Indications
A-Cal D addresses osteoporosis, osteomalacia, rickets, and tetany, and supports parathyroid disorder management. It ensures adequate calcium intake during pregnancy, lactation, bone/tooth development (adjunctive), and anti-seizure medication therapy. Additionally, it serves as a routine supplement and phosphate binder in chronic renal failure.
রেজিস্টার্ড চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন

Pharmacology
This combination of Calcium Carbonate and Vitamin D₃ (Cholecalciferol) supports vital bodily functions. Calcium is essential for bone formation and structural integrity, while Vitamin D₃ enhances calcium absorption/reabsorption and stimulates bone mineralization. Clinical evidence confirms their synergistic role in promoting bone growth and reducing fracture/osteoporosis risk.

Dosage & Administration

• 500 mg Calcium + 200 IU Vitamin D₃ tablet: 2 tablets once daily or 1 tablet twice daily.

• 500 mg Calcium + 400 IU Vitamin D₃ tablet: 1 tablet twice daily.
  Optimal absorption when taken with/after meals.
  রেজিস্টার্ড চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন

Interaction
May interact with:

• Calcium/aluminum/magnesium antacids or calcium supplements

• Calcitriol/vitamin D₃ supplements

• Digoxin

• Tetracycline antibiotics (doxycycline, minocycline, oxytetracycline)

Contraindications
Avoid use in: Hypercalcemia, hyperthyroidism, renal calculi, nephrolithiasis, or Zollinger-Ellison syndrome.

Side Effects
Generally well-tolerated. Potential effects include:

• Gastrointestinal: Nausea, vomiting, stomach cramps, constipation

• Metabolic: Dry mouth, increased thirst/urination
  Consult physicians if these occur.

Pregnancy & Lactation
Use under medical guidance during pregnancy or breastfeeding.

Precautions & Warnings
Exercise caution in patients with pre-existing cardiac or renal conditions.

Overdose Effects
Symptoms may include:

• Severe nausea/vomiting, stomach cramps, diarrhea, constipation

• Drowsiness, headache, metallic taste, appetite loss, dry mouth

Therapeutic Class
Mineral-vitamin combination preparation

Storage Conditions
Store in a dry, cool place protected from light/heat. Keep away from children.