Gemcal Suspension belongs to the class of 'vitamins,' primarily used to treat various conditions caused by low calcium levels in the body like Vitamin D deficiency, osteoporosis (weak and brittle bones), hypoparathyroidism (a condition in which parathyroid glands make low levels of calcium in the body), latent tetany (a muscle disease with low blood calcium levels), and rickets or osteomalacia (softening or deforming of bones due to lack of calcium). 

Gemcal Suspension consists of calcium and calcitriol (vitamin D). Calcium is a mineral that is used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation. Calcitriol is a synthetic form of vitamin D that helps maintain blood calcium and phosphorus levels and mineralization of bone.

Gemcal Suspension is likely safe to use. In some cases, it may cause side effects like constipation and stomach upset. These side effects do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult a doctor.

Let your doctor know if you are using any other medicine, or herbal products before starting Gemcal Suspension . Please inform your doctor if you have hypercalcemia (high calcium levels), hypervitaminosis D (high vitamin D levels), malabsorption syndrome (difficulty absorbing nutrition from food), low levels of bile, and phosphate imbalance before starting Gemcal Suspension . If you are pregnant or breastfeeding, consult your doctor before taking Gemcal Suspension .

Gemcal Suspension is used to treat low blood calcium levels. It effectively treats various conditions caused by low calcium levels in the body like vitamin D deficiency, osteoporosis, hypoparathyroidism, latent tetany, and rickets or osteomalacia. Gemcal Suspension consists of two medicines: Calcium (mineral) and Calcitriol (Vitamin D). Calcium is a mineral that is used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation. Calcitriol is a steroid hormone produced in the skin when exposed to ultraviolet light or obtained from food sources. It helps maintain blood calcium and phosphorus levels and mineralization of bone.

• Constipation 
• Stomach upset
• Nausea/vomiting
• Bone/muscle pain
• Fast or pounding heartbeat
• Headache

If you are allergic to Gemcal Suspension or any other medicines, please tell your doctor. If you are pregnant or planning to become pregnant, it is advised to inform your doctor before using Gemcal Suspension . Consult your doctor if you are pregnant or breastfeeding. Gemcal Suspension is not recommended if you have hypercalcemia (high calcium levels), metastatic calcification (extra deposits of calcium in the body), hypervitaminosis D (high vitamin D levels), and malabsorption syndrome (difficulty absorbing nutrition from food). Inform your doctor before taking Gemcal Suspension if you have any heart/kidney/liver/blood vessel diseases, kidney stones, sarcoidosis (growth of inflammatory cells in different parts of the body), Crohn's disease (inflammatory bowel disease), Whipple's disease (bacterial infection affecting joints and digestive system), achlorhydria (little or no stomach acid), low levels of bile, and phosphate imbalance. Gemcal Suspension may contain sugar or sorbitol; hence caution should be taken in case of intolerance to sugars, diabetes, and phenylketonuria (increased levels of an amino acid called phenylalanine).

Drug-Drug Interactions: Gemcal Suspension may interact with drugs treating high cholesterol levels (cholestyramine, colesevelam, colestipol), antibiotics (doxycycline, minocycline, ciprofloxacin, levofloxacin, penicillin, neomycin, and chloramphenicol), anti-cancer drugs (estramustine), drugs treating bone loss (alendronate sodium), hormone (levothyroxine), weight-loss drugs (orlistat), fits medicines (phenobarbital), mineral oils (paraffin), water pills (furosemide, ethacrynic acid), and heart-related medicines (digitoxin).

Drug-Food Interactions: Avoid or reduce caffeine intake, soft drinks, and alcohol, as they might inhibit calcium absorption.

Drug-Disease Interactions: Brief your doctor if your children have a medical history of allergic reactions, cardiovascular adverse effects, phosphate calcifications, cardiac contraction/conduction, malabsorption, renal dysfunction, sarcoidosis, arrhythmia, electrolyte imbalance, hypercalcemia, renal dysfunction, and hepatobiliary dysfunction.

• CHOLESTYRAMINE
• COLESEVELAM
• COLESTIPOL
• DOXYCYCLINE
• MINOCYCLINE
• CIPROFLOXACIN
• LEVOFLOXACIN
• PENICILLIN
• NEOMYCIN
• CHLORAMPHENICOL
• ESTRAMUSTINE
• ALENDRONATE SODIUM
• LEVOTHYROXINE
• ORLISTAT
• PHENOBARBITAL
• FUROSEMIDE
• ETHACRYNIC ACID
• DIGITOXIN
• PARAFFIN

• Include dairy products like milk, yoghurt, cheese, or milk-based custard in children's diets.
• Eat daily a serving of broccoli, cabbage, 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 children's meals.

Gemcal Suspension may interfere with cholesterol tests. Hence please inform your doctor and laboratory staff that you are using Gemcal Suspension before undergoing blood tests.

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.

Osteoporosis: Osteoporosis is a bone disease that weakens brittle bones by decreasing bone density. 

Tetany: It is a disease condition caused due to low calcium levels (hypocalcemia) in the body that causes cramps and spasms in the hands, feet, and larynx (voice box).

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

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