Isacal Tab

ISACAL TAB by ISAKURA HEALTHCARE DIV.

Name: ISACAL TAB (Brand Name) Common names for the active ingredients include Calcium Citrate, Vitamin D3, Magnesium, and Zinc.

Composition: ISACAL TAB is a combination of four nutritional supplements:

• Calcium Citrate: 1000 mg
• Vitamin D3 (Cholecalciferol): 200 IU
• Magnesium: 100 mg
• Zinc: 4 mg

Uses: ISACAL TAB is primarily used to address nutritional deficiencies, particularly those related to calcium and Vitamin D. It is prescribed for:

• Treatment and prevention of calcium and Vitamin D deficiency.
• Managing low calcium levels (hypocalcaemia).
• Conditions such as osteoporosis (weak, brittle bones) and osteomalacia (Rickets in children).
• Strengthening bones and improving bone density.
• Maintaining bone and joint health, and alleviating joint pain and inflammation.

Dosage and Administration: This medicine should be taken as advised by a healthcare professional.

• Swallow the tablet whole with a glass of water; do not crush, break, or chew it.
• It can be taken with or without food, though taking it after meals may help minimize stomach upset.

Side Effects: Common side effects associated with ISACAL TAB may include:

• Constipation
• Nausea
• Vomiting
• Stomach upset
• Muscle weakness

In rare cases, and typically with very high doses or prolonged use, more serious side effects such as elevated calcium levels (hypercalcemia), kidney stones, or impaired kidney function may occur. Consult a doctor if any side effects persist or worsen.

Precautions:

• Do not take ISACAL TAB if you have a known allergy to any of its components.
• Pregnant or breastfeeding individuals should consult their doctor before using this medicine.
• It should only be given to children if advised by a doctor.
• Inform your doctor about any pre-existing medical conditions, including hypercalcemia (high blood calcium), hypercalciuria (excess calcium in urine), nephrocalcinosis (calcium deposits in kidneys), nephrolithiasis (kidney stones), hypervitaminosis D (excess Vitamin D), severe renal impairment, or renal failure.
• Avoid or limit alcohol consumption while taking this medication.
• Disclose all other medicines, including herbal products, to your doctor to prevent potential drug interactions. For example, calcium may reduce the effectiveness of levothyroxine, so a 4-hour gap between administrations is recommended.
• Do not exceed the recommended dosage.

Storage:

• Store ISACAL TAB in a cool and dry place, away from direct sunlight.
• Keep it out of the reach and sight of children.
• The recommended storage temperature is between 10ºC to 25ºC or below 30ºC.

Here are frequently asked questions about ISACAL TAB:

What is ISACAL TAB used for?

ISACAL TAB is a nutritional supplement primarily used to treat and prevent various nutritional deficiencies, particularly those involving calcium and Vitamin D. It is also prescribed for conditions such as low calcium levels (hypocalcaemia), osteoporosis, osteomalacia (Rickets), and Vitamin D deficiency. The medicine helps in strengthening bones and maintaining overall bone and joint health.

How does ISACAL TAB work?

ISACAL TAB is a combination of Calcium Citrate, Vitamin D3, Magnesium, and Zinc. Calcium citrate enhances bone density, making bones stronger. Vitamin D3 is crucial for the absorption of calcium in the body. Magnesium assists in converting Vitamin D into its active form to further aid calcium absorption. Zinc plays a vital role in bone-building cells and helps inhibit the breakdown of bones. Together, these components work to strengthen bones and address nutritional deficiencies.

What is the usual dosage for ISACAL TAB?

You should take ISACAL TAB exactly as advised by your doctor. It can be taken with or without food. The tablet should be swallowed whole with a glass of water and should not be crushed, broken, or chewed.

What are the possible side effects of ISACAL TAB?

Common side effects may include constipation, nausea, vomiting, stomach upset, muscle weakness, headache, mild diarrhea, skin rash, bloating, and itching. Most of these side effects are typically mild and resolve over time. However, if they persist or worsen, it is advisable to consult your doctor. In rare cases, more serious side effects like hypercalcemia (high calcium levels in the blood) can occur, with symptoms such as weakness, fatigue, loss of appetite, increased thirst, frequent urination, bone pain, and mental changes. Kidney stones are also a rare possibility with prolonged high-dose use.

Is ISACAL TAB safe during pregnancy or breastfeeding?

If you are pregnant or breastfeeding, it is important to consult your doctor before taking ISACAL TAB. Calcium and Vitamin D are generally crucial during pregnancy and lactation for maternal and fetal bone health. However, higher doses of Vitamin D may require additional monitoring for the baby. Your doctor will assess the benefits and risks for your specific situation.

Can ISACAL TAB be taken with other medications?

It is crucial to inform your doctor about all other medicines, including herbal products, you are currently taking before starting ISACAL TAB. Calcium can decrease the absorption of certain medications, such as tetracycline antibiotics (e.g., doxycycline), bisphosphonates, levothyroxine, and quinolone antibiotics (e.g., ciprofloxacin). A gap of at least 4 hours between taking ISACAL TAB and levothyroxine is recommended. Additionally, concurrent use with thiazide diuretics might increase the risk of hypercalcemia in some individuals.

What precautions should be taken while taking ISACAL TAB?

Do not exceed the recommended dosage as it may lead to an overdose. Inform your doctor if you have conditions such as high blood calcium (hypercalcaemia), excess calcium in urine (hypercalciuria), calcium deposits in kidneys (nephrocalcinosis), kidney stones (nephrolithiasis), excess Vitamin D (hypervitaminosis D), severe renal impairment, or renal failure. If you are allergic to any of the components of ISACAL TAB, do not take it. It's also advisable to avoid or limit alcohol consumption. For optimal absorption, it is best to take the supplement with water and a balanced meal, and avoid taking it with tea, coffee, high-fiber foods, or oxalate-rich foods like spinach, beetroot, or chocolate, as these may reduce absorption.

What happens if a dose of ISACAL TAB is missed?

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.

How should ISACAL TAB be stored?

ISACAL TAB should be stored in a cool and dry place, away from direct sunlight. Keep it in a tight container and out of the reach and sight of children. The ideal storage temperature is between 10ºC to 25ºC or below 30ºC.