Maacal-D Tablet

500 mg & 200 IU: Each film-coated tablet contains Calcium Carbonate BP (eggshell source) 1250 mg equivalent to 500 mg of elemental Calcium and Cholecalciferol (Vitamin D3) BP 200 IU.

600 mg & 400 IU: Each film-coated tablet contains Calcium Carbonate BP (eggshell source) 1500 mg equivalent to 600 mg of elemental Calcium and Cholecalciferol (Vitamin D3) BP 400 IU.

This is the combination of Calcium Carbonate and Vitamin D3, where Calcium is obtained from European eggshell source. Along with Calcium it contains small amounts of essential salts and minerals for bone development, including Magnesium, Phosphorus & Strontium. It is 100% natural, highly digestible (98%), more absorbable and environment-friendly form of Calcium. It enriches the organic matrix of bones by helping the fixation of Calcium and increases bone density. It also contains soluble transport proteins for maximum absorption compared with other Calcium sources. Its absorption rate is higher than that of Algae, Coral, or Rock-based Calcium.

Calcium plays a very important role in the body. It is necessary for normal functioning of bone, nerve cells, muscle, and other vital organs and the regulatory system of the body. If there is not enough calcium in the blood, then the body will take Calcium from bones, thereby weakening bones and triggers different types of bone disorder. Vitamin D3 helps the body to absorb Calcium. Having the right amounts of Calcium and Vitamin D3 is important for building and keeping strong bones and healthy muscles.

Route of Administration: Oral. One tablet in the morning and one tablet at night or as directed by the physician. Use in children and adolescents should be directed by the physician.

With Medicine: It has possible interaction with digoxin, antacids containing Calcium, aluminum or magnesium, other Calcium supplements, calcitriol, tetracycline, doxycycline, aminocycline or oxytetracycline etc. So while taking Calcium tablet with any of these drugs consultations of the physicians is needed.

With food & others: The intestinal uptake of Calcium may be reduced by concomitant ingestion of certain foods (e.g. spinach, milk and milk products).

• Hypercalcemia and hyperparathyroidism
• Hypercalciuria and nephrolithiasis
• Hypersensitivity to the component of this preparation
• Severe renal insufficiencies
• Concomitant digoxin therapy (requires careful monitoring of serum Calcium level

Common Side Effects: Generally orally administered Calcium Carbonate may be irritating to the Gl tract and it may also cause constipation but eggshell Calcium is safe for long-term use without causing any Gl discomfort or constipation. Rare Side Effects: Kidney stone, hypercalcemia, alkalosis, loss of appetite.

It should be used as directed by the physician during Pregnancy and Lactation.

When hypercalcemia occurs, discontinuation of the drug is required. Patients with a history of kidney stone formation should also be recommended to increase their fluid intake.

Symptoms of overdose may include nausea and vomiting, dry mouth, loss of appetite, metallic taste, diarrhea, weakness, headache, irritability or dizziness etc.

Specific mineral & vitamin combined preparations

Store in a cool (below 30°C) and dry place, away from light. Keep out of the reach of children.