CIPCAL 250 mg/125 iu 30 Tablets

Prescription status:

Prescription not required

Manufacturer Name: Cipla Ltd.

Drug classification: Nutritional Supplements

What is this used for:

• Calcium/ Vitamin D3 deficiency
• Osteoporosis
• Nutritional Supplementation

When to not take this medicine:

• Hypersensitivity/Known Allergy to Calcium carbonate or Vitamin D3 or any ingredients present along with it.
• Severe Kidney damage
• Hypercalcemia 

How should i take the medicine:

Take this medicine with an adequate amount of water as directed by the physician. Do not take this medicine in small or larger amounts than recommended.

How this medicine works:

Vitamin D3 helps in the absorption of the calcium within the body and calcium carbonate provides the necessary calcium to the body.

Side effects

• Allergic reaction (Rare)
• Nausea (Less common)
• Fever (Less common)
• Headache (Less common)
• Diarrhea (Less common)
• Constipation (Less common)
• Stomachache (Less common)
• Muscle weakness (Less common)
• Urination difficulties (Less common) 

Pregnancy warning:

Use of this medicine may or may not be recommended for pregnant individuals. However, it is necessary to discuss using this medicine with your doctor if you are pregnant or planning to become pregnant before using this medicine. All the risks and benefits should be discussed with the doctor before taking this medicine.

Lactation warning:

Use of this medicine is not recommended for lactating and breastfeeding mothers unless absolutely necessary. Inform your doctor about the use of this medicine. All the risks and benefits should be discussed with the doctor before taking this medicine.

Renal dose adjustments:

Care must be taken for individuals with kidney disease while taking this medicine. Please discuss appropriate dose adjustments with your doctor. Your doctor may also prescribe a suitable alternative based on creatinine clearance values.

Hepatic dose adjustments:

Care must be taken for individuals with liver disease while taking this medicine. Please discuss appropriate dose adjustments with your doctor. Your doctor may also prescribe a suitable alternative.

Drug interactions:

• Hydrochlorothiazide- Moderate

Inform your doctor about the use of either medicine. Serum calcium levels should be monitored regularly while using these medicines together. A suitable alternative may be considered based on the condition of the patient.

• Digoxin-Moderate

Inform your doctor about the use of either medicine. The heart activity and calcium levels should be monitored regularly while using these medicines together. A suitable alternative may be considered based on the condition of the patient.

• Doxycycline-Moderate

Inform your doctor about the use of either medicine. Calcium carbonate may interfere with the absorption of Doxycycline if taken at the same time. Suitable dose adjustments or alternatives may be considered based on the condition of the patient.

• Tetracycline-Moderate 

Inform your doctor about the use of either medicine. Calcium carbonate may interfere with the absorption of tetracycline if taken at the same time. Suitable dose adjustments or alternatives may be considered based on the condition of the patient.

• Levothyroxine-Moderate 

Inform your doctor about the use of either medicine. Calcium carbonate may interfere with the absorption of Levothyroxine if taken at the same time. Suitable dose adjustments or alternatives may be considered based on the condition of the patient.

• Ciprofloxacin- Moderate 

Inform your doctor about the use of either medicine. Calcium carbonate may interfere with the absorption of ciprofloxacin if taken at the same time. Suitable dose adjustments or alternatives may be considered based on the condition of the patient.

• Orlistat-Moderate

Inform your doctor about the use of either medicine. Orlistat may interfere with the absorption of Vitamin D3 if taken at the same time. Suitable dose adjustments or alternatives may be considered based on the condition of the patient.

Alcohol interactions:

Consumption of alcohol along with this medicine is not recommended as it may cause severe liver damage and liver failure.

Food interactions:

Few foods rich in oxalic acids like spinach, rhubarb, and whole cereal foods may affect the absorption of calcium within the stomach. It is recommended to take this medicine 2hrs after such meal

Expert Advice:

1. This medicine can be taken with or without food
2. Patients suffering from kidney damage are recommended to discuss with your doctor before taking these tablets.
3. Patients with decreased parathyroid function can experience irregular serum and urine calcium levels
4. It is recommended to consult your doctor if you had a history of kidney stones before taking this medicine.
5. Report any side effects experienced immediately to the doctor.

Missed dose instructions:

Take this medicine as soon as you remember. However, if it is almost time for your next dose skip the dose and go back to your regular dosing schedule. Do not double dose to make up for the missed dose.

Overdose Instructions:

Seek emergency treatment or contact your physician in case if you experience any unusual signs and symptoms during the treatment with this medicine.

Storage Instructions:

Store this medicine in a cool and dry place away from moisture. Keep the medicine away from the reach of children

References:

• [Internet]. Medicines.org.uk. 2020 [cited 11 August 2020]. Available from: https://www.medicines.org.uk/emc/files/pil.5231.pdf

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Keep away from direct sunlight

Store in a dry place