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Manufacturer/Marketer :

Grandcure Healthcare Pvt Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About RONCAL CT CAPSULE

RONCAL CT CAPSULE belongs to the class of ‘Multi-minerals’ primarily used to treat low blood calcium levels. RONCAL CT CAPSULE effectively treats various conditions caused by low calcium levels in the body, such as osteoporosis (weak and brittle bones), osteomalacia/rickets (weak bones), hypoparathyroidism (low levels of parathyroid hormone), and latent tetany (a muscle disease with low blood calcium levels). RONCAL CT CAPSULE can also be given to pregnant, nursing, and postmenopausal women to ensure that they are getting enough calcium. Additionally, RONCAL CT CAPSULE is used to treat hyperparathyroidism (overactive parathyroid glands) and metabolic bone disease in people with chronic kidney disease, surgery, or other conditions.

RONCAL CT CAPSULE consists of three medicines, namely: Calcium carbonate (mineral), Calcitriol (Vitamin D3), and  Zinc (mineral). Calcium is a mineral that is used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation and maintenance. Calcitriol is a synthetic version of Vitamin D3 and treats calcium deficiency with hypoparathyroidism (the parathyroid glands' decreased activity) and metabolic bone diseases in people with chronic kidney failure. It raises Vitamin D levels and thereby increases calcium levels in the blood. This helps in improving the absorption rate of calcium from the intestine. Zinc is a mineral that has an essential role in bone health. Zinc helps to stimulate osteoblastic bone formation and mineralization.

Take RONCAL CT CAPSULE as instructed by your doctor. In some cases, RONCAL CT CAPSULE can cause side effects like constipation or stomach upset, nausea, vomiting, loss of appetite, mood changes, weakness, tiredness, fast or pounding heartbeat, bone/muscle pain, and headache. Most of these side effects of RONCAL CT CAPSULE do not require medical attention and gradually resolve over time. However, if these side effects persist longer, please consult your doctor.

If you are known to be allergic to RONCAL CT CAPSULE or its inactive components, please inform your doctor. Pregnant or breastfeeding women should consult their doctor before taking RONCAL CT CAPSULE. Higher doses of Vitamin D than the recommended daily dose should be used in pregnant women only when advised by the doctor. RONCAL CT CAPSULE may pass into the breast milk. Hence breastfeeding mothers need to seek medical advice before starting RONCAL CT CAPSULE. RONCAL CT CAPSULE may contain sugar or sorbitol; hence caution should be taken to have sugar intolerance, diabetes, and phenylketonuria (increased levels of an amino acid called phenylalanine).

Uses of RONCAL CT CAPSULE

Osteoporosis, Postmenopausal osteoporosis Osteomalacia, Rickets, Calcium deficiency and Tetany 

Directions for Use

Tablet/Capsule: Swallow it as a whole with a glass of water. Do not crush, chew, or break it. Liquid: Shake the bottle well before use. Take the recommended dose by mouth using the measuring cup/dosing syringe/dropper provided by the pack.

Medicinal Benefits

RONCAL CT CAPSULE is a combination of three drugs, namely; Calcium carbonate (mineral), Calcitriol (Vitamin D3) and Zinc (mineral) used to treat low blood calcium levels and various associated conditions caused by low calcium levels in the body, such as osteoporosis (weak and brittle bones), osteomalacia/rickets (weak bones), hypoparathyroidism (low levels of parathyroid hormone), and tetany (a muscle disease with low blood calcium levels). Calcium carbonate is a mineral and prevents or treats calcium deficiency. It helps to maintain bone and teeth health. Calcitriol, a synthetic form of Vitamin D3, treats calcium deficiency with hypoparathyroidism (the parathyroid glands' decreased activity) and metabolic bone diseases in people with chronic kidney failure. Zinc is an important mineral in the normal growth and development of the skeletal system. It helps maintain bone density by increasing protein synthetase, which helps protect bone health.

