
Brand IP Statement(s)
Basiem Bioactive Solutions for Inborn Errors of Metabolism
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Ortho DF 1 mg/3775 IU Capsules by Basiem 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 Ortho DF 1 mg/3775 IU Capsules by Basiem
These are the 2 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Capsule(s) Dosage formCapsule Servings per container30 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.
Folate
Vitamin D
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 D monograph & interactionsOther (inactive) ingredients: Microcrystalline Cellulose, Gelatin, Dicalcium Phosphate, Magnesium Stearate, Silicon Dioxide, Titanium Dioxide. These complete the product’s ingredient list but are not active constituents.
Ortho DF 1 mg/3775 IU Capsules by Basiem Drug Interactions
HelloPharmacist Interaction Report
Ortho DF by Basiem contains folic acid and vitamin D, both of which interact with medications.
The most serious interaction is folic acid's potential to worsen seizure control or trigger seizures in people taking phenobarbital, phenytoin, or primidone (anti-seizure drugs) — folic acid can directly reverse these drugs' effects. Altogether, these interactions span 752 individual medications.
Read the full breakdown — every affected drug type, severity by severity
Folic acid also interacts with cancer and antimalarial drugs. It may reduce the effectiveness of methotrexate (a cancer treatment), increase toxicity from capecitabine and 5-fluorouracil, and counteract pyrimethamine (an antiparasitic).
All are Moderate-severity interactions. If you take any anti-seizure medication, cancer drug, or antimalarial, your own doctor or pharmacist needs to clear this product before you start.
Vitamin D's main concerns are high-dose interactions with heart medications and diuretics. It can reduce how well verapamil and diltiazem work, raise calcium to dangerous levels when combined with thiazide diuretics or digoxin, and theoretically increase absorption of aluminum in kidney disease.
It may also reduce absorption of atorvastatin (a cholesterol drug) and induce liver enzymes that speed up metabolism of many other medications.
Use the medication checker on this page to enter your exact prescriptions. Even if your drug isn't listed here, that's not a guarantee of safety — it means the data we hold doesn't flag it.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Ortho DF 1 mg/3775 IU Capsules?
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 Ortho DF 1 mg/3775 IU Capsules interact with 751 drugs. Click any drug to see the details.
2 of the 2 ingredients in Ortho DF 1 mg/3775 IU Capsules interact with drugs. Each result below shows which ingredient is responsible. Vitamin D Folic Acid
Alginic Acid, Aluminum HydroxideRafton
How Alginic Acid, Aluminum Hydroxide interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAluminum 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 D + Alginic Acid, Aluminum Hydroxide interactionAluminum Acetate, Benzethonium ChlorideBuro-Sol Otic Solution
How Aluminum Acetate, Benzethonium Chloride interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAluminum 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 D + Aluminum Acetate, Benzethonium Chloride interactionAluminum ChlorideAluminum Chloride, Anhydrol Forte, Driclor, Drysol
How Aluminum Chloride interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAluminum 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 D + Aluminum Chloride interactionAluminum HydroxideAlu-Cap, Amphojel, Gaviscon
How Aluminum Hydroxide interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAluminum 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 D + Aluminum Hydroxide interactionAluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2
How Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAluminum 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 D + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionAluminum Hydroxide, Aspirin, Magnesium HydroxideAscriptin
How Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAluminum 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 D + Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interactionAluminum Hydroxide, Magnesium Hydroxide (otc Drug)Maalox, Mucogel
How Aluminum Hydroxide, Magnesium Hydroxide (otc Drug) interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAluminum 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 D + Aluminum Hydroxide, Magnesium Hydroxide (otc Drug) interactionAluminum Hydroxide, Magnesium Hydroxide, Simethicone (otc Drug)Mylanta
How Aluminum Hydroxide, Magnesium Hydroxide, Simethicone (otc Drug) interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAluminum 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 D + Aluminum Hydroxide, Magnesium Hydroxide, Simethicone (otc Drug) interactionAluminum, CalciumDomeboro
How Aluminum, Calcium interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAluminum 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 D + Aluminum, Calcium interactionAluminum, Magnesium (otc Drug)Almagel
How Aluminum, Magnesium (otc Drug) interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAluminum 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 D + Aluminum, Magnesium (otc Drug) interactionAluminum, Magnesium Hydroxide (otc Drug)Wingel
How Aluminum, Magnesium Hydroxide (otc Drug) interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAluminum 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 D + Aluminum, Magnesium Hydroxide (otc Drug) interactionAmiloride, HydrochlorothiazideAmil-Co, Amilzide, Moduret 25, Moduretic
How Amiloride, Hydrochlorothiazide interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DThiazide Diuretics Moderate
Interaction Summary
Theoretically, taking thiazide diuretics and high-dose vitamin D can increase the risk of hypercalcemia.
