Zinc Citrate+ Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Zinc Citrate+ 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
Zinc Citrate+ is a dietary supplement by AB American Biologics with 2 active ingredients. Its ingredients are commonly taken for preventing or treating copper deficiency, supporting red blood cell formation, bone and connective tissue health.Based on those ingredients, 97 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Zinc, Copper. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Zinc Citrate+ by AB American Biologics
Ask about any prescription or over-the-counter medication and we check it for interactions with Zinc Citrate+ by AB American Biologics — 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 Zinc Citrate+ by AB American Biologics
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
Zinc Citrate+ contains two active ingredients: zinc and copper. Zinc is an essential mineral your body needs for immune function, wound healing, and protein synthesis; this product uses zinc citrate as its form.
Copper is also essential — it works with zinc in several enzyme systems and is especially important for bone health and nervous system function. The capsule also contains cellulose and magnesium stearate as inactive ingredients (binders and flow agents).
Does it work?
Strong evidence
Zinc is Effective for treating zinc deficiency and Likely Effective for Wilson disease (a rare copper-storage disorder). It's rated Possibly Effective for acne, a skin condition called acrodermatitis enteropathica, age-related macular degeneration (AMD), and diabetes — though the evidence for these uses is not as strong.
Copper is Likely Effective for copper deficiency. However, copper is rated Possibly Ineffective for Alzheimer disease, and the evidence for acne and chemotherapy-induced anemia is insufficient to rate.
The effectiveness of copper for brain tumors also lacks reliable evidence.
How safe is it?
Well-documented data
Zinc is generally well tolerated in recommended amounts, but high doses can cause side effects including abdominal cramps, diarrhea, nausea, metallic taste, and vomiting — especially at higher doses. When applied topically, zinc can cause burning, stinging, itching, or tingling on irritated skin.
A concern with long-term high-dose zinc is that it may increase the risk of copper deficiency, which could lead to anemia and low white blood cell counts. Copper is safe in food amounts and standard supplement doses, but excess copper can be toxic.
Both ingredients are needed in pregnancy, but you should stay within recommended amounts and avoid high-dose supplements unless your doctor advises it. Contact dermatitis from copper has been reported rarely.
Meds to double-check
Moderate interaction found
Before taking this product, check whether you take quinolone antibiotics, cephalexin, tetracycline antibiotics, penicillamine, ritonavir, cisplatin, integrase inhibitors, or bictegravir/emtricitabine/tenofovir alafenamide — all have Moderate interactions with zinc and may need careful dosing separation or avoidance. Also verify any use of contraceptive drugs, which have a Minor interaction with the copper in this product.
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.
If you're treating zinc or copper deficiency, this product may be right for you — talk to your pharmacist or doctor first. If you take antibiotics (especially quinolones, tetracyclines, or cephalexin), HIV medications, chemotherapy, or penicillamine, you'll need to time this supplement carefully or skip it entirely.
Check your exact medications with the tool on this page before starting.
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 Apr 25, 2013.
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 Zinc Citrate+, straight from the product label.
| Brand | AB American Biologics |
|---|---|
| Barcode (UPC) | 690290312060 |
| Net contents | 60 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Apr 25, 2013 |
| DSLD ID | 20383 |
| Product type | Mineral |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Gluten Free, Dairy Free, Sugar Free |
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 Zinc Citrate+ by AB American Biologics, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Copper | 1.5 mg | 80% |
| Zinc | 50 mg | 350% |
Other ingredients: Cellulose, Magnesium Stearate
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.
FDA Disclaimer Statement
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
Precautions
Not to be used by pregnant or nursing mothers unless directed by a physician.
Keep this and all nutritional supplements out of the reach of children.
Storage
Store in a cool dry place with cap tightly sealed.
General Statements
Strict quality control is maintained during each step of formulation.
WE USE USP/NF MATERIALS WHERE AVAILABLE
Seals/Symbols
AB(R)
FDA Statement of Identity
Dietary Supplement
Formulation
Free of: Yeast, wheat, corn, soy, egg, milk, gluten, rice, sugar, salt, preservatives, artificial colors, flavors, and antibiotics.