Storage

Keep RONCAL CT CAPSULE out of the sight and reach of children.
Side effects of Roncal Ct Capsule
  • Stay hydrated by drinking plenty of water.
  • Avoid dairy product such as cheese, milk, yogurt and ice cream.
  • Maintain healthy weight and exercise daily.
  • Following a low-calcium diet can help reduce hypercalcemia symptoms.
  • Reduce sodium intake to minimize calcium excretion in urine.
  • Limit animal protein consumption to decrease urinary calcium levels.
  • Increase fluid intake by drinking plenty of water to dilute urine.
  • Moderate calcium intake based on individual needs, avoiding drastic restriction.
  • Limit oxalate-rich foods like spinach and chocolate to minimize kidney stone formation.
  • Stay hydrated by drinking plenty of water.
  • Consider reducing vitamin D supplementation if excessive intake is contributing to hypercalciuria.
  • Regularly monitor urine calcium levels through 24-hour urine tests.
  • Always seek guidance from a healthcare expert prior to implementing substantial changes to your diet or lifestyle routine.
Managing Medication-Triggered UTIs: A Comprehensive Approach:
  • Inform your doctor about the medication you're taking and the UTI symptoms you're experiencing.
  • Your doctor may adjust your medication regimen or consider alternative medications or dosages that may reduce the risk of UTIs.
  • Drink plenty of water (at least 8-10 glasses a day) to help flush out bacteria. Avoid sugary drinks and caffeine, which can exacerbate UTI symptoms.
  • Urinate when you feel the need rather than holding it in. This can help prevent bacterial growth and reduce the risk of UTIs.
  • Consider cranberry supplements: Cranberry supplements may help prevent UTIs by preventing bacterial adhesion.
  • Monitor UTI symptoms and report any changes to your doctor.
  • If antibiotics are prescribed, take them as directed and complete the full course.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
  • Skin rash caused by allergies is due to irritants or allergens. Therefore, avoid contact with such irritants.
  • Consult your doctor for proper medication and apply an anti-itch medication. Follow the schedule and use the medication whenever needed.
  • Protect your skin from extreme heat and try to apply wet compresses.
  • Soak in the cool bath, which gives a soothing impact to the affected area.
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.

Drug Warnings

If you are known to be allergic to RONCAL CT CAPSULE 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 RONCAL CT CAPSULE. Higher doses of Vitamin D than the recommended daily dose should be used in pregnant women only when advised by the doctor. Calcitriol in higher doses may harm the fetus. RONCAL CT CAPSULE may pass into the breast milk; hence consult your doctor before taking RONCAL CT CAPSULE if you are a breastfeeding mother. RONCAL CT CAPSULE should be used with caution in children and only if recommended by a doctor. Calcitriol in RONCAL CT CAPSULE can affect growth in children. Inform your doctor if your child is not growing at a normal rate while using RONCAL CT CAPSULE. RONCAL CT CAPSULE 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 RONCAL CT CAPSULE 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. RONCAL CT CAPSULE contains sugar or sorbitol; hence caution should be taken to have an intolerance to sugars, diabetes, and phenylketonuria (increased levels of an amino acid called phenylalanine).

Drug-Drug Interactions

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CalcitriolDihydrotachysterol
Severe

Drug-Drug Interactions

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CalcitriolDihydrotachysterol
Severe
How does the drug interact with Roncal Ct Capsule:
Co-administration of Roncal Ct Capsule with Dihydrotachysterol can increase the risk of adverse effects.

How to manage the interaction:
Co-administration of Dihydrotachysterol with Roncal Ct Capsule can possibly result in an interaction, but it can be taken if your doctor has advised it. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, throwing up, constipation, dry mouth, strange taste in your mouth, muscle or bone pain, trouble coordinating movements, weak muscles, peeing a lot, feeling very thirsty, losing weight, eye infection, sensitivity to light, itching, or a higher body temperature - make sure to call a doctor right away. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Roncal Ct Capsule:
Co-administration of Roncal Ct Capsule with Carbamazepine may decrease the effects of Roncal Ct Capsule.

How to manage the interaction:
Although there is an interaction, Roncal Ct Capsule can be taken with Carbamazepine if prescribed by the doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
How does the drug interact with Roncal Ct Capsule:
Co-administration of Orlistat with Roncal Ct Capsule may reduce the levels of Roncal Ct Capsule which can lead to low treatment outcomes.

How to manage the interaction:
Although there is an interaction, Roncal Ct Capsule can be taken with Orlistat when prescribed by the doctor. Do not discontinue any medications without consulting a doctor.
CalcitriolFosphenytoin
Severe
How does the drug interact with Roncal Ct Capsule:
Taking Roncal Ct Capsule with Fosphenytoin can reduce the levels and efficacy of Roncal Ct Capsule.

How to manage the interaction:
Taking Roncal Ct Capsule with Fosphenytoin together can possibly result in an interaction, but it can be taken if a doctor has advised it. If you notice any symptoms of sudden dizziness, weakness, chest pain or pressure, abnormal body movements, uncontrollable eye movements, itching, burning, or tingling sensation, it's important to contact a doctor right away. Do not stop using any medications without a doctor's advice. Do not discontinue the medication without consulting a doctor.
How does the drug interact with Roncal Ct Capsule:
Co-administration of Doxercalciferol and Roncal Ct Capsule are forms of vitamin D, and taking too much vitamin D may lead to toxic effects related to increased calcium levels in the blood and urine.

