Skip to content

Which supplements cannot be taken with zinc?

4 min read

Approximately 12% of U.S. adults use zinc supplements, but many are unaware of the mineral interactions that can diminish their effectiveness. To maximize the benefits of supplementation, it is crucial to understand which supplements cannot be taken with zinc to avoid hindering absorption.

Quick Summary

Zinc supplements can interact negatively with several other minerals and compounds, including iron, copper, and calcium, inhibiting proper absorption. Separating the intake of zinc from these other supplements by several hours can help prevent this antagonistic effect. Other considerations include high-fiber foods and specific medications.

Key Points

  • Iron: High-dose iron supplements can inhibit zinc absorption; take at least two hours apart.

  • Copper: Excess zinc is antagonistic to copper, and long-term high zinc intake can cause copper deficiency.

  • Calcium and Magnesium: High doses of calcium or magnesium supplements can compete with zinc for absorption.

  • Phytic Acid: Found in whole grains, legumes, and nuts, phytic acid can bind to zinc and reduce its absorption; take zinc on an empty stomach.

  • Antibiotics: Certain antibiotics, like tetracyclines and quinolones, should be spaced out from zinc to avoid impaired absorption of both.

  • Medications: Penicillamine and some diuretics can interact with zinc; consult a doctor if you take these.

  • Optimal Absorption: For best results, take zinc 30 minutes before or two hours after a meal, away from high-mineral or high-fiber foods.

In This Article

While zinc is a vital mineral for immune function, wound healing, and metabolism, its absorption can be significantly impaired by other supplements. Understanding these interactions is key to ensuring you get the most out of your supplements and maintain optimal health.

Mineral Competition: The Primary Inhibitors

Several minerals, when taken in high doses at the same time as zinc, compete for absorption in the small intestine. This competition can reduce the bioavailability of both minerals, potentially leading to a deficiency in one or both over time.

Iron Supplements

One of the most significant interactions is between iron and zinc. High doses of iron, often found in supplements for treating anemia, can drastically reduce zinc absorption. Studies show that taking iron and zinc together on an empty stomach can block zinc's uptake. For this reason, experts recommend spacing out the intake of high-dose iron and zinc supplements by at least two hours. Interestingly, the iron found naturally in fortified foods does not appear to have the same inhibitory effect.

Copper: The Antagonistic Relationship

Zinc and copper share an antagonistic relationship, meaning that excessive intake of one can cause a deficiency of the other. Taking high doses of zinc over a prolonged period can increase the body's production of a protein called metallothionein, which binds copper and prevents its absorption. This can lead to copper deficiency, which may cause anemia and neurological issues. Many zinc-only supplements, especially those with high dosages, carry a risk of creating this imbalance. The ideal zinc-to-copper ratio is often cited as 8:1, so taking these minerals separately or in a balanced multivitamin is often recommended.

Calcium and Magnesium

Calcium and magnesium also compete with zinc for absorption in the intestines. While the effect is typically less pronounced than with iron, taking very high doses of calcium or magnesium supplements alongside zinc can still lead to reduced absorption. For most people taking a standard multivitamin with smaller mineral quantities, this is not a concern. However, if you are supplementing with high individual doses of these minerals, separating them by a few hours is a wise precaution.

Foods that Hinder Zinc Absorption

Besides other minerals, certain compounds found in food can also interfere with zinc absorption. The most notable are phytates, which are compounds found in plant-based foods.

Phytic Acid (Phytates)

Phytic acid is found in the bran and hull of many seeds, nuts, whole grains, and legumes. It binds to minerals like zinc, iron, and calcium, creating insoluble compounds that cannot be absorbed by the body. While a healthy diet provides numerous benefits, consuming large quantities of high-phytate foods, especially with a zinc supplement, can reduce its effectiveness. This is why it is often recommended to take zinc supplements on an empty stomach, either 30 minutes before or two hours after a meal.

