Acical-D 500mg+200IU

Tablet
Calcium Carbonate [Elemental] + Vitamin D3
ACI Pharmaceuticals

Other Strength:
- Acical-DX 600mg+400IU

Alternative:
- Aristocal D 500mg+200IU
- Calbo-D 500mg+200IU
- Calcium A & D 500mg+200IU
- Ultracal-D 500mg+200IU
- Caldical-D 500mg+200IU
- Reefcal-D 500mg+200IU
- Nutribon 500mg+200IU
- Bonwell-D 500mg+200IU
- Calmi-D 500mg+200IU
- Adcal D 500mg+200IU
- Calcibo D 500mg+200IU
- Carben D 500mg+200IU
- Calcin-D 500mg+200IU



Acical-D
Prescribing Information
Description: Nutrition is the most important strategy to prevent osteoporosis and other bone related diseases. Calcium and Vitamin D are the macro nutrients for bone. Without Vitamin D very little Calcium is absorbed.

Indications & Uses
Prevention and treatment of osteoporosis Prevention and treatment of osteomalacia, ricketsPrevention of Premenstrual Syndrome (PMS)To maintain strong bone growth and teethFor bone development and constant regeneration of bone Pregnancy & lactationDeficiency state of calcium, Vitamin DAs nutritional supplement

Dosage & Administration:
2 tablets per day, preferably 1 tablet in the morning and1 tablet in the evening.

Side effects:
The use of Calcium supplements has, rarely, given rise to mild gastro-intestinal disturbances, such as constipation, flatulence, nausea, gastric pain, diarrhoea. Following administration of Vitamin D supplements occasional skin rash has been reported. Hypercalciuria, and in rare cases hypocalcaemia have been seen with long term treatment at high dosages. Side-effects from micronutrient are rare.

Precautions:
Patients with mild to moderate renal failure or mild hypercalciuria shouldbe supervised carefully. Periodic checks of plasma Calcium levels and urinary Calcium excretion should be made in patients with mild to moderate renal failure or mild hypercalciuria.

Pregnancy and Lactation:
During pregnancy and lactation treatment should always be under the direction of a physician. During pregnancy and lactation, requirements for Calcium and Vitamin D are increased but in deciding on the required supplementation allowances should be made for availability of these agents from other sources.

Contraindications:
Hypersensitivity to any of the tablet ingredients. Absolute contraindications are hypercalcaemia resulting for example from myeloma, bone metastases or other malignant bone disease, sarcoidosis; primary hyperparathyroidism and Vitamin D overdosage. Severe renal failure.

Drug interactions:
It has possible interaction with digoxin, antacids containing Calcium, aluminium or magnesium, other Calcium supplements, calcitriol or other Vitamin D supplements;
tetracycline, doxycycline,minocycline or oxytetracycline etc. So before taking any of these drugs with Acical-D, suggestions of the physicians are needed.

Overdose:
The most serious consequences of acute or chronic overdose is hypercalcaemia. Pharmaceutical precautions: Should be stored in cool place (below 30ºc) and dry place. Keep out of reach of children.

Presentation:
Acical-D®Tablet: A light yellow color, vanilla flavor, oblong film coated tablet, break line on one side & another side engraved with ACI. Each tablet contains Colecalciferol (as Vitamin D3) 200 IU, Calcium (as Calcium Carbonate) 500 mg.

Package quantities:
Acical-D®Tablet: Each container contains 30 tablets.

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