How to manage the interaction:
Taking Doxercalciferol with Roncal Ct Capsule can lead to an interaction, it can be taken if advised by a doctor. Consult the prescriber if you experience symptoms of vitamin D intoxication such as weakness, fatigue, headache, vertigo, drowsiness, ringing in the ears, loss of appetite, nausea, vomiting, constipation, dry mouth, metallic taste, muscle pain, bone pain, muscle incoordination, and low muscle tone. Do not discontinue the medication without consulting a doctor.
CalcitriolDigitoxin
Severe
How does the drug interact with Roncal Ct Capsule:
Co-administration of Roncal Ct Capsule with Digitoxin may increase the risk or severity of digitoxin toxicity and irregular heart rhythm.

How to manage the interaction:
Although there is an interaction, Roncal Ct Capsule can be taken with Digitoxin if prescribed by the doctor. Consult the prescriber if you experience symptoms that could indicate high blood calcium, such as weakness, fatigue, headache, dizziness, drowsiness, ringing in the ears, loss of appetite, nausea, vomiting, constipation, dry mouth, a metallic taste in the mouth, bone or muscle pain, incoordination, frequent urination, and weight loss. Also, seek medical attention if you experience symptoms of digitoxin toxicity, such as blurred vision, slow pulse, or irregular heartbeats. Do not discontinue the medication without consulting a doctor.
How does the drug interact with Roncal Ct Capsule:
Co-administration of Isoniazid with Roncal Ct Capsule may decrease the effects of Roncal Ct Capsule.

How to manage the interaction:
Although there is an interaction, Roncal Ct Capsule can be taken with isoniazid if prescribed by the doctor. Do not stop using any medications without talking to a doctor. Do not discontinue the medication without consulting a doctor.
CalcitriolParicalcitol
Severe
How does the drug interact with Roncal Ct Capsule:
Co-administration of Paricalcitol and Roncal Ct Capsule are forms of vitamin D, and taking too much vitamin D may lead to toxic effects related to excessive calcium levels in the blood and urine.

How to manage the interaction:
Concomitant use of Paricalcitol with Roncal Ct Capsule can lead to an interaction, it can be taken if advised by a doctor. Consult the prescriber if you experience symptoms of vitamin D intoxication such as weakness, fatigue, headache, vertigo, drowsiness, ringing in the ears, loss of appetite, nausea, vomiting, constipation, dry mouth, metallic taste, muscle pain, bone pain, muscle incoordination, and low muscle tone. Do not discontinue the medication without consulting a doctor.
CalcitriolMetolazone
Severe
How does the drug interact with Roncal Ct Capsule:
Co-administration of Metolazone with Roncal Ct Capsule can cause blood calcium levels to become too high.

How to manage the interaction:
Although there is an interaction, Roncal Ct Capsule can be taken with metolazone if prescribed by the doctor. Consult the doctor if you experience symptoms such as dizziness, drowsiness, weakness, lethargy, headache, nausea, vomiting, or seizures. Do not discontinue the medication without consulting a doctor.
CalcitriolErgocalciferol
Severe
How does the drug interact with Roncal Ct Capsule:
Co-administration of Ergocalciferol and Roncal Ct Capsule are forms of vitamin D, and taking too much vitamin D may lead to toxic effects related to increased calcium levels in the blood and urine.

How to manage the interaction:
Co-administration of Ergocalciferol with Roncal Ct Capsule can lead to an interaction, it can be taken if advised by a doctor. Consult the prescriber if you experience symptoms of vitamin D intoxication such as weakness, fatigue, headache, vertigo, drowsiness, ringing in the ears, loss of appetite, nausea, vomiting, constipation, dry mouth, metallic taste, muscle pain, bone pain, muscle incoordination, and low muscle tone. Do not discontinue the medication without consulting a doctor.

Drug-Food Interactions

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CALCITRIOL-0.25MCG+CALCIUM CARBONATE-500MG+ZINC-7.5MGFiber rich foods, Potassium rich foods
Moderate

Drug-Food Interactions

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CALCITRIOL-0.25MCG+CALCIUM CARBONATE-500MG+ZINC-7.5MGFiber rich foods, Potassium rich foods
Moderate
Common Foods to Avoid:
Spinach

How to manage the interaction:
foods high in oxalic acid (spinach) may decrease calcium absorption. Consider taking calcium at least 2 hours before or after eating meals high in oxalic acid or phytic acid.

Diet & Lifestyle Advise

  • Include dairy products like milk, yogurt, cheese, or milk-based custard in your diet.
  • Eat daily a serving of broccoli, cabbage, bok choy, spinach, and other green leafy vegetables.
  • 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.

