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TheraNatal Drug Interactions
Although a prescription is not needed to use TheraNatal, this does not mean that drug interactions with this vitamin are not possible. There are a number of products, such as certain antibiotics, Advil, and thyroid medications, which can be less effective or lead to other problems when used in combination with TheraNatal. You may need to separate your doses of TheraNatal and these products by several hours.
TheraNatal® may react with a number of other products. Some of the drugs that can interact with TheraNatal include but are not limited to:
- Bisphosphonates, such as:
- Alendronate (Fosamax®, Fosamax Plus D®)
- Etidronate (Didronel®)
- Ibandronate (Boniva®)
- Pamidronate (Aredia®)
- Risedronate (Actonel®, Actonel With Calcium®)
- Tiludronate (Skelid®)
- Zoledronic acid (Reclast®, Zometa®)
- Fluoroquinolone antibiotics, such as:
- Ciprofloxacin (Cipro®, Cipro® XR, Proquin® 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®)
- Orlistat (Alli®, Xenical®)
- Sucralfate (Carafate®)
- Tetracycline antibiotics, such as:
- Demeclocycline (Declomycin®)
- Doxycycline (Adoxa®, Alodox®, Atridox®, Doryx®, Monodox®, NutriDox™, Oracea®, Periostat®, Vibra-Tabs®, Vibramycin®)
- Minocycline (Arestin®, Cleeravue-M®, Dynacin®, Minocin®, Myrac™, Solodyn®)
- Tetracycline (Sumycin®)
- Thyroid medications, such as:
- Liothyronine (Cytomel®)
- Liotrix (Thyrolar®)
- Levothyroxine (Levothroid®, Levoxyl®, Synthroid®, Tirosint®, Unithroid®)
- Thyroid (Armor® Thyroid, Nature-Throid®, Westhroid®).
Written by/reviewed by: Susan Lakey, PharmD, MPH, BCPP
Last reviewed by: Kristi Monson, PharmD