Question
Do I need to eat calcium rich foods at a different time to taking treatment?
25 January 2023. Related: All topics, Supplements and herbs.
My wife and I just been switched to TLD, they said that calcium and iron supplements interacts with dolutegravir. I’m just confused about foods containing calcium like milk, and iron rich foods like fish. Do I have to eat/drink them 6 hours after taking TLD to avoid interactions? Thank you so much
Answer
Hi, how are you doing?
No. You do not need to eat/drink these foods at a different time to your medication.
Dolutegravir should not be taken at the same time as calcium/iron supplements. Often it is advised to take the treatment and supplement at opposite ends of the day to avoid interaction.
Supplements contain significantly higher levels of these vitamins/minerals than in food. It is because these supplements have much higher levels that there is risk of interaction. In food, these levels are much lower and will not interact with your treatment.
Josh.
Hello Skha and thanks for getting in touch.
As I have explained in my email we are not aware of any dietary restrictions with TLD.
However, if you feel there is a risk please avoid panner while on PEP.
Try taking PEP in the morning, might also help with your sleep.
hello. i started pep within 24 hours.it was TLD. my base results were also fine. i didnt have any idea about dietary restrictions. so i had 100-150 grmas panner(indian cottage cheese). they usally have very high calcium content about400-600 grams/100 grams. will it affect TLD effectiveness. now i am very scared as i did it twice. usally i have my pep just after my lunch.