This combination medication is used to prevent or
treat low blood calcium levels in people who do not get
enough calcium from their diets. It may be used to treat conditions
caused by low calcium levels such as bone loss (osteoporosis),
weak bones (osteomalacia/rickets), decreased activity of the parathyroid gland
(hypoparathyroidism), and a certain muscle disease (latent tetany). It may
also be used in certain patients to make sure they are getting enough calcium
(including women who are pregnant, nursing, or postmenopausal, people
taking certain medications such as phenytoin, phenobarbital,
Calcium plays a very important role in the body. It is necessary
for normal functioning of nerves, cells, muscle, and bone. If there is not
enough calcium in the blood, then the body will take calcium from bones,
thereby weakening bones. Vitamin D helps your body absorb calcium and
phosphorus. Having the right amounts of vitamin D, calcium, and phosphorus
is important for building and keeping strong bones.
Constipation or stomach upset may occur. If any
of these effects persist or worsen, tell your doctor or pharmacist promptly.
If your doctor has directed you to use this medication,
remember that he or she has judged that the benefit to you is greater than the
risk of side effects. Many people using this medication do not have serious
Tell your doctor right away if any of these unlikely but serious
side effects occur: nausea/vomiting, loss of appetite, unusual weight
loss, mental/mood changes, signs of kidney problems (such as change
in the amount of urine), bone/muscle pain, headache, increased thirst,
increased urination, weakness, tiredness, fast/pounding heartbeat.
A very serious allergic reaction to this drug is rare.
However, seek immediate medical attention if you notice any symptoms of a
serious allergic reaction, including: rash, itching/swelling
(especially of the face/tongue/throat), severe dizziness, trouble
This is not a complete list of possible side effects. If you
notice other effects not listed above, contact your doctor or pharmacist.
Before taking this medication, tell your doctor or pharmacist if
you are allergic to it; or to other vitamin D products (such as
calcitriol); or if you have any other allergies. This product may contain
inactive ingredients, which can cause allergic reactions or other problems.
Talk to your pharmacist for more details.
This medication should not be used if you have certain medical
conditions. Before using this medicine, consult your doctor or pharmacist if
you have: high calcium/vitamin D levels (hypercalcemia/hypervitaminosis
D), difficulty absorbing nutrition from food (malabsorption syndrome).
Before using this medication, tell your doctor or pharmacist
your medical history, especially of: heart/blood vessel
disease, kidney stones, kidney disease, certain immune system disorder
(sarcoidosis), liver disease, certain bowel diseases (Crohns disease,
Whipples disease), little or no stomach acid (achlorhydria), low
levels of bile, untreated phosphate imbalance.
Chewable tablets may contain sugar or aspartame. Caution is
advised if you have diabetes, phenylketonuria (PKU), or any other
condition that requires you to limit/avoid these substances in your diet. Ask
your doctor or pharmacist about using this product safely.
Tell your doctor if you are pregnant before using this
medication. During pregnancy, doses of vitamin D greater than the
recommended dietary allowance should be used only when clearly needed. Discuss
the risks and benefits with your doctor.
This medication passes into breast milk. Consult your
doctor before breast-feeding.
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