Shelcal-Ct Tab 15S

Tablet

Treatment and prevention of calcium and vitamin D deficiency, osteoporosis (including postmenopausal), osteomalacia/rickets, hypocalcaemia, supportive therapy in bone health and fracture healing

Calcium carbonate supplies elemental calcium required for bone mineralization and normal neuromuscular function. Calcitriol (active vitamin D3) increases intestinal absorption of calcium and phosphate and reduces secondary hyperparathyroidism, helping improve bone density and correct hypocalcaemia.

Tablet for oral use. Take as prescribed by the doctor, usually once daily after food; swallow with water. Do not exceed the recommended dose; maintain adequate hydration and avoid taking simultaneously with iron, thyroid medicine or certain antibiotics (keep a 2–4 hour gap).

Constipation, nausea, vomiting, abdominal pain, bloating, flatulence, metallic taste, headache, weakness, increased thirst, increased urination, hypercalcaemia

Use with caution in kidney disease, kidney stones, hypercalcaemia, hypervitaminosis D, sarcoidosis or other granulomatous disease. Monitor serum calcium/phosphate and renal function if used long term or in renal impairment. Overdose may cause severe hypercalcaemia with confusion, arrhythmias and kidney damage—seek medical help. Inform doctor if pregnant/breastfeeding or taking other calcium/vitamin D products.

Thiazide diuretics (↑hypercalcaemia risk), digoxin/cardiac glycosides (arrhythmia risk with high calcium), bisphosphonates, tetracyclines and fluoroquinolones (reduced antibiotic absorption), levothyroxine (reduced absorption), iron and zinc salts (reduced absorption), corticosteroids (reduce calcium absorption), antiepileptics like phenytoin/carbamazepine (reduce vitamin D effect), cholestyramine/orlistat (reduce vitamin D absorption)

Store below 25°C in a cool, dry place away from moisture and direct light. Keep in original pack and out of reach of children.

Calcimax Forte Tablet, Gemcal XT Tablet, Cipcal 500 Tablet, Rocaltrol 0.25 mcg Capsule, Calcirol 0.25 mcg Capsule