HealthRX.com · Printable medication review sheet
Zinc supplement and antibiotic interaction review sheet
Use this sheet before a visit with your prescriber or pharmacist to list every zinc product you use, check which antibiotics or minerals may interact with it, and write down questions about copper, smell changes and testing.
Zinc products I use
Include over-the-counter, nasal, lozenge and denture products.
Zinc product nameCopy the name from the label
How often I use itWrite daily, weekly or as needed
Who recommended or prescribed it
Month I started
Other minerals or vitamins I takeIron, calcium, multivitamins
Gather before the visit
Bring the packages or photos of the labels.
- Bring every zinc product, including over-the-counter and denture creams.
- List any antibiotics prescribed to you, especially ciprofloxacin, levofloxacin, moxifloxacin or tetracycline.
- Note whether you take iron, calcium or a multivitamin with zinc.
- Write down any change in your sense of smell since using a nasal zinc product.
- Bring any copper or testosterone results you have from past tests.
- Check with your pharmacist how far apart each product's label says to take them.
Ask my prescriber or pharmacist
- Does my current zinc product fit the official daily intake limits for my age and sex?
- Should I check my copper level while I use zinc?
- How far apart should I take my zinc and my antibiotic?
- Could any of my other supplements reduce how much zinc I absorb?
- Is there a safer option for a cold or nasal problem that I should discuss?
- Should I stop or change any zinc product before my next test?
Zinc and other product timing record
Write each day you take zinc together with another product.
| Date | Zinc product | Other product | Gap noted |
|---|---|---|---|
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.