INTRODUCTION ABOUT SHELCAL 500MG TABLET

Shelcal Tablet is a bone health supplement which helps to correct calcium and Vitamin D3 deficiency and its associated health conditions such as osteoporosis (bones become brittle and fragile), osteomalacia (softening of bones), and rickets (abnormal calcification, softening, and distortion of the bones typically resulting in bowlegs). It contains Calcium carbonate and Vitamin D3 as active ingredients which belongs to the group of medicines known as Calcium supplements and Vitamin D analogs.

Shelcal Tablet is also considered as a source of calcium supplement for women, especially during the stages of menopause, to manage their nutritional needs. It is highly suggestive as part of osteoporosis management and during pregnancy, where it helps to maintain proper bone growth in the growing fetus and satisfies the extra nutritional needs during pregnancy. Patients undergoing management with Shelcal Tablet will be asked to monitor their plasma levels of calcium frequently to avoid hypercalcemia (increased calcium levels).

Shelcal Tablet is not recommended for use in patients with hypervitaminosis D, kidney stones, or diseases that increase calcium levels in the blood and urine (Ex. hyperparathyroidism). It can be used during pregnancy and breast-feeding when instructed by your physician. Shelcal Tablet should be taken with caution in patients with sarcoidosis, immobilized patients with osteoporosis (brittle bones), malignancies and impaired renal function. The most common side effects of taking Shelcal Tablet include nausea, vomiting, constipation, flatulence, dry mouth, loss of appetite and acid reflux. Consult your doctor if any of the above side effects worsen.

USES OF SHELCAL 500MG TABLET

It is used to manage:

• calcium and vitamin D3 deficiencies
• osteoporosis (weak bones)
• osteomalacia (softening of bones)
• rickets (abnormal calcification, softening, and distortion of the bones, typically resulting in bowlegs)

HOW SHELCAL 500MG TABLET WORKS

Shelcal Tablet is a bone-strengthening tablet that contains Calcium and Vitamin D3 as active ingredients. Calcium carbonate are required to maintain bone strength and carry out various biological functions. Vitamin D3 is necessary for the absorption of bone minerals like calcium, phosphorus, magnesium, zinc and makes the bones strong and healthy. When combined, they help in maintaining healthy bones and joints.

DIRECTIONS FOR USE

• Take Shelcal Tablet as advised by your doctor
• Swallow the medicine with a glass of water. Do not crush or chew the medicine unless your doctor has advised you to do so
• Your doctor will decide the correct dose and duration of management based on your age, body weight, and the severity of your present conditions

SIDE EFFECTS OF SHELCAL 500MG TABLET

Common side effects of Shelcal Tablet:

• nausea, vomiting
• constipation, flatulence
• irritability
• loss of appetite
• dry mouth
• acid reflux

Stop taking the medicine and contact your doctor immediately if you experience any of the following side effects:

• alkaline urine, increased calcium levels in urine, which results in kidney stones and causes sequelae such as pancreatitis and kidney failure (symptoms of milk-alkali syndrome)

WARNING & PRECAUTIONS

INTERACTIONS

A. Drug-Drug Interactions:

Before taking shelcal, inform your doctor if you are taking any of the following medicines:

• Thiazide diuretics (Ex. chlorothiazide, hydrochlorothiazide)
• Corticosteroids (Ex. prednisolone, methylprednisolone, betamethasone)
• Anti-lipidemic agents (Ex. Cholestyramine)
• Laxatives (Ex. paraffin oil)
• Antibiotics (Ex. Tetracyclines)
• Cardiac glycosides (Ex. digoxin, digitoxin)
• Bisphosphonate or sodium fluoride
• Hormones (Ex. Levothyroxine)
• Quinolone antibiotics (Ex. ciprofloxacin, levofloxacin)
• Oxalic acid and Phytic acid supplements
• Anti-TB agents (Ex. Rifampicin)
• Phenytoin and barbiturates (Ex. phenobarbital)
• Iron, zinc, or strontium supplements

B. Drug-Food interactions:

Avoid taking Shelcal, along with oxalic and phytic acid-rich foods like spinach, bran, whole cereals. Do not take the medicine within two hours of eating foods high in oxalic acid and phytic acid.

Overdosage: 

If you or anyone else accidentally takes too much of the Shelcal Tablet, consult your doctor immediately or visit the nearby hospital. Symptoms of overdosage include loss of appetite, thirst, nausea, vomiting, constipation, stomach pain, muscle weakness, fatigue, mental disturbances, frequent urination, bone pain, kidney stones. In severe cases, it may cause cardiac arrhythmias.

SYNOPSIS