Calcium Carbonate+calcitriol+zinc
About
Calcium Carbonate+calcitriol+zinc belongs to the class of ‘Multi-minerals’ primarily used to treat low blood calcium levels. Calcium Carbonate+calcitriol+zinc 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). Calcium Carbonate+calcitriol+zinc can also be given to pregnant, nursing, and postmenopausal women to ensure that they are getting enough calcium. Additionally, Calcium Carbonate+calcitriol+zinc is used to treat hyperparathyroidism (overactive parathyroid glands) and metabolic bone disease in people with chronic kidney disease, surgery, or other conditions.
Calcium Carbonate+calcitriol+zinc 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 Calcium Carbonate+calcitriol+zinc as instructed by your doctor. In some cases, Calcium Carbonate+calcitriol+zinc 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 Calcium Carbonate+calcitriol+zinc 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 Calcium Carbonate+calcitriol+zinc or its inactive components, please inform your doctor. Pregnant or breastfeeding women should consult their doctor before taking Calcium Carbonate+calcitriol+zinc. Higher doses of Vitamin D than the recommended daily dose should be used in pregnant women only when advised by the doctor. Calcium Carbonate+calcitriol+zinc may pass into the breast milk. Hence breastfeeding mothers need to seek medical advice before starting Calcium Carbonate+calcitriol+zinc. Calcium Carbonate+calcitriol+zinc 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 Calcium Carbonate+calcitriol+zinc
Medicinal Benefits
Calcium Carbonate+calcitriol+zinc 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.
Directions for Use
Storage
Side Effects of Calcium Carbonate+calcitriol+zinc
- Nausea
- Vomiting
- Headache
- Stomach pain
- Constipation
- Mood changes
- Tiredness/ weakness
- Fast or pounding heartbeat
In-Depth Precautions and Warning
Drug Warnings
If you are known to be allergic to Calcium Carbonate+calcitriol+zinc 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 Calcium Carbonate+calcitriol+zinc. 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. Calcium Carbonate+calcitriol+zinc may pass into the breast milk; hence consult your doctor before taking Calcium Carbonate+calcitriol+zinc if you are a breastfeeding mother. Calcium Carbonate+calcitriol+zinc should be used with caution in children and only if recommended by a doctor. Calcitriol in Calcium Carbonate+calcitriol+zinc can affect growth in children. Inform your doctor if your child is not growing at a normal rate while using Calcium Carbonate+calcitriol+zinc. Calcium Carbonate+calcitriol+zinc 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 Calcium Carbonate+calcitriol+zinc 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. Calcium Carbonate+calcitriol+zinc 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 Interactions
Drug-Drug Interactions: Calcium Carbonate+calcitriol+zinc may interact with anti-cancer medication (estramustine), Cholestyramine (cholesterol-lowering agent), Digitalis (used to treat heart problems), medicines to treat bacterial infections such as Ciprofloxacin, Levofloxacin, Gatifloxacin, Sparfloxacin, Ofloxacin; Ketoconazole (treat fungal infections).
Drug-Food Interactions: Avoid or reduce the intake of caffeine, soft drinks, and alcohol that inhibit calcium absorption.
Drug-Disease Interactions: Inform your doctor if you have myeloma, bone metastases, primary hyperparathyroidism, Nephrolithiasis/nephrocalcinosis., Renal failure, or Hypervitaminosis D.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
cautionDrinking alcohol can affect calcium absorption; hence it is advised to limit the alcohol intake while using Calcium Carbonate+calcitriol+zinc.
Pregnancy
cautionDuring pregnancy, use higher doses of Calcium Carbonate+calcitriol+zinc 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 Calcium Carbonate+calcitriol+zinc.
Breast Feeding
cautionConsult your doctor before taking Calcium Carbonate+calcitriol+zinc if you are breastfeeding. Calcium Carbonate+calcitriol+zinc can pass into the breast milk. If Calcium Carbonate+calcitriol+zinc is used during breastfeeding, please monitor the mother and the infant's serum calcium levels.
Driving
cautionNo interaction was found/established.
Liver
cautionLet your doctor know if you have any history of liver diseases before taking Calcium Carbonate+calcitriol+zinc. Hepatic impairment/liver disease can alter the metabolic and therapeutic activity of certain Vitamin D forms.
Kidney
cautionIt is advised to seek doctor advice before starting Calcium Carbonate+calcitriol+zinc if you have kidney diseases like kidney stones or undergoing dialysis. Calcitriol in Calcium Carbonate+calcitriol+zinc 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).
Children
cautionCalcium Carbonate+calcitriol+zinc should be used with caution in children and only if recommended by a doctor.
Habit Forming
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.
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.
Patients Concern
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.
FAQs
Calcium Carbonate+calcitriol+zinc 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, Calcium Carbonate+calcitriol+zinc 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).
Calcium Carbonate+calcitriol+zinc is used to increase low levels of calcium in the body. Hence it is not advised to use Calcium Carbonate+calcitriol+zinc during hypercalcemia, since it causes the overdose of calcium leading to kidney stones and other effects.
Calcium Carbonate+calcitriol+zinc can cause kidney stones due to excess calcium deposition when used for a prolonged period. Please consult your doctor before taking Calcium Carbonate+calcitriol+zinc as a daily supplement if you have any kidney problems or a history of kidney stones.
Common side effects of Calcium Carbonate+calcitriol+zinc include constipation, stomach pain, loss of appetite, fast or pounding heartbeat, bone, or muscle pain.
Do not use Calcium Carbonate+calcitriol+zinc if you ate allergic to Calcium Carbonate+calcitriol+zinc or any other ingredients in it. Calcium Carbonate+calcitriol+zinc 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).
