Caltrate Plus

Caltrate is a dietary supplement approved by the FDA that is used to treat and prevent low levels of calcium in the blood. It contains calcium carbonate as its main ingredient. This medication is suitable for use in adults and geriatric patients for maintaining strong bones and teeth. Caltrate is available in the form of tablets and chewable tablets with strengths ranging from 600mg to 1200mg per dose, to be taken orally by mouth orally, with or without food, usually once or twice a day. If you want to buy Caltrate online for bone health management, you should choose a reputable online pharmacy to ensure the medication’s efficacy and authenticity.

Caltrate is an FDA-approved calcium dietary supplement that contains calcium carbonate, a vital mineral essential for maintaining strong bones and teeth, particularly in adults and seniors. Calcium supports bone density, reduces the risk of fractures, and plays a crucial role in nerve function and muscle contraction. Additionally, some Caltrate formulations include vitamin D3, which aids in calcium absorption and utilization, ensuring maximum benefits for bone health.

Caltrate is available as a tablet and chewable tablet. Its strengths range from 600mg to 1200mg per dose, and it should be taken once or twice each day or as directed by your doctor or healthcare provider. You should swallow the tablet whole with water, with or without food. Its efficacy is enhanced when used as part of a balanced diet and active lifestyle.

Common side effects of Caltrate may include mild digestive discomfort, such as bloating or constipation. If these symptoms persist or become worse, get in touch with your doctor. Use Caltrate cautiously if you have a history of kidney stones or hypercalcemia. Take missed doses as soon as you remember, but avoid doubling up. In case of calcium carbonate overdose, seek immediate medical attention. Store Caltrate in a cool, dry place, away from direct exposure to sunlight & moisture, to preserve its potency. Follow your healthcare provider’s advice for optimal results and maintain regular bone density assessments as recommended. Always consult your doctor before starting any new supplement.

It is used to treat and prevent:

• Low blood calcium levels

What Are the Forms & Strengths of Caltrate 600 Tablet?

It is available in the following forms & strengths:

Form: Oral tablets

Strengths: 600 mg of calcium with 200 IU of vitamin, 600 mg of calcium with 400 IU of vitamin D & 600 mg of calcium with 800 IU of vitamin D

Form: Chewable tablets 

Strengths: 600 mg of calcium with 400 IU of vitamin D & 600 mg of calcium with 800 IU of vitamin D

What Is the Recommended Dosage of Caltrate 600 Tablet?

The recommended dosage of Caltrate varies for many individuals and is based on many factors, such as the patient’s age, tolerability, and other factors. The dosage mentioned here is generalized, but if your doctor has recommended a dose different than the one mentioned here, you should follow their instructions and take Caltrate exactly as prescribed.

Dosage for Treating & Preventing Low Calcium Levels

Adults

• You should take 1-2 tablets every day with a full glass of water, preferably after meals or as your doctor has prescribed.
• If your doctor has prescribed that you take two tablets every day, it is best recommended that you take each tablet at a different mealtime.

[Note: Remember, these recommendations may vary from patient to patient. Consult with your doctor for personlized advice, and they will customize your dosage accordingly.]

• Before using Caltrate 600 with Vitamin D Calcium Supplement and each time you get a refill, refer to the patient information leaflet (PIL) & the medication guide given by your pharmacist or licensed healthcare professional. If you have any difficulties understanding any part of this leaflet or if you have any questions regarding its usage, you should ask your doctor or pharmacist.
• You should take Caltrate 600 oral tablets and chewable tablets exactly as your doctor has instructed you. You should not use it more or less than prescribed, in larger quantities, or more frequently than recommended by your healthcare professional, as it can cause unfavorable side effects.
• Usually, this medication is taken with food. However, if the product you are using contains calcium citrate, it may be used with or without food. For best results, if your total daily recommended dosage is more than 600 mg, then divide your dose into several parts and space it at regular intervals throughout the day.
• If you are using the liquid form of Caltrate, you should carefully measure the dose prescribed by your doctor using a special measuring spoon or device. Avoid using a household spoon to measure the dosage, as you may not get the correct dose. If you do not have a measuring device to measure the dose, ask your doctor.
• If you are using the chewable form of Caltrate tablets, chew them properly before swallowing. If you are using capsules, swallow them as a whole. Do not break, open, chew, or crush the extended-release (ER) tablets; doing so can release all of the medication at once, further increasing the risk of undesirable side effects.
• To get the most benefit from Caltrate, you should use it regularly. To help you remember, you should take it at around the same time each day.
• If your doctor or healthcare professional believes that you should follow a special diet, it is essential that you follow the recommended diet plan to get the most benefit from the medicine and prevent unfavorable symptoms. You should not use other vitamins or herbal supplements unless your doctor has recommended you.
• Calcium supplements come in different forms that may contain different amounts of vitamin D and calcium. Consult with your physician, pharmacist, or medical provider to determine which form and strength of calcium supplement is best for you to use.
• If you think you may have a severe medical problem, you should seek medical attention immediately.
• This medication may be part of a complete treatment plan, which may include dietary & lifestyle changes. Call your doctor or dietician to discuss which food items contain calcium & vitamin D. You may require dosage adjustments as you make changes to your diet. Follow your doctor’s instructions carefully.
• Do not share Caltrate with other people, even if they have the same symptoms as you do, as it can cause them harm.

