Velcal-AD Tablet 4's belongs to the group of bisphosphonates used in the prevention and treatment of osteoporosis in post-menopausal women. Velcal-AD Tablet 4's lowers the risk of hip and spine fractures in postmenopausal women. Osteoporosis is a condition in which bones become weak and brittle. 

Velcal-AD Tablet 4's contains Alendronic acid and Cholecalciferol. Velcal-AD Tablet 4's is used to strengthen bones and promote bone integrity by regulating bone turnover and preventing bone cell destruction.

Take Velcal-AD Tablet 4's as prescribed. In some cases, Velcal-AD Tablet 4's may cause side effects such as muscle or joint pain, nausea, indigestion, gas and headache. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if these side effects persist. 

It is advisable to inform the doctor if you are allergic to any of its components. Velcal-AD Tablet 4's is intended for use in postmenopausal women, therefore avoid taking Velcal-AD Tablet 4's if you are pregnant or breastfeeding. Consult your doctor before taking alcohol with Velcal-AD Tablet 4's. Keep your doctor informed about your health condition and medications to rule out any interactions.

Velcal-AD Tablet 4's is used to treat osteoporosis in postmenopausal women. It contains Alendronic acid and Cholecalciferol. Velcal-AD Tablet 4's works by preventing bone destruction and resorption, thereby retaining the normal density of bones. It slows down the activity of bone-destroying cells (osteoclasts), which tend to be in overdrive in case of bone diseases such as osteoporosis. Cholecalciferol is the active form of Vitamin D and is essential in maintaining and promoting bone integrity and health. Hence, Velcal-AD Tablet 4's is useful in strengthening and restoring the integrity and health of weak bones.

• Indigestion
• Diarrhoea
• Constipation
• Gas
• Dizziness
• Lethargy
• Hair loss

Inform the doctor if you are allergic to any of the components of Velcal-AD Tablet 4's. Keep your doctor informed if you suffer from any oesophageal disorders, jaw problems, peptic ulcer disease, kidney disease, low blood calcium or low Vitamin D, or if you have been immobilised for some time and are unable to sit upright. Let your doctor know if you have any cancer and are on chemotherapy or radiotherapy. Offer a detailed medical history and inform the doctor, especially if you are on steroids, antacids, antibiotics like gentamycin or amikacin, calcium supplements, laxatives containing magnesium, aspirin or any painkillers. Inform your doctor if you are a smoker. Keep your doctor informed if you have recently had any surgery or are about to undergo surgery or a dental procedure.

Drug-Drug Interactions: Velcal-AD Tablet 4's may interact with calcium supplements, antacids (magnesium hydroxide, ranitidine, cimetidine, omeprazole, esomeprazole, pantoprazole), magnesium-containing laxatives (magnesium citrate), chemotherapy (bevacizumab, thalidomide), steroids (prednisolone, dexamethasone), NSAIDs and painkillers (aspirin, ibuprofen), antibiotics (gentamycin, amikacin, tobramycin) and chelating agent (desferrioxamine).    

Drug-Food Interactions: Velcal-AD Tablet 4's may interact with mineral/sparkling water, tea, coffee and milk.

Drug-Disease Interactions: Velcal-AD Tablet 4's should be used with caution in patients with a known hypersensitivity disorder, hypocalcemia, hypoparathyroidism, rickets, osteomalacia, kidney disease, cancer, peptic ulcer disease, malabsorption syndrome, oesophageal disorders like Barrett’s oesophagus and any disease-causing jaw pain.

• MAGNESIUM HYDROXIDE
• RANITIDINE
• CIMETIDINE
• OMEPRAZOLE
• ESOMEPRAZOLE
• PANTOPRAZOLE
• THALIDOMIDE
• BEVACIZUMAB
• PREDNISOLONE
• DEXAMETHASONE
• ASPIRIN
• IBUPROFEN
• GENTAMICIN
• AMIKACIN
• TOBRAMYCIN
• DESFERRIOXAMINE

• Practising good oral hygiene is very important while taking Velcal-AD Tablet 4's. Visit the dentist regularly for check-ups.
• Load up on Vitamin D rich foods such as oily fish, egg yolks, spinach, broccoli, salmon and orange juice to promote bone health.
• Stay hydrated by drinking plenty of water.
• Doing weight-bearing exercises such as brisk walking, jogging, tennis, or even dance can be very useful in promoting overall bone health. However, do not over-exert yourself if you feel too tired or suffer from severely brittle bones. 
• Muscle training activities such as yoga and Pilates can also be very helpful in strengthening the body and bones.
• Spend time under the sun (however, with proper sunscreen) for quality intake of Vitamin D.
• Limit alcohol and caffeine consumption and stop smoking as these may have a negative effect on bone health.
• Cut down on smoking. Smokers tend to have lower bone density than non-smokers. 

• Sit upright or stand while taking Velcal-AD Tablet 4's. Do not lie down for at least 30 minutes after taking Velcal-AD Tablet 4's. 
• If you accidentally take extra doses of Velcal-AD Tablet 4's, please inform your doctor or go to a hospital immediately. Some of the symptoms of an overdose can be toothache, jaw pain, feeling sick, dizziness, mood changes, ear pain, blurring of vision, headache.
• Your doctor may order a bone density (DEXA) scan to check for your need of Velcal-AD Tablet 4's.
• You may need regular dental check-ups during treatment with Velcal-AD Tablet 4's.

Osteoporosis: Osteoporosis is a state in which the bones become weak and brittle, making them more prone to falls and fractures. It is often brought about by disease and age (menopausal osteoporosis). In osteoporosis, the activity of bone-destroying cells surpasses the activity of bone-forming cells. Most people do not suffer from any symptoms until there’s a fracture and bones literally start to break.