Comparison of Supplement Timing with Zinc

To help visualize the best way to time your supplement intake, consider the following guide:

Supplement Type Why Timing Matters Recommended Timing Relative to Zinc
Iron Competes for intestinal absorption. Take at least 2 hours apart.
Copper High doses of zinc can cause copper deficiency. Take at least 2 hours apart, or consider a balanced supplement.
Calcium Competes for intestinal absorption, especially at high doses. Take at least 2 hours apart, or take zinc with a small meal.
Magnesium Very high doses of zinc can inhibit magnesium absorption. Consider taking at different times of the day.
High-Fiber Foods Phytic acid binds to zinc and prevents absorption. Take zinc on an empty stomach.
Tetracycline & Quinolone Antibiotics Zinc binds to the antibiotic, reducing its effectiveness. Take the antibiotic 2-4 hours apart from zinc.

Medications that Interact with Zinc

It is also important to note that certain medications can interfere with zinc absorption or its function in the body. If you are taking any of the following, consult a healthcare provider for advice on managing your supplement routine:

  • Antibiotics: Quinolone and tetracycline antibiotics can form complexes with zinc, reducing the absorption of both the antibiotic and the mineral.
  • Penicillamine: A drug used for Wilson's disease and rheumatoid arthritis, penicillamine can have its absorption reduced by zinc. Take them at least one hour apart.
  • Diuretics: Thiazide diuretics, like hydrochlorothiazide, can increase urinary zinc excretion, potentially leading to deficiency over time.
  • Corticosteroids: Long-term use of corticosteroids can also impact zinc levels.

Best Practices for Supplementing with Zinc

To ensure your zinc supplement is effective and safe, follow these best practices:

  • Read Labels: Check the amounts of other minerals in multivitamin or single-mineral supplements.
  • Time it Right: Take zinc on an empty stomach for optimal absorption, unless it causes nausea. In that case, take it with a small meal that is low in phytates and other competing minerals.
  • Spread Out Doses: If you need to supplement with iron, copper, or high doses of calcium/magnesium, space them out from your zinc dose by at least two hours.
  • Monitor Symptoms: Be aware of the signs of mineral deficiency. Chronic, high-dose zinc use can lead to copper deficiency, with symptoms including anemia, nerve issues, and impaired immunity.
  • Consult a Professional: Always talk to a healthcare provider before starting a new supplement, especially if you take other medications or have a chronic health condition. The NIH Office of Dietary Supplements provides reliable fact sheets on zinc and its interactions.

Conclusion

While zinc is a crucial nutrient, its relationship with other minerals and compounds is complex. Supplements containing high doses of iron, copper, and calcium are the most common inhibitors of zinc absorption and should be taken at a different time of day. For optimal uptake, it's best to consume zinc on an empty stomach and away from high-fiber meals. By being mindful of these interactions, you can ensure your supplementation strategy is both safe and effective. Always prioritize guidance from a healthcare professional to tailor your approach to your individual needs.

Frequently Asked Questions

It is generally fine to take a zinc supplement with a standard multivitamin, as the mineral doses are usually low enough to minimize competition. However, if your multivitamin contains high doses of iron or copper, it's best to separate them by at least two hours to ensure proper absorption.

To minimize interference and maximize absorption of both minerals, you should wait at least two hours between taking high-dose zinc and iron supplements.

Yes, high-fiber foods, especially those rich in phytic acid like legumes and whole grains, can bind with zinc and reduce its absorption. It is best to take zinc supplements on an empty stomach or with a low-fiber meal.

Excessive intake of zinc, especially over long periods, can lead to copper deficiency, altered iron function, and a weakened immune system. Acute symptoms of high intake include nausea, vomiting, and diarrhea.

Yes, zinc can interfere with certain antibiotics, including tetracycline and quinolone types, reducing the absorption and effectiveness of both. You should take these antibiotics at least two to four hours apart from your zinc supplement.

For optimal absorption, it is best to take zinc supplements on an empty stomach. However, if you experience nausea or stomach upset, taking it with a small meal can help.

Copper and zinc have an antagonistic relationship. Taking high doses of zinc can lead to a copper deficiency over time. Maintaining a healthy balance between the two, sometimes through supplementation, is important for preventing this imbalance.

References

  1. 1
  2. 2
  3. 3
  4. 4
  5. 5
  6. 6
  7. 7
  8. 8

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.