General
0208
Suggested/Recommended/Usage/Directions
Recommended Use: As a dietary supplement take 1 capsule daily or as recommended by a physician.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Zinc Citrate+ by AB American Biologics 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 Zinc Citrate+ by AB American Biologics
These are the 2 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Capsule(s) Dosage formCapsule 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.
Copper
Interacts with31 drugs
Copper is an essential trace mineral your body needs in small amounts for making red blood cells, supporting nerves and bones, and helping enzymes wor...
Copper monograph & interactionsZinc
Interacts with67 drugs
Zinc is an essential mineral that your body needs for immune function, wound healing, taste, and smell. Most people get enough from food, but suppleme...
Zinc monograph & interactionsOther (inactive) ingredients: Cellulose, Magnesium Stearate. These complete the product’s ingredient list but are not active constituents.
Zinc Citrate+ by AB American Biologics Drug Interactions
HelloPharmacist Interaction Report
Zinc Citrate+ by AB American Biologics contains zinc and copper, both of which interact with several medications.
The most serious interaction involves zinc with quinolone antibiotics, cephalexin, tetracycline antibiotics, and penicillamine — all rated Moderate severity — where zinc forms complexes in your gut that block absorption of the antibiotic or medicine, reducing how well it works. With quinolones and tetracyclines, you'll need to separate dosing by at least 2 hours before or 4–6 hours after the supplement; cephalexin absorption drops by about a third if taken together.
Read the full breakdown — every affected drug type, severity by severity
Zinc also has Moderate interactions with ritonavir (an HIV medication), cisplatin (a chemotherapy drug), integrase inhibitors, and bictegravir/emtricitabine/tenofovir alafenamide (another HIV combination). Copper carries a Moderate interaction with penicillamine — the same antibiotic affected by zinc — through a chelation process that reduces penicillamine absorption; you'd want to space doses by at least 2 hours.
Copper also has a Minor interaction with contraceptive drugs, where long-term oral contraceptive use may raise blood copper levels.
No other ingredients in this product were checked for interactions, or interactions were not documented. Use the medication checker on this page to verify your exact drugs before starting.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Zinc Citrate+?
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 Zinc Citrate+ interact with 97 drugs. Click any drug to see the details.
2 of the 2 ingredients in Zinc Citrate+ interact with drugs. Each result below shows which ingredient is responsible. Zinc Copper
Amphotericin, TetracyclineMysteclin-F
How Amphotericin, Tetracycline interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincTetracycline Antibiotics Moderate
Interaction Summary
Zinc might reduce levels of tetracycline antibiotics.
Read the full Zinc + Amphotericin, Tetracycline interactionBictegravir, Emtricitabine, Tenofovir AlafenamideBiktarvy
How Bictegravir, Emtricitabine, Tenofovir Alafenamide interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincBictegravir/emtricitabine/tenofovir Alafenamide (biktarvy) Moderate
Interaction Summary
Theoretically, zinc might decrease levels of bictegravir/emtricitabine/tenofovir alafenamide by reducing its absorption.
Read the full Zinc + Bictegravir, Emtricitabine, Tenofovir Alafenamide interactionBismuth Subsalicylate, Metronidazole, TetracyclineHelidac
How Bismuth Subsalicylate, Metronidazole, Tetracycline interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincTetracycline Antibiotics Moderate
Interaction Summary
Zinc might reduce levels of tetracycline antibiotics.
Read the full Zinc + Bismuth Subsalicylate, Metronidazole, Tetracycline interactionCephalexinCephalex, Keflex, Keftab, Lexin
How Cephalexin interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincCephalexin (keflex) Moderate
Interaction Summary
Zinc might decrease cephalexin levels by chelating with cephalexin in the gut and preventing its absorption.
Read the full Zinc + Cephalexin interactionChlortetracyclineAureomycin
How Chlortetracycline interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincTetracycline Antibiotics Moderate
Interaction Summary
Zinc might reduce levels of tetracycline antibiotics.
