The amount of nutrients in the product is not expected to interact with food or medicines.
Cixtor-Z Max: Vitamin D3: The patient should avoid taking Vitamin D3 if he/she is taking the following drugs: Paricalcitol; Calcipotriene; Doxercalciferol; Mineral oil; Orlistat; Bile acid sequestrants like colesevelam, colestipol, cholestyramine.
Drugs like Orlistat, or bile acid sequestrants like those listed previously, can decrease or prevent the body from absorbing vitamin D and other fat-dependent vitamins, namely vitamins A, E, and K.
Separate Vitamin D3 from these medications by at least 2 hours or take the Vitamin D3 at bedtime to allow enough time to avoid interactions.
Also, be careful with drugs like: Digoxin; Aluminum hydroxide; Water pills like chlorthalidone, hydrochlorothiazide, and chlorothiazide; Magnesium hydroxide and magnesium citrate; Fosphenytoin.