This combination is indicated for:

• Prevention and treatment of Calcium and Vitamin D deficiency
• As an adjunct to other therapies in the prevention and management of osteoporosis

Each effervescent tablet contains:

• Calcium Lactate Gluconate 1358 mg
• Calcium Carbonate BP 1050 mg (equivalent to 600 mg elemental Calcium)
• Vitamin D3 400 IU (as Cholecalciferol USP)
• Multiminerals

Adequate calcium levels are essential for maintaining various physiological functions, and even a short-term deficiency can disrupt normal biochemical processes. Clinical evidence supports the role of calcium in preventing and treating osteoporosis and related fractures. Vitamin D enhances calcium absorption from the gastrointestinal tract and promotes bone formation. Together, calcium and Vitamin D act synergistically to improve bone strength and reduce the risk of osteoporosis and fractures. Multiminerals contribute to bone metabolism and support enzymatic activities necessary for maintaining overall mineral balance and skeletal health.

Adolescents and adults: 1 tablet once or twice a day
Children: 1 tablet once a day

Dissolve this effervescent tablet in a glass of water and drink immediately. Do not swallow or chew the tablet.

This preparation may interact with certain medications when taken together. Medical advice is recommended when used with cardiac glycosides, thiazide diuretics, or corticosteroids. In the case of oral bisphosphonates and sodium fluoride, this supplement should be taken at least 3 hours after these medications. For drugs such as tetracycline, cholestyramine, or laxatives, it should be taken 1–2 hours before or 4–6 hours after administration.

• Very rare: Severe allergic reactions including swelling of the face, lips, tongue, and throat
• Rare: Hypercalcemia, hypercalciuria
• Common (less serious): Nausea, vomiting, diarrhea, abdominal pain, constipation, flatulence, bloating, itching, redness, or burning sensation of the skin

This effervescent tablet may be used during pregnancy in cases of calcium and Vitamin D deficiency. However, during the third trimester, daily intake should not exceed 1500 mg of calcium and 1000 IU of Vitamin D. It can also be used during breastfeeding.

Patients with a history of kidney stones should have urinary calcium levels monitored to exclude hypercalciuria. During long-term use, serum and urinary calcium levels as well as kidney function should be regularly evaluated. Medical consultation is recommended when used alongside other calcium and Vitamin D preparations, especially in patients with kidney disorders or certain lung diseases such as sarcoidosis.

Symptoms of overdose may include nausea, vomiting, excessive thirst, and constipation. Severe overdose may result in hypercalcemia due to Vitamin D toxicity.

Multi-vitamin & Multi-mineral combined preparations

Store in a cool and dry place, protected from light and moisture. Keep out of reach of children. Keep the container tightly closed.