Read the full Zinc + Chlortetracycline interactionCinoxacinCinobac
How Cinoxacin interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincQuinolone Antibiotics Moderate
Interaction Summary
Zinc can decrease the levels and clinical effects of quinolones antibiotics.
Read the full Zinc + Cinoxacin interactionCiprofloxacinCiloxan, Cipro, Cipro IV, Cipro XR, Ciprobay, Otiprio
How Ciprofloxacin interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincQuinolone Antibiotics Moderate
Interaction Summary
Zinc can decrease the levels and clinical effects of quinolones antibiotics.
Read the full Zinc + Ciprofloxacin interactionCisplatinPlatinol-AQ
How Cisplatin interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincCisplatin (platinol-aq) Moderate
Interaction Summary
Theoretically, zinc might interfere with the therapeutic effects of cisplatin.
Read the full Zinc + Cisplatin interactionClinafloxacinClinafloxacin
How Clinafloxacin interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincQuinolone Antibiotics Moderate
Interaction Summary
Zinc can decrease the levels and clinical effects of quinolones antibiotics.
Read the full Zinc + Clinafloxacin interactionCobicistat, Elvitegravir, Emtricitabine, Tenofovir Alafenamide FumarateGenvoya
How Cobicistat, Elvitegravir, Emtricitabine, Tenofovir Alafenamide Fumarate interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincBictegravir/emtricitabine/tenofovir Alafenamide (biktarvy) Moderate
Interaction Summary
Theoretically, zinc might decrease levels of bictegravir/emtricitabine/tenofovir alafenamide by reducing its absorption.
Read the full Zinc + Cobicistat, Elvitegravir, Emtricitabine, Tenofovir Alafenamide Fumarate interactionDarunavir, Cobicistat, Emtricitabine, Tenofovir AlafenamideSymtuza
How Darunavir, Cobicistat, Emtricitabine, Tenofovir Alafenamide interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincBictegravir/emtricitabine/tenofovir Alafenamide (biktarvy) Moderate
Interaction Summary
Theoretically, zinc might decrease levels of bictegravir/emtricitabine/tenofovir alafenamide by reducing its absorption.
Read the full Zinc + Darunavir, Cobicistat, Emtricitabine, Tenofovir Alafenamide interactionDarunavir, RitonavirDarunavir, Ritonavir
How Darunavir, Ritonavir interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincRitonavir (norvir) Moderate
Interaction Summary
Zinc modestly reduces levels of ritonavir.
Read the full Zinc + Darunavir, Ritonavir interactionDasabuvir Sodium, Ombitasvir, Paritaprevir, RitonavirViekira XR
How Dasabuvir Sodium, Ombitasvir, Paritaprevir, Ritonavir interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincRitonavir (norvir) Moderate
Interaction Summary
Zinc modestly reduces levels of ritonavir.
Read the full Zinc + Dasabuvir Sodium, Ombitasvir, Paritaprevir, Ritonavir interactionDemeclocyclineDeclomycin
How Demeclocycline interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincTetracycline Antibiotics Moderate
Interaction Summary
Zinc might reduce levels of tetracycline antibiotics.
Read the full Zinc + Demeclocycline interactionDolutegravir, Emtricitabine, Tenofovir AlafenamideDolutegravir, Emtricitabine, Tenofovir Alafenamide
How Dolutegravir, Emtricitabine, Tenofovir Alafenamide interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincBictegravir/emtricitabine/tenofovir Alafenamide (biktarvy) Moderate
Interaction Summary
Theoretically, zinc might decrease levels of bictegravir/emtricitabine/tenofovir alafenamide by reducing its absorption.
Read the full Zinc + Dolutegravir, Emtricitabine, Tenofovir Alafenamide interactionDoripenemDoribax
How Doripenem interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincQuinolone Antibiotics, Tetracycline Antibiotics Moderate
Interaction Summary
Zinc can decrease the levels and clinical effects of quinolones antibiotics.
