Birlacal D 500 mg Tablet

Composition of Birlacal D 500 mg Tablet

Birlacal D 500 mg Tablet contains Calcium carbonate 500 mg + Vitamin D3 (Cholecalciferol) (strength unknown). It belongs to the Mineral supplement (calcium salt) + Vitamin D analogue class of medicines.

Uses of Birlacal D 500 mg Tablet

• Prevention and treatment of calcium and vitamin D deficiency
• osteoporosis/osteopenia
• adjunct in fracture healing
• supportive therapy in pregnancy/lactation when prescribed

Key benefits

• Helps prevent/treat calcium and vitamin D deficiency
• Supports bone strength and mineralization
• Adjunct in osteoporosis management
• May aid fracture healing
• Supports normal muscle and nerve function

How Birlacal D 500 mg Tablet works

Calcium carbonate provides elemental calcium needed for bone mineralization and normal nerve and muscle function. Vitamin D3 increases intestinal absorption of calcium and phosphate and helps maintain normal bone strength.

How to take Birlacal D 500 mg Tablet

Tablet for oral use. Take as advised by doctor; commonly taken once or twice daily after food. Swallow with water; avoid taking together with iron/thyroid medicine/antibiotics—keep a gap of 2–4 hours.

Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.

Missed dose and overdose

If you miss a dose

Take it as soon as you remember. If your next dose is almost due, skip the one you missed — never take two doses together to catch up.

If you take too much

An overdose of this medicine can raise blood calcium dangerously, causing thirst, frequent urination, vomiting, confusion and kidney damage. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Birlacal D 500 mg Tablet

Most side effects of Birlacal D are mild and settle as the body adjusts. Reported side effects include:

• Constipation
• gas/bloating
• abdominal discomfort
• nausea
• vomiting

Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.

Safety advice for Birlacal D 500 mg Tablet

Warnings and precautions

Use with caution in kidney disease, history of kidney stones, hypercalcemia, hyperparathyroidism, sarcoidosis or other granulomatous disease. Excess use may cause hypercalcemia (symptoms: nausea, vomiting, confusion, excessive thirst/urination). Do not exceed prescribed dose; ensure adequate hydration.

Do not take Birlacal D if

Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for people with a high blood calcium level, or with certain kidney stones.

Interactions with other medicines

Levothyroxine (reduced absorption),tetracyclines (reduced absorption),fluoroquinolones (reduced absorption),bisphosphonates (reduced absorption),iron salts (reduced absorption),thiazide diuretics (increased hypercalcemia risk),digoxin (arrhythmia risk with high calcium)

How to store Birlacal D 500 mg Tablet

Store below 25°C in a dry place, protected from moisture and light. Keep out of reach of children.

Expert advice for Birlacal D 500 mg Tablet

Take calcium with food, and split the day's total if you take a large amount. Sunlight helps your body make its own vitamin D. Have your level rechecked as your doctor advises rather than continuing high doses indefinitely.

Manufacturer and class

Manufacturer:

RISEMARKER PHARMACEUTICALS

Therapeutic class:

Calcium & Vitamin D supplement

Drug class:

Mineral supplement (calcium salt) + Vitamin D analogue