Warnings for Calcichew D3 1000mg/800iu Chewable Tablets Pack of 30
Do not take Calcichew-D3 Once Daily:
- if you are allergic to calcium, vitamin D, or any of the other ingredients of this medicine (listed in section 6).
- if you have severe kidney problems.
- if you have excessive amounts of calcium in the blood or in the urine.
- if you have kidney stones.
- if you have excessive amounts of vitamin D in the blood.
Warnings and precautions:
Talk to your doctor or pharmacist before taking Calcichew-D3 Once Daily:
- if you are on long-term treatment, especially if you also take diuretics (used in treatment of high blood pressure or oedema) or cardiac glycosides (used to treat heart disorders).
- if you have signs of impaired renal function or high tendency of renal stone formation.
- if you have sarcoidosis (an immune system disorder which may cause increased levels of vitamin D in the body).
- if you have osteoporosis and at the same time are unable to move around.
- if you take other products containing vitamin D. Additional doses of calcium and vitamin D should be taken under close medical supervision.
Children and adolescents:
Calcichew-D3 Once Daily is not intended for use in children and adolescents.
Other medicines and Calcichew-D3 Once Daily:
Tell your pharmacist if you are taking, or have recently taken or might take any other medicines.
- If you also take tetracyclines (a type of antibiotics), you should take these at least 2 hours before or 4-6 hours after intake of Calcichew-D3 Once Daily. Calcium carbonate may interfere with the absorption of tetracycline preparations if taken at the same time.
- Medicines containing bisphosphonates (used to treat osteoporosis) should be taken at least one hour before intake of Calcichew-D3 Once Daily.
- Calcium can reduce the effect of levothyroxine (used to treat thyroid deficiency). For this reason, levothyroxine should be taken at least four hours before or four hours after Calcichew-D3 Once Daily.
- The effect of quinolone antibiotics may be reduced if taken at the same time as calcium. Take quinolone antibiotics two hours before or six hours after taking Calcichew-D3 Once Daily.
- Calcium salts may decrease the absorption of iron, zinc and strontium ranelate. Consequently, iron, zinc or strontium ranelate preparations should be taken at least two hours before or after the calcium preparation.
Other medicines that may influence or be influenced by Calcichew-D3 Once Daily are:
- thiazide diuretics (used in treatment of high blood pressure or oedema)
- cardiac glycosides (used to treat heart disorders)
- Orlistat (used to treat obesity) may disturb the absorption of fat-soluble vitamins, e.g. vitamin D3.
If you are taking any of the above-mentioned medicines, your pharmacist will give you further instructions.
Calcichew-D3 Once Daily with food and drink:
Calcichew-D3 Once Daily can be taken with or without food and drink.
Pregnancy breast-feeding and fertility:
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your pharmacist for advice before taking this medicine.
If you are pregnant, you may use Calcichew-D3 Once Daily in case of a calcium and vitamin D deficiency. During pregnancy you should not take more than 2500 mg calcium and 4000 IU vitamin D per day, as overdoses may harm the unborn child.
Calcichew-D3 Once Daily can be used during breastfeeding. Calcium and vitamin D3 pass into breast milk. This should be considered when giving additional vitamin D to the child.
Driving and using machines:
Calcichew-D3 Once Daily has no known influence on the ability to drive and use machines.
Calcichew-D3 Once Daily contains isomalt and sucrose:
Calcichew-D3 Once Daily contains sucrose (1.5 mg), which may be harmful to the teeth. The tablet also contains isomalt (E953). If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.
Calcichew-D3 Once Daily is essentially sodium-free:
This medicine contains less than 23 mg sodium per tablet, that is to say essentially ‘sodium-free’.
Possible side effects:
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Hypersensitivity reactions have occurred with unknown frequency (cannot be estimated from the available data). If you experience the following symptoms, you should immediately contact a doctor:
- Swelling of the face, tongue, lips (angioedema) or swelling of the throat (laryngeal oedema).
Uncommon side effects (may affect up to 1 in 100 people):
- Excessive amounts of calcium in the blood (hypercalcemia) or in the urine (hypercalcuria) may occur with large doses.
Other possible side effects with this medicine:
Rare side effects (may affect up to 1 in 1,000 people):
- constipation;
- dyspepsia;
- flatulence;
- nausea;
- gastric pain;
- diarrhoea;
Very rare (may affect up to 1 in 10,000 people):
- itching, rash and hives.
- milk-alkali syndrome (also called Burnett's Syndrome and usually only seen when excessive amounts of calcium have been ingested), symptoms are frequent urge to urinate, headache, loss of appetite, nausea or vomiting, unusual tiredness or weakness, along with elevated levels of calcium in the blood and kidney impairment.
If you have impaired renal function, you may be at risk of increased amounts of phosphate in the blood, renal stone formation and increased amounts of calcium in the kidneys.
Reporting of side effects:
If you get any side effects talk to your pharmacist. This includes any side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme. Website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.
How to store Calcichew D3 1000mg/800iu Chewable Tablets Pack of 30
- Keep this medicine out of the sight and reach of children.
- Do not use this medicine after the expiry date which is stated on the label after EXP. The expiry date refers to the last day of that month.
- Plastic Bottle: Do not store above 30°C. Store in the original container in order to protect from light. Keep the container tightly closed in order to protect from moisture.
- Blister: Do not store above 25°C. Store in the original package in order to protect from moisture. Keep blister in the outer carton in order to protect from light.
- Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.