Read the full Zinc + Doripenem interactionDoxycyclineDoryx, Doxy, Doxy-D, Doxycin, Doxycycline Injection, Doxylin +6 more
How Doxycycline interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincTetracycline Antibiotics Moderate
Interaction Summary
Zinc might reduce levels of tetracycline antibiotics.
Read the full Zinc + Doxycycline interactionDoxycycline HyclateActiclate, Acticlate Cap, Lymepak
How Doxycycline Hyclate interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincTetracycline Antibiotics Moderate
Interaction Summary
Zinc might reduce levels of tetracycline antibiotics.
Read the full Zinc + Doxycycline Hyclate interactionDoxycycline MonohydrateErfacea
How Doxycycline Monohydrate interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincTetracycline Antibiotics Moderate
Interaction Summary
Zinc might reduce levels of tetracycline antibiotics.
Read the full Zinc + Doxycycline Monohydrate interactionDoxycylineDoxychel
How Doxycyline interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincTetracycline Antibiotics Moderate
Interaction Summary
Zinc might reduce levels of tetracycline antibiotics.
Read the full Zinc + Doxycyline interactionElvitegravir, Cobicistat, Emtricitabine, Tenofovir Disoproxil FumarateStribild
How Elvitegravir, Cobicistat, Emtricitabine, Tenofovir Disoproxil Fumarate interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincBictegravir/emtricitabine/tenofovir Alafenamide (biktarvy) Moderate
Interaction Summary
Theoretically, zinc might decrease levels of bictegravir/emtricitabine/tenofovir alafenamide by reducing its absorption.
Read the full Zinc + Elvitegravir, Cobicistat, Emtricitabine, Tenofovir Disoproxil Fumarate interactionEmtricitabineEmtriva
How Emtricitabine interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincBictegravir/emtricitabine/tenofovir Alafenamide (biktarvy) Moderate
Interaction Summary
Theoretically, zinc might decrease levels of bictegravir/emtricitabine/tenofovir alafenamide by reducing its absorption.
Read the full Zinc + Emtricitabine interactionEmtricitabine, Rilpivirine, TenofovirComplera
How Emtricitabine, Rilpivirine, Tenofovir interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincBictegravir/emtricitabine/tenofovir Alafenamide (biktarvy) Moderate
Interaction Summary
Theoretically, zinc might decrease levels of bictegravir/emtricitabine/tenofovir alafenamide by reducing its absorption.
Read the full Zinc + Emtricitabine, Rilpivirine, Tenofovir interactionEmtricitabine, Rilpivirine, Tenofovir AlafenamideOdefsey
How Emtricitabine, Rilpivirine, Tenofovir Alafenamide interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincBictegravir/emtricitabine/tenofovir Alafenamide (biktarvy) Moderate
Interaction Summary
Theoretically, zinc might decrease levels of bictegravir/emtricitabine/tenofovir alafenamide by reducing its absorption.
Read the full Zinc + Emtricitabine, Rilpivirine, Tenofovir Alafenamide interactionEmtricitabine, Tenofovir Alafenamide FumarateDescovy
How Emtricitabine, Tenofovir Alafenamide Fumarate interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincBictegravir/emtricitabine/tenofovir Alafenamide (biktarvy) Moderate
Interaction Summary
Theoretically, zinc might decrease levels of bictegravir/emtricitabine/tenofovir alafenamide by reducing its absorption.
Read the full Zinc + Emtricitabine, Tenofovir Alafenamide Fumarate interactionEnoxacinPenetrex
How Enoxacin interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincQuinolone Antibiotics Moderate
Interaction Summary
Zinc can decrease the levels and clinical effects of quinolones antibiotics.
Read the full Zinc + Enoxacin interactionEravacyclineXerava
How Eravacycline interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincTetracycline Antibiotics Moderate
Interaction Summary
Zinc might reduce levels of tetracycline antibiotics.
Read the full Zinc + Eravacycline interactionFinafloxacinXtoro
How Finafloxacin interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincQuinolone Antibiotics Moderate
Interaction Summary
Zinc can decrease the levels and clinical effects of quinolones antibiotics.
