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Cycloserine

Also indexed as: Seromycin®

Cycloserine is a broad-spectrum antibiotic used to treat tuberculosis. It is used rarely for treating noninfectious diseases.

Interactions with Dietary Supplements

Calcium and Magnesium
Cycloserine may interfere with calcium and magnesium absorption.1 The clinical significance of these interactions is unclear.

Folic acid, Vitamin B6, Vitamin B12
Cycloserine may interfere with the absorption and/or activity of folic acid, vitamin B6, and vitamin B12.2 3 The clinical importance of this interaction is unclear.

Vitamin K
Many antibiotics taken by mouth, including cycloserine, may kill friendly bacteria in the large intestine that produce vitamin K.4 With short-term (a few weeks or less) antibiotic use, the actions on vitamin K are usually mild and cause no problems. After antibiotic therapy is completed, vitamin K activity returns to normal.

Interactions with Foods and Other Compounds

Alcohol
Cycloserine may cause drowsiness.5 Alcohol may intensify this drowsiness and increase the risk of accidents during activities requiring alertness. Seizures are a possible side effect of cycloserine therapy. Alcohol consumed during cycloserine therapy may increase the risk of seizures.6 People should avoid alcohol-containing products during cycloserine therapy.

Summary of Interactions for Cycloserine

Depletion or interference Calcium*
Folic acid*
Magnesium*
Vitamin B12*
Vitamin B6*
Vitamin K
Adverse interaction None known
Side effect reduction/prevention None known
Supportive interaction None known
Reduced drug absorption/bioavailability None known

For the convenience of the reader, the information in the summary is categorized as follows: “Depletion or interference” indicates the drug may deplete or interfere with the absorption or function of the supplement or herb. “Adverse interaction” indicates that the supplement or herb used together with the drug may result in undesirable effects. “Side effect reduction/prevention” indicates the supplement or herb may reduce the likelihood and/or severity of a potential side effect caused by the drug. “Supportive interaction” indicates the supplement or herb may support or aid the function of the drug. “Reduced drug absorption/bioavailability” indicates that the supplement or herb may decrease the absorption and/or activity of the drug in the body. An asterisk (*) next to an item in the summary indicates that the interaction is supported only by weak, fragmentary, and/or contradictory scientific evidence.

References:

1. Holt GA. Food & Drug Interactions. Chicago: Precept Press, 1998, 86.

2. Roe D, Campbell T, eds. Drugs and Nutrients: The Interactive Effects. New York: Marcel Decker, 1984, 288–9, 505–23.

3. Holt GA. Food & Drug Interactions. Chicago: Precept Press, 1998, 86.

4. Holt GA. Food & Drug Interactions. Chicago: Precept Press, 1998, 86.

5. Threlkeld DS, ed. Anti-Infectives, Antituberculosis Drugs, Cycloserine. In Facts and Comparisons Drug Information. St. Louis, MO: Facts and Comparisons, Mar 1990, 394–5.

6. Holt GA. Food & Drug Interactions. Chicago: Precept Press, 1998, 85.