[Note: Your doctor will decide the amount suitable for you depending on your health condition, following guidelines & studies on the drug. They will adjust it as required over time.]

The active ingredient present in Caltrate, calcium carbonate, ensures that your body gets enough calcium, especially if your diet is lacking in this mineral. Its other component, vitamin D, is crucial for maintaining healthy bones and preventing conditions like osteoporosis. By providing adequate calcium and enhancing its absorption with vitamin D, Caltrate 600 supports bone health and helps prevent bone-related health conditions such as osteoporosis & osteomalacia.

Common Side Effects of Caltrate 600 Tablet: Similar to other supplements, using Caltrate 600 Tablet can cause certain temporary side effects for some people. These side effects usually resolve on their own without medical intervention within a couple of days or weeks; however, if they persist or become bothersome, you should tell your doctor or healthcare provider immediately. Common side effects of Caltrate may include:

• Irregular heartbeat: Hypercalcemia, a condition in which there are elevated calcium levels in the blood, can disrupt the heart’s normal rhythm, causing an irregular heartbeat. To prevent this, you should adhere strictly to the recommended dosage and avoid concurrent use of other calcium-rich supplements unless instructed otherwise. If you notice changes in your heartbeat or experience palpitations, you should discontinue using the drug and immediately consult your doctor. 
• Weakness, drowsiness & headache: These symptoms may result from hypercalcemia caused by excessive intake of calcium. To minimize the risk of these symptoms, you should follow the prescribed dosage and maintain adequate hydration. If these symptoms persist, seek medical attention. 
• Dry mouth or metallic taste: Some individuals using Caltrate may have a dry mouth or metallic taste, which can be due to the body’s response to elevated calcium levels. Staying adequately hydrated throughout the day and chewing sugar-free gum can help alleviate these symptoms. If the issue persists, consult a medical professional for further evaluation. 
• Muscle or bone pain: While this medication is designed to support bone health, it may cause excessive levels of calcium in the body. This can further lead to muscle or bone discomfort. Ensure you do not take more than the recommended dose and discuss any persistent pain with your doctor to rule out underlying conditions. 

Mild Side Effects of Caltrate 600 Tablet: This medication can cause certain mild side effects in some people using it. These symptoms are not usually serious and disappear independently when your body adjusts to Caltrate. However, if they persist or become serious, talk to your doctor. Mild side effects of Caltrate may include: 

• Constipation or stomach upset: Calcium carbonate, the active ingredient in Caltrate, can cause gastrointestinal disturbances, such as constipation and upset stomach. This occurs because calcium can reduce intestinal motility, leading to harder stools. To prevent and manage these symptoms, maintain adequate hydration, incorporate dietary fiber, and engage in regular physical activity. If constipation persists, get in touch with a healthcare professional for further advice.
• Mental/mood changes: Hypercalcemia caused by this medication can affect the central nervous system (consisting of the brain & spinal cord), which can cause mood alterations such as irritability, confusion, or depression. To minimize the risk of such symptoms, you should strictly adhere to the dosage advised by your doctor and avoid excessive calcium intake from other sources. If you notice significant mood changes, discontinue use and seek medical attention promptly.