Read the full Zinc + Finafloxacin interactionGatifloxacinTequin, Tequin Injection
How Gatifloxacin interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincQuinolone Antibiotics Moderate
Interaction Summary
Zinc can decrease the levels and clinical effects of quinolones antibiotics.
Read the full Zinc + Gatifloxacin interactionGemifloxacinFactive
How Gemifloxacin interacts with Zinc Citrate+ — through 1 ingredient. Tap an ingredient for the detail:
ZincQuinolone Antibiotics Moderate
Interaction Summary
Zinc can decrease the levels and clinical effects of quinolones antibiotics.
Read the full Zinc + Gemifloxacin interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Zinc Citrate+ 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.
Zinc
Bictegravir/Emtricitabine/Tenofovir Alafenamide (Biktarvy)
Theoretically, zinc might decrease levels of bictegravir/emtricitabine/tenofovir alafenamide by reducing its absorption.
Advise patients that bictegravir/emtricitabine/tenofovir alafenamide should be taken at least 2 hours before or 6 hours after zinc containing products.
Cephalexin (Keflex)
Zinc might decrease cephalexin levels by chelating with cephalexin in the gut and preventing its absorption.
A pharmacokinetic study shows that zinc sulfate 250 mg taken concomitantly with cephalexin 500 mg decreases peak levels of cephalexin by 31% and reduces the exposure to cephalexin by 27%. Also, taking zinc sulfate 3 hours before cephalexin decreases peak levels of cephalexin by 11% and reduces the exposure to cephalexin by 18%. By decreasing cephalexin levels, zinc might increase the risk of treatment failure. This effect does not occur when zinc is taken 3 hours after the cephalexin dose. To avoid an interaction, advise patients take zinc sulfate 3 hours after taking cephalexin.
Cisplatin (Platinol-Aq)
Theoretically, zinc might interfere with the therapeutic effects of cisplatin.
Animal research suggests that zinc stimulates tumor cell production of the protein metallothionein, which binds and inactivates cisplatin. It is not known whether zinc supplements or high dietary zinc intake can cause clinically significant interference with cisplatin therapy. Cisplatin might also increase zinc excretion.
Integrase Inhibitors
Theoretically, taking zinc along with integrase inhibitors might decrease the levels and clinical effects of these drugs.
Zinc is a divalent cation. Pharmacokinetic studies have shown that other divalent cations such as calcium and iron can decrease blood levels of the integrase inhibitor dolutegravir through chelation.
Penicillamine (Cuprimine, Depen)
Zinc might reduce the levels and clinical effects of penicillamine.
By forming an insoluble complex with penicillamine, zinc interferes with penicillamine absorption and activity. Zinc supplements reduce the efficacy of low-dose penicillamine (0.5-1 gram/day), but do not seem to affect higher doses (1-2.75 gram/day), provided dosing times are separated. Advise patients to take zinc and penicillamine at least 2 hours apart.
Quinolone Antibiotics
Zinc can decrease the levels and clinical effects of quinolones antibiotics.
Quinolones form complexes with zinc in the gastrointestinal tract, reducing absorption of both the quinolone and zinc if taken at the same time. Advise patients to take these drugs at least 2 hours before, or 4-6 hours after, zinc supplements.
Ritonavir (Norvir)
Zinc modestly reduces levels of ritonavir.
Clinical research shows that zinc might reduce serum ritonavir levels by chelating with ritonavir in the gut and preventing its absorption. In patients with HIV, ritonavir is taken with atazanavir to prevent the metabolism and increase the effects of atazanavir. A pharmacokinetic study shows that, in patients being treated with atazanavir/ritonavir, co-administration of zinc sulfate (Solvazinc tablets) 125 mg as a single dose or as multiple daily doses for 2 weeks reduces plasma levels of ritonavir by about 16%. However, atazanavir levels still remains high enough to prevent HIV virus replication. Therefore, the decrease in ritonavir levels is not likely to be clinically significant.
Tetracycline Antibiotics
Zinc might reduce levels of tetracycline antibiotics.
