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Citranatal Drug Interactions
Certain drugs can interact with Citranatal, including hypothyroid medicines, aspirin, bisphosphonates, and certain antibiotics. These interactions could decrease the absorption of the medicines into your body and lead to other potentially serious problems.
An Overview of Citranatal Interactions
Citranatal® prenatal vitamins can potentially interact with a few other medicines. Some of the medicines that may lead to drug interactions with Citranatal include:
- Bisphosphonates for osteoporosis or other bone conditions, including:
- Fluoroquinolone antibiotics (also known as "quinolones"), such as:
- Ciprofloxacin (Cipro®, Cipro® XR)
- Gatifloxacin (Tequin®)
- Levofloxacin (Levaquin®)
- Moxifloxacin (Avelox®)
- Norfloxacin (Noroxin®)
- Ofloxacin (Floxin®)
- Medications that "thin" the blood (such as anticoagulant and antiplatelet drugs), such as:
- Antithrombin (ATryn®, Thrombate III®)
- Argatroban
- Aspirin (Bayer® and others)
- Bivalirudin (Angiomax®)
- Cilostazol (Pletal®)
- Clopidogrel (Plavix®)
- Dabigatran (Pradaxa®)
- Dipyridamole (Persantine®)
- Drotrecogin alfa (Xigris®)
- Eptifibatide (Integrilin®)
- Fondaparinux (Arixtra®)
- Heparin or heparin-like products, including dalteparin (Fragmin®), enoxaparin (Lovenox®), or tinzaparin (Innohep®)
- Lepirudin (Refludan®)
- Nonsteroidal anti-inflammatory drugs (NSAIDs), such as:
- Celecoxib (Celebrex®)
- Diclofenac (Cambia™, Cataflam®, Flector®, Solaraze® Gel, Voltaren®, Voltaren® Gel, Voltaren®-XR, Voltaren Ophthalmic®, Zipsor®)
- Etodolac (Lodine®, Lodine® XL)
- Ibuprofen (Motrin®, Advil®, Nuprin®)
- Indomethacin (Indocin®, Indocin SR®)
- Ketoprofen (Orudis®, Actron®, Oruvail®)
- Ketorolac (Toradol®)
- Meloxicam (Mobic®)
- Nabumetone (Relafen®)
- Naproxen (Naprosyn®) or naproxen sodium (Aleve®, Anaprox®, Naprelan®)
- Oxaprozin (Daypro®)
- Piroxicam (Feldene®)
- Others (see List of NSAIDs for a more complete list of these medications)
- Rivaroxaban (Xarelto®)
- Thrombolytics, such as:
- Alteplase (Activase®)
- Reteplase (Retavase®)
- Streptokinase (Streptase®)
- Tenecteplase (TNKase®)
- Tetracycline antibiotics, such as:
- Doxycycline (Periostat®, Vibramycin®)
- Minocycline (Minocin®)
- Tetracycline (Sumycin®)
- Hypothyroidism medications, including:
- Liothyronine (Cytomel®)
- Liotrix (Thyrolar®)
- Levothyroxine (Levothroid®, Levoxyl®, Synthroid®, Tirosint®, Unithroid®)
- Thyroid (Armor® Thyroid, Nature-Throid®).
Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD



