May affect the absorption of tetracycline when used together

Concurrent use with systemic corticosteroids may reduce calcium absorption

Thiazide diuretics may decrease urinary excretion of calcium Biophosphates of Na fluoride should be given at least 3 hr before calcium containing preparations

Supplementation of Calcium and Vitamins

Constipation, flatulence

Nausea, abdominal pain

Diarrhoea

Pruritus, rash and urticaria

Patients with hypercalciumia and or hypercalciuria

Special Precautions-

Impaired Ca absorption in achlorhydria which is common in elderly Increased risk of hypercalcemia and hypercalcuria in hypoparathyroid patients

Caution when using in patients with history of kidney stones

Renal impairment- frequent monitoring of serum calcium and phosphorus is recommended

Indication-

Supplementation of Calcium and Vitamins

Dosage-

1 tab bid