Tetracyclines form complexes with zinc in the gastrointestinal tract, which can reduce absorption of both the tetracycline and zinc when taken at the same time. Taking zinc sulfate 200 mg with tetracycline reduces absorption of the antibiotic by 30% to 40%. Demeclocycline and minocycline cause a similar interaction. However, doxycycline does not seem to interact significantly with zinc. Advise patients to take tetracyclines at least 2 hours before, or 4-6 hours after, zinc supplements to avoid any interactions.
Amiloride (Midamor)
Amiloride can modestly reduce zinc excretion and increase zinc levels.
Clinical research shows that amiloride can reduce urinary zinc excretion, especially at doses of 10 mg per day or more. This zinc-sparing effect can help to counteract zinc losses caused by thiazide diuretics, but it is unlikely to cause zinc toxicity at usual amiloride doses. The other potassium-sparing diuretics, spironolactone (Aldactone) and triamterene (Dyrenium), do not seem to have a zinc-sparing effect.
Atazanavir (Reyataz)
Zinc modestly reduces levels of atazanavir, although this effect does not seem to be clinically significant.
Clinical research shows that zinc might decrease serum atazanavir levels by chelating with atazanavir in the gut and preventing its absorption. Although a single dose of zinc sulfate (Solvazinc tablets) 125 mg orally does not affect atazanavir concentrations in patients being treated with atazanavir/ritonavir, co-administration of zinc sulfate 125 mg daily for 2 weeks reduces plasma levels of atazanavir by about 22% in these patients. However, despite this decrease, atazanavir levels still remain at high enough concentrations for the prevention of HIV virus replication.
Copper
Penicillamine (Cuprimine, Depen)
Theoretically, taking copper with penicillamine might decrease the absorption of penicillamine; separate dosing by at least 2 hours.
Copper chelates penicillamine, which decreases its absorption and may reduce its clinical effects.
Contraceptive Drugs
Theoretically, taking copper with contraceptive drugs might increase the levels and toxic effects of copper.
A meta-analysis of clinical studies suggests that chronic use of oral contraceptives increases serum copper levels by a mean of 57 mcg/dL. In most people, this resulted in levels above the normal reference range for copper.
Brand information
Manufacturer and brand details for Zinc Citrate+, from the product label.
AB American Biologics
See all AB American Biologics products- Name
- AMERICAN BIOLOGICS
- City
- Chula Vista
- State
- CA
- ZipCode
- 91911
Zinc Citrate+ by AB American Biologics: Common Questions
Does Zinc Citrate+ by AB American Biologics interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
What's the difference between the zinc and copper in this product?
Can I take this if I'm on the pill or other hormonal contraceptives?
What happens if I take this with an antibiotic?
Is it safe to take high doses of this supplement?
Can I take this while pregnant or breastfeeding?
What side effects might I notice from zinc?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Zinc Citrate+ is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
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 Zinc Citrate+’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Copper
Interacts with 31 drugsCopper is an essential trace mineral your body needs in small amounts for making red blood cells, supporting nerves and bones, and helping enzymes work. Most people get enough copper from fo...
Read the full Copper monograph → Herb & supplement monographZinc
Interacts with 67 drugsZinc is an essential mineral that your body needs for immune function, wound healing, taste, and smell. Most people get enough from food, but supplements can help correct or prevent a defici...
Read the full Zinc monograph →Sources & How We Checked
Zinc Citrate+'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 99 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.
Copper 11 references
- Murry JJ, Healy MD. Drug-mineral interactions: a new responsibility for the hospital dietician. J Am Diet Assoc 1991;91:66-73.
- Campbell IA, Elmes PC. Ethambutol and the eye: zinc and copper (letter). Lancet 1975;2:711. DOI
- Segal S, Kaminski S. Drug-nutrient interactions. American Druggist 1996 Jul;42-8.
- Kozak SF, Inderlied CB, Hsu HY, et al. The role of copper on ethambutol's antimicrobial action and implications for ethambutol-induced optic neuropathy. Diag Microbiol Infect Dis 1998;30:83-7. PubMed
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