Drug-induced nutrient depletion

Amlodipine, Celecoxib & Nutrient Depletion

Also searched as Consensi. What the clinical evidence reports, what it may mean, and what to discuss with your pharmacist.

3Nutrient associations
Insufficient EvidenceHighest rating
The bottom line

Amlodipine, Celecoxib has been associated with depletion of COENZYME Q10, FOLIC ACID and VITAMIN C. This does not mean a deficiency will occur — it means these are worth knowing about and, if you take Amlodipine, Celecoxib long-term, worth raising with your pharmacist or healthcare provider.

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Take more than one medication? Open the checker with Amlodipine, Celecoxib pre-loaded and add the rest to see overlapping nutrient signals.

The evidence

Reported nutrient depletions with Amlodipine, Celecoxib

Each record below is shown as published in our licensed clinical database, with its evidence rating and citations. Expand a section for food sources and talking points.

COENZYME Q10

Insufficient Evidence

ANTIHYPERTENSIVE DRUGS

Some antihypertensive drugs can modestly decrease endogenous levels of coenzyme Q10.

Some antihypertensive drugs, including beta blockers, diazoxide, hydralazine, and others, appear to inhibit coenzyme Q10 enzyme activity and may decrease endogenous levels of coenzyme Q10. However, it is not clear if this reduction is clinically significant. There is no reliable evidence that coenzyme Q10 depletion contributes to antihypertensive drug side effects.
Taking Amlodipine, Celecoxib? Insufficient evidence to rate; clinical significance is not known. ⓘ
Dr. Brian Staiger, Pharm.D explains

Coenzyme Q10 is a compound your cells use to produce energy, and it also acts as an antioxidant throughout the body. Some blood pressure medications have been reported to interfere with the enzymes that make CoQ10 naturally, which could modestly lower your body's own supply. That said, the evidence here is really preliminary, and there is no solid proof that amlodipine specifically causes a meaningful drop or that it leads to any noticeable symptoms. This is worth mentioning to your pharmacist or doctor if you are curious, but most people do not need to act on this right now.

What Coenzyme Q10 (CoQ10) does & food sources

CoQ10 helps cells produce energy and acts as an antioxidant; heart and muscle tissue use it heavily.

Common food sources:

  • Organ meats and fatty fish
  • Whole grains
  • Nuts and seeds

HelloPharmacist pharmacist-reviewed education — separate from the licensed record above.

What to discuss with your clinician

There is no routine blood test for CoQ10 in everyday practice. If you have new, unexplained muscle symptoms on a medication linked to CoQ10 (statins are the best-known example), talk to your prescriber before changing anything — symptoms have many possible causes and your prescriber has several options.

HelloPharmacist pharmacist-reviewed education — separate from the licensed record above.

Supplement considerations

CoQ10 is generally well tolerated, but evidence for supplementing (for example, for statin muscle symptoms) is mixed. It may also modestly affect warfarin — check with your pharmacist before combining.

Do not start or stop medications or supplements without professional guidance — supplements can interact with prescription medications.

HelloPharmacist pharmacist-reviewed education — separate from the licensed record above.

Caution: Do not stop a prescribed medication because of this association — discuss any symptoms with your prescriber first.

Learn more about this nutrient: Coenzyme Q10 — uses, safety & interactions

References (1)
  1. Kishi T, Kishi H, Watanabe T, et al. Bioenergetics in clinical medicine. XI. Studies on coenzyme Q and diabetes mellitus. J Med 1976;7:307-21.

FOLIC ACID

Insufficient Evidence

NONSTEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDs)

It is unclear if NSAIDs can reduce serum folate levels.

Folate-dependent enzymes are inhibited in vitro by NSAIDs with carboxylic acid-containing side chains. The clinical significance of this inhibition is unknown. For information on foods that are rich in folate, see our chart.
Taking Amlodipine, Celecoxib? Insufficient evidence to rate; clinical significance is not known. ⓘ
Dr. Brian Staiger, Pharm.D explains

Folic acid is a B vitamin your body uses to build healthy cells and support normal nerve function. Celecoxib belongs to a class of anti-inflammatory drugs that, in lab studies, appears to interfere with certain folate-dependent enzymes, but whether that actually lowers folate levels in real patients is simply not known. The evidence here is too thin to say this is a real concern, so most people taking celecoxib do not need to worry about it right now. That said, if you have questions about your folate intake or want your levels checked, it is always worth a quick conversation with your pharmacist or doctor.

What Folic acid (folate) does & food sources

Folate is needed for cell division, red blood cell formation, and healthy fetal development.

Common food sources:

  • Leafy green vegetables
  • Beans, lentils, and peas
  • Fortified grains and cereals
  • Citrus fruits

HelloPharmacist pharmacist-reviewed education — separate from the licensed record above.

What to discuss with your clinician

Ask your provider whether folate monitoring or supplementation is appropriate for you — this matters most before and during pregnancy, and with long-term use of certain seizure or arthritis medications.

HelloPharmacist pharmacist-reviewed education — separate from the licensed record above.

Supplement considerations

Folate needs are individual. With some medications (for example, methotrexate), folic acid is often prescribed deliberately on a specific schedule — follow your prescriber's instructions rather than adding your own.

Do not start or stop medications or supplements without professional guidance — supplements can interact with prescription medications.

HelloPharmacist pharmacist-reviewed education — separate from the licensed record above.

Caution: High-dose folic acid can mask vitamin B12 deficiency, so the two are often evaluated together.

