Calcichew-D3 500mg/400IU Caplets
Calcium / Vitamin D3
1. W hat Calcichew-Ds 500mg/400IU Caplets are and what they are used for
Calcichew-D3 500mg/400IU Caplets are film-coated tablets containing calcium and vitamin D3, which both are important substances in bone formation. Calcichew-D3 500mg/400IU Caplets is used in the prevention and treatment of calcium and vitamin D deficiency in the elderly, and as a supplement to specific treatment of osteoporosis.
Both calcium and vitamin D are found in the diet and vitamin D is also produced in the skin after exposure to the sun.
2. Before you take Calcichew-D3 500mg/400IU Caplets
Do not take Calcichew-D3 500mg/400IU Caplets
- if you have excessive amounts of calcium in the blood or in the urine.
- if you have severe kidney problems
- if you have kidney stones.
- if you have excessive amounts of vitamin D in the blood.
- if you are allergic (hypersensitive) to soya or peanut. Calcichew-D3 500mg/400IU Caplets contain soya oil.
- if you are allergic (hypersensitive) to calcium, vitamin D, or any of the other ingredients of Calcichew- D3 500mg/400IU Caplets.
Take special care with Calcichew-D3 500mg/400IU Caplets
- if you are on long-term treatment, especially if you also take diuretics (used in treatment of high blood pressure or oedema) or cardiac glycosides (used to treat heart disorders). Please consult your doctor, if you have sarcoidosis (an immune system disorder which may cause increased levels of vitamin D in the body). Please consult your doctor, if you have osteoporosis and are unable to move around. Please consult your doctor.
- if you take other products containing vitamin D. Additional doses of calcium and vitamin D should be taken under close medical supervision.
Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
Calcium carbonate may interfere with the absorption of tetracyclines (a type of antibiotics) if taken at the same time. For this reason, tetracycline preparations should be taken at least 2 hours before or 4-6 hours after intake of Calcichew-D3 500mg/400IU Caplets.
Medicines containing bisphosphonates (used to treat osteoporosis) should be taken at least one hour before intake of Calcichew-D3 500mg/400IU Caplets.
Calcium can reduce the effect of levothyroxine (used to treat thyroid deficiency). For this reason, levothyroxine should be taken at least four hours before or four hours after Calcichew-D3 500mg/400IU Caplets.
The effect of quinolone antibiotics may be reduced if taken at the same time as calcium. Take quinolone antibiotics two hours before or six hours after taking Calcichew-D3 500mg/400IU Caplets.
Other medicines that may influence or be influenced by Calcichew-D3 500mg/400IU Caplets are: tiazide diuretics (used in treatment of high blood pressure and oedema) and cardiac glycosides (used to treat heart disorders).
Taking Calcichew-D3 500mg/400IU Caplets with food and drink
Calcichew-D3 500mg/400IU Caplets can be taken with or without food and drink.
Pregnancy and breast-feeding
During pregnancy the daily intake should not exceed 1500 mg calcium and 600 IU vitamin D. Ask your doctor or pharmacist for advice. Calcichew-D3 500mg/400IU Caplets can be used during pregnancy, in case of calcium and vitamin D deficiency.
Calcichew-D3 500mg/400IU Caplets can be used during breastfeeding. Calcium and vitamin D3 pass into
breast milk. This should be considered when giving additional vitamin D to the child.
Driving and using machines
Calcichew-D3 500mg/400IU Caplets has no known effect on your ability to drive or use machines.
Important information about some of the ingredients of Calcichew-D3 500mg/400IU Caplets
Calcichew-D3 500mg/400IU Caplets contains soya oil. If you are allergic to peanut or soya, do not use this medicinal product. Calcichew-D3 500mg/400IU Caplets contains sorbitol and sucrose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product. May be harmful to the teeth.
3.How to take Calcichew-D3 500mg/400IU Caplets
Always take Calcichew-D3 500mg/400IU Caplets exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.
The usual dose is one tablet twice daily. The tablet may be swallowed or chewed.
If you take more Calcichew-D3 500mg/400IU Caplets than you should
If you may have taken more Calcichew-D3 500mg/400IU Caplets than you should, talk to your doctor or pharmacist immediately.
If you forget to take Calcichew-D3 500mg/400IU Caplets
If you forget to take a dose, leave out that dose completely. Take your next dose when it is due. Do not take a double dose to make up for a forgotten tablet.
4. Possible side effects
Like all medicines, Calcichew-D3 500mg/400IU Caplets can cause side effects, although not everybody gets them.
Uncommon side effects (1 to 10 users in 1,000): Excessive amounts of calcium in the blood or in the urine may occur with large doses.
Very rare side effects (less than 1 user in 10,000): itching and rash.
If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
5. How to store Calcichew-D3 500mg/400IU Caplets
Do not store above 25°C. Keep the container tightly closed in order to protect from moisture.
Keep out of the reach and sight of children.
Do not use Calcichew-D3 500mg/400IU Caplets after the expiry date which is stated on the label.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
6. Further information
What Calcichew-D3 500mg/400IU Caplets contain
The active ingredients are 500 mg calcium (as calcium carbonate) and 400 IU vitamin D3 (equivalent to 10 micrograms cholecalciferol). The other ingredients are tablet core: sorbitol E420, mannitol, acesulfame potassium, flavouring (lemon), croscarmellose sodium, microcrystalline cellulose, magnesium stearate, maltodextrin, tocopherol-rich extract, all-rac-alpha-tocopherol, soya-bean oil, gelatin, sucrose and maize starch, film-coating: talc, hypromellose, propylene glycol.
What Calcichew-D3 500mg/400IU Caplets looks like and contents of the pack
Calcichew-D3 500mg/400IU Caplets are white/off white, oval film-coated tablets.
Calcichew-D3 500mg/400IU Caplets are a combination of calcium and vitamin D designed to keep bones healthy. Calcium is an essential component of bones while vitamin D plays an important role in the absorption of calcium from food.
Requirements for calcium increase with age and, although many people obtain enough calcium from their diet, some people may require a supplement in order that their body has all the calcium it needs to maintain healthy bones. Vitamin D is produced largely from the action of sunlight. Certain foodstuffs do contain vitamin D in reasonable amounts but it is not always possible to obtain all the vitamin D you need from your diet. People who do not get out and about, for instance those who are housebound or people living in nursing and residential homes, may not receive all the vitamin D they need.
People with diets and lifestyles that mean they will obtain less than the recommended intake of calcium and vitamin D are at risk of weakened bones. Prolonged lack of adequate calcium and vitamin D intake can lead to the development of osteoporosis, a condition where bones become weak to a level that minimal trauma (for example, a fall) can result in a fracture, most typically at the hip, spine or wrist.
Calcichew-D3 500mg/400IU Caplets have been designed to give people whose intakes of calcium and vitamin D are low a boost to the recommended amounts.
Maintaining healthy bones and helping to avoid osteoporosis is an important issue for many people. There are many ways that people can help themselves: regular exercise, a balanced diet with an adequate intake of calcium and vitamin D and, for some people, advice on how to prevent falls which may lead to fracture.
For patients in the UK, the National Osteoporosis Society (NOS) is a national charity dedicated to improving the diagnosis, prevention and treatment of osteoporosis. The NOS offers support to people with osteoporosis and raises awareness of the importance of healthy bones.