Can I take Colecalciferol and Levothyroxine together?
Drug interaction guide
Originally published 25 Jan 2026
Meets Patient’s editorial guidelines
- DownloadDownload
- Share
- Language
- Discussion
Taking colecalciferol (Vitamin D3) and levothyroxine together is generally safe, but there is a small possibility that high doses of Vitamin D could affect how your thyroid medication works. Specifically, if Vitamin D significantly raises your calcium levels, it might change how your body responds to levothyroxine.
In this article:
Continue reading below
Why this happens
There is no direct evidence that Vitamin D stops levothyroxine from being absorbed. However, Vitamin D helps the body absorb calcium. If calcium levels in the blood become very high (hypercalcaemia), it can theoretically alter thyroid hormone sensitivity or metabolism. Additionally, if you take Vitamin D as part of a combined calcium supplement, the calcium itself will block the absorption of levothyroxine.
What you should do
You can take these two medications together. To be safe, it is best to take levothyroxine on an empty stomach, at least 30 to 60 minutes before breakfast or any other medications. If your Vitamin D supplement also contains calcium, you must wait at least 4 hours after taking your levothyroxine before taking the supplement. Your doctor will monitor your thyroid levels (TSH) as part of your routine care.
Continue reading below
Using other medicines
Taking multiple medicines? Our Medicines Interaction Checker helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.
Disclaimer
This information is for general educational purposes only and should not be relied upon as a substitute for professional medical advice. Always consult your GP, pharmacist, or another qualified healthcare professional before making decisions about your medications. Individual circumstances may vary, and only a healthcare professional who knows your medical history can provide personalised guidance.
Patient picks for Drug interactions

Treatment and medication
Can I take Amitriptyline and Zopiclone together?
Taking amitriptyline and zopiclone together can make you feel extremely drowsy, dizzy, and confused. It significantly increases the risk of falling over, especially in the dark or when getting out of bed at night. It can also cause your breathing to become very slow or shallow, and may lead to severe coordination problems.

Treatment and medication
Can I take Co-codamol and Ibuprofen together?
It is safe to take co-codamol and ibuprofen together. They are different types of painkillers that work in different ways to provide better pain relief than taking either one alone.
Continue reading below
Article history
The information on this page is written and peer reviewed by qualified clinicians.
25 Jan 2026 | Originally published

Ask, share, connect.
Browse discussions, ask questions, and share experiences across hundreds of health topics.

Feeling unwell?
Assess your symptoms online for free
Sign up to the Patient newsletter
Your weekly dose of clear, trustworthy health advice - written to help you feel informed, confident and in control.
By subscribing you accept our Privacy Policy. You can unsubscribe at any time. We never sell your data.