Learn more about this nutrient: Folic Acid — uses, safety & interactions

References (2)
  1. Shils ME, Olson JA, Shike M, Ross AC, eds. Modern Nutrition in Health and Disease. 9th ed. Baltimore, MD: Williams & Wilkins, 1999.
  2. Baggott JE, Morgan SL, Ha T, et al. Inhibition of folate-dependent enzymes by non-steroidal anti-inflammatory drugs. Biochem J 1992;282:197-202. PubMed

VITAMIN C

Insufficient Evidence

CALCIUM CHANNEL BLOCKERS

Dihydropyridine calcium channel blockers (DCCBs) might decrease vitamin C absorption.

DCCBs inhibit uptake of vitamin C by intestinal cells in vitro. Whether this causes a clinically significant reduction in vitamin C absorption in humans is not known.
Taking Amlodipine, Celecoxib? Insufficient evidence to rate; clinical significance is not known. ⓘ
Dr. Brian Staiger, Pharm.D explains

Vitamin C is something your immune system, skin, and wound healing all depend on, so it is worth knowing that amlodipine, a type of calcium channel blocker, has shown in lab studies that it may interfere with how intestinal cells take up vitamin C. That said, this has only been seen in lab settings, not confirmed in real patients, which is why the evidence is currently rated as insufficient. Most people taking amlodipine do not need to worry about this, but if you have questions or want to discuss your diet or vitamin intake, your pharmacist or doctor is a great place to start.

What Vitamin C does & food sources

Vitamin C is an antioxidant that supports the immune system, collagen formation, and iron absorption.

Common food sources:

  • Citrus fruits
  • Bell peppers
  • Strawberries and kiwi
  • Broccoli and Brussels sprouts

HelloPharmacist pharmacist-reviewed education — separate from the licensed record above.

What to discuss with your clinician

Frank vitamin C deficiency is uncommon with a varied diet. If your diet is limited and you take an associated medication, ask your provider whether your intake is adequate.

HelloPharmacist pharmacist-reviewed education — separate from the licensed record above.

Supplement considerations

Vitamin C is water-soluble and generally low-risk at food-level intakes; very high supplemental doses can cause stomach upset and may not add benefit.

Do not start or stop medications or supplements without professional guidance — supplements can interact with prescription medications.

HelloPharmacist pharmacist-reviewed education — separate from the licensed record above.

Learn more about this nutrient: Vitamin C — uses, safety & interactions

References (1)
  1. Kuo SM, Lin CP, Morehouse HF Jr. Dihydropyridine calcium channel blockers inhibit ascorbic acid accumulation in human intestinal Caco-2 cells. Life Sci 2001;68:1751-60.. PubMed
Important

This tool is educational and is not a substitute for professional medical advice. An association is not a diagnosis and does not mean a deficiency will occur. Always talk to your pharmacist or healthcare provider before starting, stopping, or changing any medication or supplement.

Disclaimer: This checker finds which nutrients might be depleted by prescription or over-the-counter medications. Each nutrient depletion issue is rated based on clinical significance. Use your own professional judgment prior to making clinical decisions.

© 2026 Therapeutic Research Center Licensed records refresh weekly · last updated July 3, 2026.
Understand the basics

What drug-induced nutrient depletion means

Some medications can, over time, lower the levels of certain vitamins, minerals, or other nutrients — through reduced absorption, increased loss, or changes in how the body uses them.

Association is not deficiency

An entry here means a depletion has been reported or studied — not that it happens to everyone, or that you are deficient. Dose, duration, diet, and your own health all matter.

Evidence varies by pair

Some drug–nutrient links (like metformin and vitamin B12) are well studied; others rest on limited or preliminary research. Each entry shows the evidence rating from our licensed clinical database.

When to ask about labs

If you take an associated medication long-term, ask your healthcare provider whether monitoring is appropriate for you. Not everyone needs testing — your provider can weigh your dose, duration, and symptoms.

Don't self-supplement blindly

Supplements are not risk-free: some can interact with medications, and some (like potassium or magnesium) can be risky with kidney disease. Talk to your pharmacist before adding anything.

Never stop a medication over this

These medications are prescribed for good reasons, and the benefit usually far outweighs a manageable nutrient consideration. Any change belongs in a conversation with your prescriber.

Food first, usually

For many nutrients, a varied diet covers the gap. Each entry lists common food sources; a supplement is a decision to make with your pharmacist or provider, not a default.

Common questions

Amlodipine, Celecoxib & nutrients: FAQs

Does Amlodipine, Celecoxib deplete COENZYME Q10?
Amlodipine, Celecoxib has been associated with lower COENZYME Q10 levels in the clinical literature — see the evidence rating and details above. An association is not a guarantee: dose, duration, diet, and your own health all matter. If you take Amlodipine, Celecoxib long-term, ask your healthcare provider whether checking your COENZYME Q10 status is appropriate.
Should I take a supplement because I take Amlodipine, Celecoxib?
Not automatically. The right first step is usually a conversation with your pharmacist or provider — they can weigh your dose and duration, decide whether testing makes sense, and recommend food-first strategies or a supplement if genuinely needed. Some supplements can interact with medications, so do not add one without checking.
Should I stop taking Amlodipine, Celecoxib?
No — never stop a prescribed medication because of a nutrient association. Amlodipine, Celecoxib is prescribed for good reasons, and nutrient considerations are usually manageable with monitoring or diet. Any change to your medication belongs in a conversation with your prescriber.
Where does this information come from?
The depletion records come from the Natural Medicines (Therapeutic Research Center) database — an evidence-graded clinical reference — and are displayed as published, with their citations. The plain-English context is written and reviewed by licensed HelloPharmacist pharmacists.

Questions about Amlodipine, Celecoxib and your nutrition?

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Sources

Sources & How We Checked

Nutrient depletion records for Amlodipine, Celecoxib are evidence-graded and sourced from the Natural Medicines database, and are displayed as published with their citations.

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