Side Effects of RONCAL CT CAPSULE

  • Nausea
  • Vomiting
  • Headache
  • Stomach pain
  • Constipation
  • Mood changes
  • Tiredness/ weakness
  • Fast or pounding heartbeat

Habit Forming

No

Therapeutic Class

MULTIMINERALS

Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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FAQs

RONCAL CT CAPSULE is a combination of three medicines, namely: Calcium carbonate, Calcitriol and Zinc. Calcitriol helps your body effectively absorb Calcium Carbonate and additionally supports the muscles needed to avoid falls. Calcium and Zinc help build and maintain bones. Collectively, RONCAL CT CAPSULE used to treat osteoporosis (weak and brittle bones), osteomalacia/rickets (weak bones), hypoparathyroidism (low levels of parathyroid hormone), and tetany (a muscle disease with low blood calcium levels).

RONCAL CT CAPSULE is used to increase low levels of calcium in the body. Hence it is not advised to use RONCAL CT CAPSULE during hypercalcemia, since it causes the overdose of calcium leading to kidney stones and other effects.

RONCAL CT CAPSULE can cause kidney stones due to excess calcium deposition when used for a prolonged period. Please consult your doctor before taking RONCAL CT CAPSULE as a daily supplement if you have any kidney problems or a history of kidney stones.

Common side effects of RONCAL CT CAPSULE include constipation, stomach pain, loss of appetite, fast or pounding heartbeat, bone, or muscle pain.

Do not use RONCAL CT CAPSULE if you ate allergic to RONCAL CT CAPSULE or any other ingredients in it. RONCAL CT CAPSULE is not recommended in 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).

Drug-Drug Interactions Checker List

  • ESTRAMUSTINE
  • CHOLESTYRAMINE
  • DIGITALIS
  • CIPROFLOXACIN
  • LEVOFLOXACIN
  • GATIFLOXACIN
  • SPARFLOXACIN
  • OFLOXACIN
  • KETOCONAZOLE

Special Advise

  • Clinical monitoring of serum electrolyte concentrations and cardiac function is recommended.
  • A low phosphate diet is recommended to control serum phosphorus levels in patients undergoing dialysis.

Disease/Condition Glossary

Osteoporosis: It is a bone disease that weakens and brittle bones by decreasing bone density.  As bones become less dense, they weaken and are more likely to break. Breaking a bone is a serious complication of osteoporosis, especially with older patients. Women are much more likely to develop osteoporosis than are men. Signs and symptoms include back pain caused by a fractured or collapsed vertebra, loss of height over time, a stooped posture, a bone that breaks much more easily than expected.

Osteomalacia/Rickets: A bone disease caused by softening and weakening bones in children due to inadequate vitamin D. Adults can experience a similar condition known as osteomalacia. It causes bone pain, poor growth, and soft, weak bones that can lead to bone deformities.

Tetany: A disease condition due to low levels of calcium (hypocalcemia) in the body causes cramps and spasms in the hands, feet, and larynx (voice box).

Hypoparathyroidism: It is a disease characterized by low levels of parathyroid hormone. This can cause low calcium levels and trigger tetany.

Have a query?

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Alcohol

Caution

Drinking alcohol can affect calcium absorption; hence it is advised to limit the alcohol intake while using RONCAL CT CAPSULE.

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Pregnancy

Caution

During pregnancy, use higher doses of RONCAL CT CAPSULE than the daily dietary allowance only when advised by the doctor. Calcitriol in higher doses may harm the fetus. Your doctor will weigh the potential risks and benefits before recommending RONCAL CT CAPSULE.

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Breast Feeding

Caution

Consult your doctor before taking RONCAL CT CAPSULE if you are breastfeeding. RONCAL CT CAPSULE can pass into the breast milk. If RONCAL CT CAPSULE is used during breastfeeding, please monitor the mother and the infant's serum calcium levels.

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Driving

Caution

No interaction was found/established.

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Liver

Caution

Let your doctor know if you have any history of liver diseases before taking RONCAL CT CAPSULE. Hepatic impairment/liver disease can alter the metabolic and therapeutic activity of certain Vitamin D forms.

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Kidney

Caution

It is advised to seek doctor advice before starting RONCAL CT CAPSULE if you have kidney diseases like kidney stones or undergoing dialysis. Calcitriol in RONCAL CT CAPSULE increases inorganic phosphate levels in serum; hence caution should be taken in patients undergoing dialysis to maintain adequate phosphorus levels and avoid ectopic calcification (calcium deposition).

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Children

Caution

RONCAL CT CAPSULE should be used with caution in children and only if recommended by a doctor.

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