INTRODUCTION ABOUT SHELCAL SYRUP

SHELCAL SYRUP contains Calcium carbonate and Vitamin D3 (cholecalciferol) which belongs to the group of medicines called Calcium supplements and Vitamin derivatives respectively. It is used to manage calcium deficiency. SHELCAL SYRUP aids in supplementation of calcium during growth, pregnancy and breast-feeding.

Patients undergoing long term management with SHELCAL SYRUP will be asked to monitor their plasma levels of calcium and kidney function tests frequently to avoid hypercalcemia (increased calcium levels).  

Patients undergoing management with SHELCAL SYRUP will be asked to monitor their plasma levels of calcium frequently to avoid hypercalcemia (increased calcium levels).  

SHELCAL SYRUP can be used during pregnancy and breast-feeding only if advised by the doctor. However, consult your doctor before taking to understand required dosages that helps to manage hypercalcemia and reduce the harm of the baby.  

SHELCAL SYRUP is not recommended for use in patients with hypervitaminosis D (increased levels of vitamin D in blood), kidney stones, diseases that increases calcium levels in blood and urine (Ex. hyperparathyroidism, myeloma).      

SHELCAL SYRUP should be taken with caution in patients with sarcoidosis (growth of tiny collection of inflammatory cells or granulomas in any part of the body), immobilised patients with osteoporosis (brittle bones), malignancies (abnormal growth of cells) and impaired renal function.   

The most common side effects of taking SHELCAL SYRUP includes nausea, vomiting, constipation, excess gas, dry mouth, loss of hunger and acid refluxes. Consult your doctor if any of the side effects worsen.

USES OF SHELCAL SYRUP

Used during growth, pregnancy and breast-feeding period to manage calcium deficiency

HOW SHELCAL SYRUP WORKS

SHELCAL SYRUP contains vitamin D3 and calcium carbonate. Vitamin D3 helps to enhance the intestinal absorption of calcium. Calcium carbonate acts as a calcium supplement. Combination of calcium carbonate and Vitamin D3 helps to counteract the increase in parathyroid hormone that is caused by calcium deficiency and which causes increased bone resorption (destruction of bone tissue that promotes bone loss). This helps to strengthen the bones, teeth and muscle functions.

DIRECTIONS FOR USE

Take SHELCAL SYRUP as advised by your doctor. Shake well before use. Your doctor will decide the correct dose, duration of management based on your age, body weight and severity of present conditions.

SIDE EFFECTS OF SHELCAL SYRUP

HOW TO MANAGE SIDE EFFECTS

Nausea or vomiting:

Take SHELCAL SYRUP with or just after meals. Stick to simple meals. Avoid eating oily or spicy foods. Consult your doctor if the symptom does not improve.

Dry mouth:

Sip water regularly and other sugar free liquids. Do not use mouthwashes that contain alcohol because they can make your mouth dry, use mouthwash that is used only for dry mouth. Limit your caffeine intake. Avoid smoking or using tobacco products. Consult your doctor if the symptom does not improve.    

Loss of appetite:

Eat when you feel hungry. Eat smaller meals frequently than usual. Snack only when you're hungry. Eat a nutritious snack which is rich in calories and protein, such as dried fruit and nuts.  

Constipation:

Take fiber rich foods in your diet such as fresh fruits, vegetables, whole grain cereals and drink plenty of fluids. Exercise more regularly and stay active. Consult your doctor if the symptom does not improve.

WARNING & PRECAUTIONS

INTERACTIONS

A. Drug-Drug Interactions:

• thiazide diuretics (medicines used to manage high blood pressure. Ex. chlorothiazide, hydrochlorothiazide)
• corticosteroids (medicine used to manage inflammations in various parts of the body Ex. prednisolone, methylprednisolone, betamethasone)
• cholestyramine (used to manage high cholesterol levels)
• laxatives such as paraffin oil (medicine used to manage constipation)
• tetracyclines (used to manage bacterial infections)
• cardiac glycosides such as digoxin, digitoxin (medicines used to manage heart diseases)
• bisphosphonate or sodium fluoride (medicine used to manage bone diseases)
• levothyroxine (medicine used to manage thyroid diseases)
• quinolone antibiotics (medicines used to manage bacterial infection. Ex. ciprofloxacin, levofloxacin)
• oxalic acid and phytic acid supplements
• rifampicin (medicine used to manage tuberculosis)
• phenytoin and barbiturates such as phenobarbital (medicine used to manage fits)
• iron, zinc or strontium supplements

B. Drug – Food interaction

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

Overdosage: 

If you or anyone else accidentally take too much of SHELCAL SYRUP, 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 and in severe cases it may cause cardiac arrhythmias. Extreme hypercalcaemia may result in coma and death. Persistently high calcium levels may lead to irreversible kidney damage and soft tissue calcification (symptoms of increased levels of calcium and vitamin D3 in the blood) and alkaline urine, increased calcium levels in urine that results to kidney stones and causing sequelae such as pancreatitis and kidney failure (symptoms of Milk-alkali syndrome).

SYNOPSIS

MORE INFORMATION

• Keep SHELCAL SYRUP out of reach of children
• Store SHELCAL SYRUP at room temperature