• U.S. Brand Names: Cal-CYUM [OTC];Caltrate® 600+D [OTC];Caltrate® 600+SoyT [OTC];Caltrate® ColonHealthT [OTC];Chew-Cal [OTC];Citracal® Maximum [OTC];Citracal® Petites [OTC];Citracal® Regular [OTC];Liqua-Cal [OTC];Os-Cal® 500+D [OTC];Oysco 500+D [OTC];Oysco D [OTC];Oyst-Cal-D 500 [OTC];Oyst-Cal-D [OTC]
• Pharmacologic Category: Calcium Salt;Electrolyte Supplement, Oral;Vitamin, Fat Soluble

• This medicine is used to promote proper growth and good health.
• This medicine is used to prevent or treat osteoporosis.
• This medicine is used to treat heartburn and indigestion.
• This medicine is used to prevent and treat low calcium levels.
• Antacids reduce stomach acid.
• Calcium is a dietary supplement that helps the body make strong bones.
• Vitamin D helps increase dietary calcium absorption.

How to take

• Take this medicine 1 hour before or 2 hours after high bran or fiber meal.
• Take this medicine with food.
• Take 1 to 3 hours after meals as antacid.
• Chewable tablet: Chew or crush well. Mix crushed tablet with food. Do not swallow whole.
• Osteoporosis:
• Follow diet plan and exercise program as recommended by healthcare provider.

Missed Dose

• Take a missed dose as soon as possible.
• If it is almost time for the next dose, skip the missed dose and return to your regular schedule.
• Do not take a double dose or extra doses.

Storage

• Store at room temperature.
• Protect from moisture. Do not store in a bathroom or kitchen.

Avoid

• If you have an allergy to calcium, vitamin D, or any other part of this medicine.
• If you are allergic to soya lecithin or similar food products such as soybeans or peanuts, talk with healthcare provider.
• Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other symptoms involved.
• If you have any of the following conditions: High calcium levels, high vitamin D levels, kidney stones, or low phosphate levels.

Precautions

• If you have PKU, talk with healthcare provider. Some products do contain phenylalanine.
• If you are allergic to shellfish, talk with healthcare provider.
• If you are allergic to tartrazine, talk with healthcare provider. Some products contain tartrazine.
• If you have kidney disease, talk with healthcare provider.
• Check medicines with healthcare provider. This medicine may not mix well with other medicines.
• Try to separate other medicines from this one by 2 hours. This medicine prevents absorption of many medicines.
• Do not take iron, zinc, or folic acid within 2 hours of this medicine.
• Limit alcohol intake (includes wine, beer, and liquor).
• Tell healthcare provider if you are pregnant or plan on getting pregnant.
• Tell healthcare provider if you are breast-feeding.

Side Effects

• Headache.
• Nausea or vomiting. Small frequent meals, frequent mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.
• Constipation. More liquids, regular exercise, or a fiber-containing diet may help. Talk with healthcare provider about a stool softener or laxative.

Monitoring

• Change in condition being treated. Is it better, worse, or about the same?

Contact a healthcare provider

• If you suspect an overdose, call your local poison control center or emergency department immediately.
• Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue, or throat.
• Significant change in thinking clearly and logically.
• Severe nausea or vomiting.
• Severe constipation.
• Any rash.
• No improvement in condition or feeling worse.

General Statements

• If you have a life-threatening allergy, wear allergy identification at all times.
• Do not share your medicine with others and do not take anyone else's medicine.
• Keep all medicine out of the reach of children and pets.
• Most medicines can be thrown away in household trash after mixing with coffee grounds or kitty litter and sealing in a plastic bag.
• In Canada return any unused drugs back to the pharmacy. Also, visit http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/med/disposal-defaire-eng.php#th for more facts about the right way to get rid of unused drugs.
• Keep a list of all your medicines (prescription, natural products, supplements, vitamins, over-the-counter) with you. Give this list to healthcare provider (doctor, nurse, nurse practitioner, pharmacist, physician assistant).
• Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or in Canada to Health Canada's Canada Vigilance Program at 1-866-234-2345.
• Talk with healthcare provider before starting any new medicine, including over-the-counter, natural products, or vitamins.

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