Read the full Vitamin D + Amiloride, Hydrochlorothiazide interactionAprobarbital, Butabarbital, PhenobarbitalTriple Barbital
How Aprobarbital, Butabarbital, Phenobarbital interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Aprobarbital, Butabarbital, Phenobarbital interactionAspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #3
How Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAluminum 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 D + Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interactionAspirin, Codeine Phosphate, PhenobarbitalPhenaphen
How Aspirin, Codeine Phosphate, Phenobarbital interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Aspirin, Codeine Phosphate, Phenobarbital interactionAtenolol, ChlortalidoneAtenixCo, Tenoret 50, Totaretic
How Atenolol, Chlortalidone interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DThiazide Diuretics Moderate
Interaction Summary
Theoretically, taking thiazide diuretics and high-dose vitamin D can increase the risk of hypercalcemia.
Read the full Vitamin D + Atenolol, Chlortalidone interactionAtenolol, ChlorthalidoneTenoretic
How Atenolol, Chlorthalidone interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DThiazide Diuretics Moderate
Interaction Summary
Theoretically, taking thiazide diuretics and high-dose vitamin D can increase the risk of hypercalcemia.
Read the full Vitamin D + Atenolol, Chlorthalidone interactionAtorvastatinAtorvaliq
How Atorvastatin interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DCytochrome 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 D + Atorvastatin interactionAtorvastatin CalciumLipitor
How Atorvastatin Calcium interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DAtorvastatin (lipitor), Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Vitamin D might reduce absorption of atorvastatin.
Read the full Vitamin D + Atorvastatin Calcium interactionAtropine, Hyoscyamine, PhenobarbitalHypnaldyne
How Atropine, Hyoscyamine, Phenobarbital interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Atropine, Hyoscyamine, Phenobarbital interactionAtropine, Hyoscyamine, Phenobarbital, ScopolamineBarbidonna No. 2, Belladonna Phenobarbital
How Atropine, Hyoscyamine, Phenobarbital, Scopolamine interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Atropine, Hyoscyamine, Phenobarbital, Scopolamine interactionAtropine, Hyoscyamine, Scopolamine, PhenobarbitalBarbeloid, Donnatal #2, Donphen
How Atropine, Hyoscyamine, Scopolamine, Phenobarbital interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Atropine, Hyoscyamine, Scopolamine, Phenobarbital interactionAtropine, PhenobarbitalAnthrocol
How Atropine, Phenobarbital interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Atropine, Phenobarbital interactionAzilsartan, ChlorthalidoneEdarbyclor
How Azilsartan, Chlorthalidone interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Vitamin DThiazide Diuretics Moderate
Interaction Summary
Theoretically, taking thiazide diuretics and high-dose vitamin D can increase the risk of hypercalcemia.
Read the full Vitamin D + Azilsartan, Chlorthalidone interactionBelladona Extract, PhenobarbitalChardonna-2
How Belladona Extract, Phenobarbital interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Belladona Extract, Phenobarbital interactionBelladonna Alkaloids, Ergotamine Tartrate, PhenobarbitalBel Tabs, Bellamine-S, Bellaphen-S, Duragal S, Phenarbal S, Spastrin
How Belladonna Alkaloids, Ergotamine Tartrate, Phenobarbital interacts with Ortho DF 1 mg/3775 IU Capsules — through 2 ingredients. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Belladonna Alkaloids, Ergotamine Tartrate, Phenobarbital interactionVitamin DCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Vitamin D might induce CYP3A4 enzymes and reduce the bioavailability of CYP3A4 substrates.
Read the full Vitamin D + Belladonna Alkaloids, Ergotamine Tartrate, Phenobarbital interactionBelladonna Alkaloids, PhenobarbitalBarbidonna, Donnatal
How Belladonna Alkaloids, Phenobarbital interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Belladonna Alkaloids, Phenobarbital interactionBelladonna Extract, PhenobarbitalBelap
How Belladonna Extract, Phenobarbital interacts with Ortho DF 1 mg/3775 IU Capsules — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Belladonna Extract, Phenobarbital interactionBelladonna, Ergotamine Tartrate, Phenobarbital
How Belladonna, Ergotamine Tartrate, Phenobarbital interacts with Ortho DF 1 mg/3775 IU Capsules — through 2 ingredients. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Belladonna, Ergotamine Tartrate, Phenobarbital interactionVitamin DCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Vitamin D might induce CYP3A4 enzymes and reduce the bioavailability of CYP3A4 substrates.
