Calcium It is not only a primary structural constituent of the skeleton (building strong bones) but is also widely distributed in the soft tissue and involved in vascular contraction and vasodilation, muscle function, nerve transmission, intracellular signaling and hormonal secretion . Some studies suggest that calcium, along with Vitamin D, may have benefits beyond bone health: perhaps protecting against cancer, diabetes and high blood pressure.
Calcium absorption depends upon the calcium needs of the body, the food eaten and the amount of calcium in the foods eaten. It’s so important that if you don’t get the recommended amount in your diet, your body will take it from your skeleton and teeth to use elsewhere, weakening your bones. The table given below shows the recommended dietary amount of calcium for different age groups.
|0 - 6 MONTHS||200 mg||200 mg|
|7 -12 MONTHS||260 mg||260 mg|
|1 - 3 YEARS||700 mg||700 mg|
|4 - 8 YEARS||1,000 mg||1,000 mg|
|9 - 13 YEARS||1,300 mg||1,300 mg|
|14 - 18 YEARS||1,300 mg||1,300 mg||1,300 mg||1,300 mg|
|19 - 50 YEARS||1,000 mg||1,000 mg||1,000 mg||1,000 mg|
|51 - 70 YEARS||1,000 mg||1,200 mg|
|71+ YEARS||1,200 mg|
However, people who don’t eat enough calcium-rich foods might consider taking supplements. Before you consider calcium supplements, be sure you understand how much calcium you need, and which type of supplement to choose.
CCalcium deficiency is a disease or condition that affects the functioning of our internal body system when our calcium storage becomes depleted. If left untreated, calcium deficiency leads to death. Deficiency of vitamin D, which help in calcium absorption, can also cause dietary calcium deficiency. There are generally two types of calcium deficiencies:
How common is calcium deficiency, it hasn't really yet been established by health experts. However, according to estimates published in 2015, 3.5 billion people worldwide are at risk of a calcium deficiency, due to a low dietary intake  . In 2013, researchers reported that calcium deficiency is still common among people with chronic illnesses  . Three years later, researchers reported that 41% female have deficiencies of calcium and vitamin D, and 78% females have calcium deficiency symptoms, including pain in the back, legs, and joints  .
Given below, the certain people are at a higher risk of suffering from calcium deficiency as they need extra calcium.
Unfortunately, Calcium deficiency signs & symptoms are not visible during the early stage. The body will keep its calcium levels in balance by taking the mineral from our bones and teeth. But as the condition progresses, the people experience the following mild to life-threatening symptoms and conditions.
Contact your doctor if you have symptoms of calcium deficiency. They’ll review your medical history and if suspects calcium deficiency, they’ll prescribe a blood sample test to check your blood calcium level and albumin level. Albumin is a protein that binds to calcium and transports it through the blood. Doctors define hypocalcemia, or a calcium deficiency, as blood calcium concentrations of below 8.8 mg/dl (Normal range= 8.8 to 10.4 mg/dl).
Treatment for calcium deficiency is necessary to prevent long term health issues. It can be treated in the following ways:
There are different types of supplements. Depending on individual’s needs, preferences and medical conditions, a doctor can recommend the best option. Supplements may contain different proportions of calcium compounds and elemental calcium. For example:
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Information for the use of
Read the information carefully before you start taking
- Keep this leaflet. You may need to read it again.
- Ask your doctor or pharmacist if you need more information or advice.
- If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.
2. What you need to know before you take
Do not take
- if you have excessive amounts of calcium in the blood or in the urine.
- if you have severe kidney problems
- if you have kidney stones.
- if you have excessive amounts of vitamin D in the blood.
- if you are allergic to calcium, vitamin D, or any of the other ingredients of the calculate Mouth Dissolving tablets (listed in section 6).
Talk to your doctor or pharmacist before taking
- if you are on long-term treatment, especially if you also take diuretics (used in treatment of high blood pressure or oedema) or cardiac glycosides (used to treat heart disorders). Please consult your doctor.
- if you have sarcoidosis (an immune system disorder which may cause increased levels of vitamin D in the body). Please consult your doctor.
- if you have osteoporosis and are unable to move around. Please consult your doctor.
- if you take other products containing vitamin D. Additional doses of calcium and vitamin D should be taken under close medical supervision.
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.
Calcium carbonate may interfere with the absorption of tetracyclines (a type of antibiotics) if
taken at the same time. For this reason, tetracycline preparations should be taken at least 2
hours before or 4-6 hours after intake of
Medicines containing bisphosphonates (used to treat osteoporosis) should be taken at least
one hour before intake of
Calcium can reduce the effect of levothyroxine (used to treat thyroid deficiency). For this
reason, levothyroxine should be taken at least four hours before or four hours after
The effect of quinolone antibiotics may be reduced if taken at the same time as calcium. Take
quinolone antibiotics two hours before or six hours after taking
Calcium salts may decrease the absorption of iron, zinc and strontium ranelate. Consequently
iron, zinc or strontium ranelate preparations should be taken at least two hours before or after
Other medicines that may influence or be influenced by
Orlistat (used to treat obesity) may disturb the absorption of fat-soluble vitamins, e.g. vitamin D3.
Pregnancy, breast-feeding and fertility
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist before taking this medicine.
During pregnancy the daily intake should not exceed 1500 mg calcium and 600 IU vitamin D. Ask your doctor or pharmacist for advice.
No studies on the effects on the ability and use of machines have been performed. An effect is however unlikely.
3. How to take
The recommended dose is one tablet twice daily. Do Not chew or swallow the calculate tablet. Let the calculate dissolve in your mouth near your cheek and gum. Occasionally rotate the calculate tablet to different part of the mouth.
If you take more
If you may have taken more
If you forget to take
Do not take a double dose to make up for a forgotten tablet.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Uncommon side effects (may affect up to 1 in 100 people. Excessive amounts of calcium in the blood or in the urine may occur with large doses.
Rare side effects (may affect up to 1 in 1,000 people): constipation, flatulence, nausea, gastric pain, diarrhoea.
Very rare side effects (may affect up to 1 in 10,000 people): itching and rash and dyspepsia. Milk-alkali syndrome (also called Burnett’s syndrome and usually only seen when excessive amounts of calcium have been ingested), symptoms are frequent urge to urinate, headache, loss of appetite, nausea or vomiting, unusual tiredness or weakness, along with elevated levels of calcium in the blood and kidney impairment.
Frequency not known (cannot be estimated from the available data): Hypersensitivity reactions such as swelling of the face, tongue, lips (angioedema) or swelling of the throat (laryngeal oedema).
If you have impaired renal function, you may be at risk of increased amounts of phosphate in the blood, renal stone formation and increased amounts of calcium in the kidneys.
5. How to store
Store protected from light & moisture. Do not store above 30°C.
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the label. The expiry date refers to the last day of that month.
Do not throw any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help to protect the environment.
- The active substances are 500 mg elemental calcium (as calcium carbonate 1250mg) and 10 mcg cholecalciferol (as vitamin D3 400 IU).
- The other ingredients are
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