SupplementScience

Zinc Side Effects & Safety

DJP
Reviewed by , MD, Board Certified Internal Medicine

This content is for informational purposes only and does not constitute medical advice. Consult your healthcare provider before starting any supplement. Full disclaimer

Safety Profile

Overall safety rating: Generally Safe

Potential Side Effects

  • Nausea and stomach upset (most common, especially on empty stomach)
  • Metallic taste in mouth
  • Headache at higher doses
  • Copper depletion with chronic use above 40mg/day — supplement copper 1-2mg if taking >30mg zinc long-term
  • Reduced immune function paradoxically at very high doses (>150mg/day)

Drug & Supplement Interactions

  • Reduces absorption of antibiotics (tetracyclines, quinolones) — separate by 2 hours
  • Competes with copper absorption — long-term high-dose zinc requires copper supplementation
  • Competes with iron for absorption — take at different times
  • Penicillamine (for Wilson disease) — zinc reduces its effectiveness

Maximum Dose

Do not exceed: 40mg/day elemental zinc (NIH Upper Tolerable Intake Level)

References

  1. (). Zinc for the common cold. Cochrane Database of Systematic Reviews. DOI
  2. (). Zinc status and serum testosterone levels of healthy adults. Nutrition. DOI
  3. (). Serum zinc levels and efficacy of zinc treatment in acne vulgaris: A systematic review and meta-analysis. Dermatologic Therapy. DOI