• Increased thirst/urination: Hypercalcemia caused by this medication can impair the kidney’s ability to concentrate urine, causing increased thirst/urination. To prevent this side effect from occurring, you should not take more than the recommended dosage and monitor your daily calcium intake. If you have persistent thirst or frequent urination, you should talk to your medical provider to assess your calcium levels and kidney function. 
• Weakness and tiredness: Caltrate-induced hypercalcemia can interfere with muscle function and energy metabolism, resulting in unusual fatigue and weakness. Do not take more than the recommended dosage to support overall health & maintain a healthy and well-balanced diet. If weakness or tiredness continues, seek medical advice to rule out underlying conditions.
• Rapid/pounding heartbeat: Excessive calcium can disrupt the electrical conduction system of the heart, leading to palpitations or a rapid heartbeat. To reduce this risk, follow dosing instructions carefully and avoid combining Caltrate with other calcium supplements unless directed by a physician. If you experience a fast or irregular heartbeat, discontinue use and contact your doctor immediately.

Serious Side Effects of Caltrate 600 Tablet: Caltrate can cause rare but adverse symptoms in some people using it. These serious side effects require emergency medical assistance and may become life-threatening if left untreated. If you experience any of the signs and symptoms mentioned below, you should seek medical intervention right away. Call your doctor or 911 immediately. It is essential to note that your doctor has recommended that you use Caltrate after determining that the benefits associated with its use outweigh its risks. 

• Allergic reactions: Symptoms such as rash, hives, itching, swelling of the face/throat, difficulty breathing, or swallowing may indicate an allergic reaction to Caltrate. These reactions can be triggered by hypersensitivity to calcium carbonate or other inactive ingredients in the formulation. You should check the complete ingredient list of the product for potential allergens before use to prevent such signs and symptoms. If any signs & symptoms of an allergic reaction develop, discontinue use immediately and seek emergency medical attention.
• High calcium levels (Hypercalcemia): Excessive calcium intake can lead to hypercalcemia. Its symptoms may include weakness, confusion, fatigue, headache, nausea, vomiting, constipation, or bone pain. This condition arises when calcium levels in the blood become elevated, often due to over-supplementation. To prevent hypercalcemia, strictly adhere to the recommended dosage and consider dietary calcium intake to avoid excessive total calcium consumption. If symptoms suggestive of hypercalcemia occur, stop taking Caltrate and consult a healthcare professional promptly.
• Mood changes: Alterations in mood, such as depression or irritability, may be associated with imbalanced calcium levels in the body. Both hypercalcemia and hypocalcemia can affect neurological function, leading to mood disturbances. To minimize this risk, maintain appropriate calcium intake and monitor for any psychological changes during supplementation. If mood alterations are observed, seek medical advice to assess calcium levels and adjust supplementation accordingly.

[Note: The above list may not cover all possible Caltrate side effects. Always discuss with your healthcare giver for personalized medical advice about the risks associated with the use of calcium carbonate]

Similar to other supplements, Caltrate also has certain warnings that users should consider while using it. These include:

• Certain health conditions can affect the amount of calcium an individual can take. Let your doctor or healthcare provider know if you have existing stomach or digestive problems, such as ongoing diarrhea, not absorbing nutrients properly, or not having adequate stomach acid.
• Tell your doctor if you are pregnant, breastfeeding, or plan to become pregnant. Also, tell them if you have existing renal disease or have ever had kidney stones.
• Let your doctor or healthcare provider know if you have or ever had any of the following conditions:
  • Hypercalcemia (too much calcium in the body)
  • Hypocalcemia (too little calcium in your blood)
  • Other health issues that can cause hypercalcemia or sarcoidosis
• Caltrate may contain aspartame, which is a cause of concern for those individuals who have phenylketonuria, a disorder in which there is a problem with amino acids. If you or anyone you know using this medicine has or has ever had this condition, you should talk to a licensed healthcare professional before using Caltrate.
• You should avoid taking certain brands of calcium carbonate if you have renal disease or are on dialysis, as it can cause harm to your kidneys. Ask your medical provider what brands are suitable for you to use.
• You should tell your doctor if you have been using Caltrate for a long time or in large quantities. They will most likely recommend you have your blood checked on a regular basis. Keep all appointments safe with you.

