Drug-induced nutrient depletion

Dehydrocholic Acid , Docusate & Nutrient Depletion

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

3Nutrient associations
Moderate DepletionHighest rating
The bottom line

Dehydrocholic Acid , Docusate has been associated with depletion of CALCIUM, POTASSIUM and VITAMIN D. This does not mean a deficiency will occur — it means these are worth knowing about and, if you take Dehydrocholic Acid , Docusate long-term, worth raising with your pharmacist or healthcare provider.

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The evidence

Reported nutrient depletions with Dehydrocholic Acid , Docusate

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.

CALCIUM

Moderate Depletion

STIMULANT LAXATIVES

Taking stimulant laxatives might decrease calcium absorption and increase calcium requirements.

Prolonged use of high doses of stimulant laxatives can reduce dietary calcium and vitamin D absorption, and possibly lead to osteomalacia. Advise patients to limit stimulant laxatives to short-term use of recommended doses.
Taking Dehydrocholic Acid , Docusate? Monitor for depletion; a supplement is needed for some patients.
Dr. Brian Staiger, Pharm.D explains

Calcium is the mineral your bones, muscles, and heart depend on to stay strong and work properly. When stimulant laxatives like dehydrocholic acid are used at high doses over a long period, they can speed up movement through the gut and interfere with how well calcium (and vitamin D) are absorbed from food. This is rated as a moderate concern, so it matters most for people using these products regularly rather than occasionally. If you take this medication often or long-term, it is worth asking your pharmacist or doctor whether your calcium intake needs a closer look.

What Calcium does & food sources

Calcium builds and maintains bone and is essential for muscle contraction and nerve signaling.

Common food sources:

  • Dairy products (milk, yogurt, cheese)
  • Fortified plant milks and juices
  • Canned fish with bones (sardines, salmon)
  • Leafy greens like kale

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

What to discuss with your clinician

Ask your provider whether bone health monitoring (and vitamin D testing) makes sense with long-term use of an associated medication — a blood calcium level alone does not capture bone calcium status.

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

Supplement considerations

Calcium can interfere with the absorption of several medications (some antibiotics, thyroid medication, iron) — separate the doses and confirm timing with your pharmacist. Total intake from food plus supplements matters more than supplements alone.

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: Very high calcium intake has its own risks (kidney stones in susceptible people) — more is not better.

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

References (1)
  1. Frier BM, Scott RD. Osteomalacia and arthropathy associated with prolonged abuse of purgatives. Br J Clin Pract 1977;31:17-9. DOI

POTASSIUM

Moderate Depletion

STIMULANT LAXATIVES

Stimulant laxatives, when used long-term or in high doses, can lead to potassium depletion.
Long-term use of stimulant laxatives, or acute use of high doses (e.g., in bowel-cleansing regimens), can result in potassium loss and hypokalemia. Advise people to only use stimulant laxatives short-term at recommended doses.
Taking Dehydrocholic Acid , Docusate? Monitor for depletion; a supplement is needed for some patients.
Dr. Brian Staiger, Pharm.D explains

Potassium is a mineral your heart, muscles, and nerves depend on to work properly. Stimulant laxatives like dehydrocholic acid can cause your intestines to move contents through faster than normal, which means the gut has less time to absorb potassium before it is lost in stool. With regular or high-dose use, that loss can add up enough to matter. If you have been using this type of laxative for more than a short stretch, it is worth asking your pharmacist or doctor whether your potassium levels should be checked.

What Potassium does & food sources

Potassium keeps nerve signals, muscle contractions, and heart rhythm working normally.

Common food sources:

  • Bananas and citrus fruits
  • Potatoes and sweet potatoes
  • Beans and lentils
  • Tomatoes and leafy greens

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

What to discuss with your clinician

Potassium is routinely checked with basic blood work. If you take a medication associated with potassium loss (like some diuretics), ask your provider how often your electrolytes should be monitored.

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

Supplement considerations

Do not start potassium supplements on your own. Both low and high potassium can affect heart rhythm, and several common medications (ACE inhibitors, ARBs, potassium-sparing diuretics) raise potassium.

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: Potassium supplementation can be dangerous in kidney disease or alongside potassium-raising medications — this is a decision for your prescriber, guided by lab results.

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

References (3)
  1. Ritsema GH, Ellers G. Potassium supplements prevent serious hypokalemia in colon cleansing. Clin Radiol 1994;49;874-6.
  2. Murry JJ, Healy MD. Drug-mineral interactions: a new responsibility for the hospital dietician. J Am Diet Assoc 1991;91:66-73.
  3. Garabedian-Ruffalo SM, Ruffalo RL. Drug and nutrient interactions. Am Fam Physician 1986;33:165-74.

VITAMIN D

Moderate Depletion

STIMULANT LAXATIVES

Prolonged therapy with stimulant laxatives might reduce blood levels of vitamin D.
Prolonged use of high doses of stimulant laxatives can reduce dietary vitamin D and calcium absorption, leading to hypocalcemia and osteomalacia. Advise patients to limit stimulant laxatives to short-term use of recommended doses.
Taking Dehydrocholic Acid , Docusate? Monitor for depletion; a supplement is needed for some patients.
Dr. Brian Staiger, Pharm.D explains

Vitamin D is something your body needs to absorb calcium and keep your bones strong. When stimulant laxatives like dehydrocholic acid are used for a long time or at high doses, they can speed food through the gut fast enough that fat-soluble nutrients like vitamin D do not get properly absorbed along the way. This is rated as a moderate concern, meaning it is not a worry for short-term use, but people who rely on these laxatives regularly may want to ask their pharmacist or doctor whether their vitamin D levels should be checked.

What Vitamin D does & food sources

Vitamin D helps the body absorb calcium and supports bone, muscle, and immune health.

Common food sources:

  • Fatty fish (salmon, mackerel)
  • Fortified milk and cereals
  • Egg yolks
  • Sunlight exposure (the main natural source)

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

What to discuss with your clinician

A 25-hydroxyvitamin D blood test is the standard way to assess status — ask whether it is appropriate if you take an associated medication long-term, have limited sun exposure, or have bone concerns.

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

Supplement considerations

Vitamin D dosing varies a lot between people; some medications change how vitamin D is processed. Your provider can target a dose to your level instead of guessing.

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: Vitamin D is fat-soluble and can accumulate — very high doses over time can cause harm, so follow a clinician-guided plan.

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

References (1)
  1. Frier BM, Scott RD. Osteomalacia and arthropathy associated with prolonged abuse of purgatives. Br J Clin Pract 1977;31:17-9. DOI
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

Dehydrocholic Acid , Docusate & nutrients: FAQs

Does Dehydrocholic Acid , Docusate deplete CALCIUM?
Dehydrocholic Acid , Docusate has been associated with lower CALCIUM 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 Dehydrocholic Acid , Docusate long-term, ask your healthcare provider whether checking your CALCIUM status is appropriate.
Should I take a supplement because I take Dehydrocholic Acid , Docusate?
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 Dehydrocholic Acid , Docusate?
No — never stop a prescribed medication because of a nutrient association. Dehydrocholic Acid , Docusate 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 Dehydrocholic Acid , Docusate and your nutrition?

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Sources

Sources & How We Checked

Nutrient depletion records for Dehydrocholic Acid , Docusate 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.