Alfacal 0.25 mcg Capsule 10's belongs to the class of 'Vitamins', primarily used to treat low blood calcium and phosphate levels. Alfacal 0.25 mcg Capsule 10's effectively treats Vitamin D deficiency, renal osteodystrophy (changes in bone caused by kidney failure), hyperparathyroidism (parathyroid glands make high levels of calcium in the body), hypoparathyroidism (parathyroid glands make low levels of calcium in the body), hypocalcaemia (low levels of calcium), and rickets or osteomalacia (softening or deforming of bones due to lack of calcium). Vitamin D deficiency occurs when your body has low Vitamin D levels and is caused due to inadequate nutrition, intestinal malabsorption, or lack of exposure to sunlight.

Alfacal 0.25 mcg Capsule 10's contains 'Alfacalcidol,' which is an analogue of Vitamin D. It is a nutritional supplement activated by liver enzymes after intake. Alfacalcidol is further converted into the active form of vitamin D3 (calcitriol) and works by strengthening the bones by increasing the calcium and phosphate levels in the blood. Calcium and phosphate are essential substances to form healthy bones and teeth. 

Your doctor will decide the dosage based on your medical condition. In some cases, it may cause side effects like weakness, fatigue, sleepiness, headache, loss of appetite, dry mouth, metallic taste, nausea, and vomiting. Most of these side effects of Alfacal 0.25 mcg Capsule 10's do not require medical attention and gradually resolve over time. However, if these side effects persist longer, please consult your doctor.

Please tell your doctor if you have hypercalcemia (high calcium levels), hypervitaminosis D (high vitamin D levels), and malabsorption syndrome (difficulty absorbing nutrition from food). Brief your medical history if you have any heart/kidney/liver/blood vessel diseases, sarcoidosis (growth of inflammatory cells in different parts of the body), and kidney stones. Pregnant or breastfeeding women should consult their doctor before taking Alfacal 0.25 mcg Capsule 10's. Alfacal 0.25 mcg Capsule 10's is safe to use in children when advised by the doctor. 

Alfacal 0.25 mcg Capsule 10's is used to treat low blood calcium and phosphate levels. It contains Alfacalcidol, a vitamin D analogue. It is used to treat vitamin D deficiency, renal osteodystrophy, hyperparathyroidism, hypoparathyroidism, hypocalcaemia, and rickets or osteomalacia. Alfacal 0.25 mcg Capsule 10's is activated by liver enzymes after intake, which is further converted into the active form of vitamin D3 (calcitriol). It works by strengthening the bones by increasing the calcium and phosphate levels in the blood.

• Weakness
• Fatigue
• Sleepiness
• Headache
• Loss of appetite
• Dry mouth
• Metallic taste
• Nausea
• Vomiting

Let your doctor know if you are allergic to Alfacal 0.25 mcg Capsule 10's or its inactive components. Alfacal 0.25 mcg Capsule 10's is not recommended if you have hypercalcemia (high calcium levels), hypervitaminosis D (high vitamin D levels), and malabsorption syndrome (difficulty absorbing nutrition from food). Brief your medical history if you have any heart/kidney/liver/blood vessel diseases, sarcoidosis (growth of inflammatory cells in different parts of the body), and kidney stones. Higher doses of Vitamin D than the recommended daily dose should be used in pregnant women only when advised by the doctor. Alfacal 0.25 mcg Capsule 10's is excreted into the breast milk; hence consult your doctor before taking Alfacal 0.25 mcg Capsule 10's if you are a breastfeeding mother. Drinking alcohol can affect calcium absorption; therefore, it is advised to limit alcohol intake while using Alfacal 0.25 mcg Capsule 10's. Alfacal 0.25 mcg Capsule 10's is safe to use in children only when advised by the doctor.

Drug-Drug Interaction: Alfacal 0.25 mcg Capsule 10's may interact with other vitamin D supplements (Calcipotriene), antacids (that contain Aluminium), heart-related drugs (digoxin), blood pressure medicines (Diltiazem, verapamil), and water pills (chlorothiazide, hydrochlorothiazide, indapamide, metolazone, and chlorthalidone).

Drug-Food Interaction: Avoid or reduce the intake of caffeine, soft drinks and alcohol that inhibit calcium absorption.

Drug-Disease Interaction: Alfacal 0.25 mcg Capsule 10's is contraindicated in hypercalcaemia, hypervitaminosis D, malabsorption syndrome, Vitamin D toxicity, heart/kidney/liver/blood vessel diseases, kidney stones, sarcoidosis, and diabetes. 

• ALUMINIUM HYDROXIDE
• DIGOXIN
• DILTIAZEM
• VERAPAMIL
• CHLOROTHIAZIDE
• HYDROCHLOROTHIAZIDE
• INDAPAMIDE
• METOLAZONE
• CHLORTHALIDONE
• CALCIPOTRIENE

• Include dairy products like milk, yoghurt, cheese or milk-based custard in your diet.
• Eat daily a serving of broccoli, cabbage, bok choy, spinach and other green leafy vegetables.
• Include the best dietary sources of vitamin D, such as fish liver oils and vitamin D–fortified milk.
• Snack on calcium-rich nuts like Brazil nuts or almonds. 
• Sprinkle sesame seeds over your food, vegetables and salads. Sesame seeds are high in calcium.
• Avoid or reduce the intake of caffeine, soft drinks and alcohol that inhibit calcium absorption.
• Replace the meat with tofu or tempeh for extra calcium in your food.

Clinical monitoring of serum electrolyte concentrations and cardiac function is recommended. 

Vitamin D deficiency: When a person cannot get enough Vitamin D through food and exposure to sunlight, it leads to vitamin D deficiency. It often leads to thin, brittle or misshapen bones.

Renal Osteodystrophy: It is a bone disease that occurs when the kidneys fail to maintain the blood's calcium and phosphorus levels. It usually occurs in people with kidney diseases and patients undergoing dialysis treatment. 

Hypocalcaemia: It is a condition that is caused due to low levels of calcium in the blood. Hypocalcaemia can be caused by the lack of vitamin D. 

Osteomalacia/Rickets: A disease caused by softening and weakening of bones in children due to inadequate vitamin D.

Hypoparathyroidism: It is a disease characterized by low levels of parathyroid hormone. This can cause low calcium levels and trigger tetany (muscle cramps, spasms or tremors).

Hyperparathyroidism: It is a condition in which one or more of your parathyroid glands become overactive and release high parathyroid hormone levels. This condition leads to hypercalcemia (high levels of calcium in the blood).