Before you start taking Catrtate 600 tablets, you should keep in mind certain precautions. These mainly include:

• Before taking this medication, tell your doctor or healthcare professional if you have ever had a known hypersensitivity reaction to Caltrate, calcium carbonate, or any other active or inactive ingredients this product contains. If you do not understand what ingredients it has, talk to a pharmacist or healthcare provider.
• Before using Caltrate, share your medical history with your healthcare professional, especially if you have the following conditions:
  • High calcium/vitamin D levels in the body
  • Heart/blood vessel disease
  • Malabsorption syndrome (difficulty absorbing nutrition from food)
  • Kidney disease
  • Certain immune system disorder
  • Certain bowel diseases, such as Whipple’s disease or Crohn’s disease
  • Low levels of bile
  • Achlorhydria
  • Untreated phosphate imbalance

You should avoid using Caltrate if you have the following:

• Allergy to calcium carbonate, vitamin D, ergocalciferol, or other ingredients in the medicine
• Hypercalcemia
• Severe hypercalciuria

To get the most benefit out of the supplement you are taking, including Caltrate 600 with Vitamin D, it is essential to stay consistent in using it. If you have missed a Caltrate dose, talk to your doctor or follow the instructions given here:

• You should take the dose as soon as you think of it. However, skip it if the time to take your next dose is almost here.
• Do not take this medicine in double or extra amounts to catch up for an omitted dose, as it can lead to unfavorable symptoms.

[Note: If you have missed a dose of calcium carbonate and are unsure about when to take the next one, talk to your doctor or pharmacist immediately.]

An overdose of calcium can impair kidney function, increase the blood’s pH levels, and lead to symptoms such as vomiting, nausea, itching, confusion, changes in thinking, and irregular heartbeat. Calcium carbonate overdose can cause abdominal pain. Seek immediate medical intervention if you experience such symptoms by calling your doctor or 911.

[Note: If you suspect you may have taken more than the prescribed dose, get emergency medical help promptly or call the Poison Help line at 1-800-222-1222.]

To ensure the safety and accuracy of Caltrate, store it properly. Follow the instructions below or ask your pharmacist.

• Keep Caltrate in a cool, dark, and dry place at a controlled room temperature, away from excessive heat, direct exposure to sunlight, and moisture.
• With that said, do not store it in the bathroom or other places with high humidity.
• Keep all medications and supplements, including Caltrate, in a safe place, away from the sight & reach of children and pets.
• Discard unused or unwanted medications in such a way that does not allow anyone to consume them.
• Do not pour it into wastewater or dispose of it in the garbage bin unless otherwise instructed.
• The best way to eliminate such medicines is to take them to a medicine take-back program.

[Note: Discuss with your pharmacist or healthcare professional the proper ways to dispose of any unused medication and any queries you may have regarding its disposal or storage.]

Certain medicines may interact with Caltrate and affect how it works or cause undesirable outcomes. To prevent & manage potential drug interactions, tell your doctor about all medicines, herbs, or supplements you plan to take alongside Caltrate. Some of these medicines include:

• Amlodipine
• Aspirin
• Aspirin Low Strength
• Hydrochlorothiazide
• Levothyroxine
• Lisinopril
• Losartan
• Magnesium oxide
• Prednisone
• Simvastatin
• Synthroid
• Vitamin D3

What Are the Other Caltrate 600 Tablet Interactions?

Taking some forms of calcium carbonate with food can improve absorption. However, foods high in oxalic acid (like spinach and rhubarb) or phytic acid (like bran and whole grains) can reduce calcium absorption. Vitamin D and its analogs increase calcium and phosphorus absorption. This can help with deficiencies but may lead to issues like high calcium or phosphorus levels (hypercalcemia/hyperphosphatemia) if your diet is too high in these nutrients, especially in people with kidney problems.

[Note: The above list of interactions is not exhaustive, and there could be other supplements and medications that interact with Caltrate 600 Tablet. Tell your doctor about any prescription medicines, over-the-counter drugs & herbal products you are currently taking or plan to take.]

When Caltrate is contraindicated or not suitable for use in individuals due to other reasons, they look for alternatives to the medicine. While there are many substitutes to this supplement available on the market, you should not use them without talking with your doctor first. Based on your needs and other factors, they will help you determine which works best for you. Some of these include:

• Fosamax
• Prolia
• Calcium 600 D
• Evenity
• Calcium carbonate
• Romosozumab

[Note: Your doctor will help you decide which Caltrate substitute is most suitable for you. Don’t use any of these alternatives without consulting your doctor or healthcare provider. Taking them by yourself may lead to serious side effects.]

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