Read the full Vitamin D + Belladonna, Ergotamine Tartrate, Phenobarbital interactionBelladonna, Ergotamine, PhenobarbitalBellergal-S
How Belladonna, Ergotamine, Phenobarbital interacts with Ortho DF 1 mg/3775 IU Capsules — through 2 ingredients. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Belladonna, Ergotamine, Phenobarbital interactionVitamin DCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Vitamin D might induce CYP3A4 enzymes and reduce the bioavailability of CYP3A4 substrates.
Read the full Vitamin D + Belladonna, Ergotamine, Phenobarbital interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Ortho DF 1 mg/3775 IU Capsules 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 D
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.
Folic Acid
5-Fluorouracil
Theoretically, high doses of folic acid might increase the toxicity of 5-fluorouracil.
Increases in gastrointestinal side effects of 5-fluorouracil, such as stomatitis and diarrhea, have been described in two clinical studies when leucovorin, a form of folic acid, was administered with 5-fluorouracil.
Capecitabine (Xeloda)
Use of high-dose folic acid might contribute to capecitabine toxicity.
Clinical research suggests that higher serum folate levels are associated with an increased risk for moderate or severe toxicity during capecitabine-based treatment for colorectal cancer. Additionally, in one case report, taking folic acid 15 mg daily might have contributed to increased toxicity, including severe diarrhea, vomiting, edema, hand-foot syndrome, and eventually death, in a patient prescribed capecitabine.
Methotrexate (Trexall, Others)
Folic acid might reduce the efficacy of methotrexate as a cancer treatment when given concurrently.
Methotrexate exerts its cytotoxic effects by preventing conversion of folic acid to the active form needed by cells. There is some evidence that folic acid supplements reduce the efficacy of methotrexate in the treatment of acute lymphoblastic leukemia, and theoretically they could reduce its efficacy in the treatment of other cancers. Advise cancer patients to consult their oncologist before using folic acid supplements. In patients treated with long-term, low-dose methotrexate for rheumatoid arthritis (RA) or psoriasis, folic acid supplements can reduce the incidence of side effects, without reducing efficacy.
Phenobarbital (Luminal)
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Folic acid can have direct convulsant activity in some people, reversing the effects of phenobarbital and worsening seizure control. Monitor closely for increased seizure activity.
Phenytoin (Dilantin)
Folic acid might reduce serum levels of phenytoin in some patients.
Folic acid may be a cofactor in phenytoin metabolism. Folic acid, in doses of 1 mg daily or more, can reduce serum levels of phenytoin in some patients. Increases in seizure frequency have been reported. If folic acid supplements are added to established phenytoin therapy, monitor serum phenytoin levels closely. If phenytoin and folic acid are started at the same time and continued together, adverse changes in phenytoin pharmacokinetics are avoided. Note that phenytoin also reduces serum folate levels.
Primidone (Mysoline)
Folic acid might have antagonistic effects on primidone and increase the risk for seizures.
Folic acid can have direct convulsant activity in some people, reversing the effects of primidone and worsening seizure control. Monitor closely for increased seizure activity. Note that primidone also reduces serum folate levels.
Pyrimethamine (Daraprim)
Folic acid might antagonize the effects of pyrimethamine.
Folic acid can antagonize the antiparasitic effects of pyrimethamine against toxoplasmosis and Pneumocystis carinii pneumonia. Folic acid doesn't antagonize the effects of pyrimethamine in the treatment of malaria, because malarial parasites cannot use exogenous folic acid. Use folinic acid as an alternative to folic acid when indicated.
Brand information
Manufacturer and brand details for Ortho DF 1 mg/3775 IU Capsules, from the product label.
Ortho DF 1 mg/3775 IU Capsules by Basiem: Common Questions
Does Ortho DF 1 mg/3775 IU Capsules by Basiem interact with any medications?
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Is folic acid safe while breastfeeding?
What's the difference between folic acid and folate in this product?
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Is there any concern about vitamin D toxicity from this dose?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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The Full Monographs Behind Ortho DF 1 mg/3775 IU Capsules’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Folic Acid
Interacts with 40 drugsFolic acid is the man-made form of vitamin B9 and is one of the most well-studied supplements, especially for preventing serious birth defects when taken before and during early pregnancy. I...
Read the full Folic Acid monograph → Herb & supplement monographVitamin 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 →Sources & How We Checked
Ortho DF 1 mg/3775 IU Capsules'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 82 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.
Folic Acid 56 references
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Vitamin D 26 references
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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.
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