Calcium Carbonate + Calcium Lactate Gluconate + Vitamin-C + Vitamin D3

Each effervescent tablet contains Calcium Lactate Gluconate 1000 mg, Calcium Carbonate 327 mg, Ascorbic Acid 500 mg and Vitamin D3 400 IU. It supports bone health, immunity and tissue repair. Can be taken with or without food.

Adjunct to specific therapy for osteoporosis, calcium, vitamin C and vitamin D deficiency, rickets, hypocalcemia, osteomalacia, increased demand for calcium and vitamins during pregnancy and lactation, periods of rapid growth (childhood, adolescence), old age, postmenopausal syndromes, premenstrual symptoms, adjuvant in cold and influenza, high body temperatures, alkalizing agent in systemic acidosis.

Specific mineral & vitamin combined preparations

Calcium supplement + Vitamin D3 + Vitamin C

Calcium is essential for neurotransmission, muscle contraction, and signal transduction pathways. Coral calcium has a chemical structure similar to human bone, ensuring better absorption. Vitamin D3 enhances intestinal calcium absorption and stimulates bone formation. Vitamin C is necessary for collagen formation and tissue repair; plays a role in oxidation/reduction reactions and synthesis of catecholamines, carnitine, and steroids.

Calcium helps maintain bone mineralization and density and ensures normal nerve and muscle function. Vitamin D3 increases absorption of calcium and phosphate from the intestine. Vitamin C acts as an antioxidant, aids in collagen synthesis and plays a vital role in fighting infections. The combined action ensures bone health, immunity and overall wellness.

Adults and adolescents: 1 effervescent tablet daily. Children: 1/2 effervescent tablet daily. Or as directed by the physician.

Pour 1 tablet in a glass of water, dissolve within 1-2 minutes, drink immediately. Can be taken with or without food.

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

Common side effects: Anorexia, constipation, flatulence, nausea, vomiting, xerostomia, acid rebound, diarrhea, headache, muscle/bone pain, metallic taste. Rare side effects: Hypercalcemia, hypophosphatemia, milk-alkali syndrome, hypotension, arrhythmias.

Patients with mild to moderate renal failure or mild hypercalciuria should have periodic checks of plasma calcium and urinary calcium excretion. In patients with history of renal stones, urinary calcium excretion should be measured. Monitor serum and urinary calcium and kidney function during long-term treatment. Allowances should be made for calcium and vitamin D supplements from other sources.

Hypercalcemia (myeloma, bone metastases or other malignant bone disease), sarcoidosis, primary hyperparathyroidism, vitamin D overdosage, severe renal failure, severe hypercalciuria, hypersensitivity to any component.

Digoxin/cardiac glycosides: calcium may enhance cardiac effects and precipitate digitalis intoxication. Thiazide diuretics: increased risk of hypercalcemia and milk-alkali syndrome. Decreases absorption of tetracyclines, atenolol, iron, quinolones, alendronate, sodium fluoride, zinc and calcium-channel blockers – maintain at least 4 hours gap. Decreased absorption with corticosteroids. Enhanced absorption with vitamin D. Antiepileptics (carbamazepine, phenobarbitone, phenytoin) may increase vitamin D requirements. Rifampicin & isoniazid may reduce vitamin D efficacy. Reduced absorption with cholestyramine, colestipol, mineral oil, orlistat. Vitamin C enhances iron absorption.

Calcium and vitamin supplements can be taken with or without food. Absorption is enhanced when taken with fatty foods. Certain foods (containing oxalic acid, phosphate or phytic acid) may reduce calcium absorption.

Calcium, vitamin C and vitamin D requirements increase during pregnancy. This tablet can be used during pregnancy under medical supervision. Vitamin D overdoses have shown teratogenic effects in pregnant animals. Consult your doctor.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Calcium is excreted in breast milk, but concentration is unlikely to produce adverse effects on the neonate. Vitamin D and its metabolites pass into breast milk. Use with caution and under medical supervision.

Children: 1/2 tablet daily. Consult a pediatrician.

Elderly (especially homebound) have higher risk of calcium and vitamin D deficiency, making this supplement particularly beneficial.

Contraindicated in severe renal failure. Caution required in mild to moderate renal failure or mild hypercalciuria.

The most serious consequence of acute or chronic overdose is hypercalcemia due to vitamin D toxicity. Symptoms: nausea, vomiting, polyuria, constipation. Chronic overdoses can lead to vascular and organ calcification. Treatment: stop all calcium and vitamin D intake and rehydrate.

Store below 25°C in a cool and dry place, protected from light and moisture. Keep out of reach of children. Keep the container tightly closed.

Each effervescent tablet contains: Calcium Lactate Gluconate 1000 mg, Calcium Carbonate 327 mg, Ascorbic Acid 500 mg, Vitamin D3 400 IU.