- Generic Name: Calcium Carbonate [Coral source] + Vitamin D3
- Manufacturing Company: Radiant Pharmaceuticals Ltd.
CoralCal-D price:
- Per piece: 12 Tk
- Strip: 120 Tk (10 tablets)
- Box: 720 Tk (6*10 Tablets)
CoralCal-D 500 mg Tablet is a combination of calcium carbonate, derived from coral, and vitamin D3, designed to support bone health. It is used for the prevention and treatment of calcium and vitamin D deficiencies, osteoporosis, osteomalacia, and other bone disorders. The unique coral source ensures better absorption, and vitamin D3 enhances calcium absorption from the gut, promoting strong bones. It is especially useful for those with inadequate calcium intake during childhood, pregnancy, lactation, or in elderly patients. Regular use of CoralCal-D can improve bone health and prevent fractures.
Substitutes for Coralcal-D:
| Sl: | Alternative | Manufacturing company | Price |
| 1. | Calboral-D | Square Pharmaceuticals PLC. | 330 Tk |
| 2. | Becorall D | Beximco Pharmaceuticals Ltd. | 100 Tk |
| 3. | Corabon-D | Nuvista Pharma Ltd. | 100 Tk |
| 4. | Oceancal-D | General Pharmaceuticals Ltd. | 110 Tk |
| 5. | Ostocal G | Eskayef Bangladesh Ltd. | 110 Tk |
Indications
CoralCal-D is prescribed on the advice of a doctor in the following conditions:
- Osteoporosis
- Osteomalacia
- Tetany
- Hypoparathyroidism
- Disorders of osteogenesis.
Also used as supplement in case of inadequate intake of calcium in childhood diet, rickets, pregnancy & lactation, elderly patients. Other indications include pancreatitis, phosphate binder in chronic renal failure etc.
Pharmacology
CoralCal-D contains Calcium Carbonate, sourced from coral, which closely mimics the composition of human bones. This unique coral calcium ensures better absorption and supports various bodily functions. Calcium is crucial for bone health, preventing conditions like osteoporosis and fractures. Vitamin D3 in CoralCal-D enhances calcium absorption from the gastrointestinal tract, stimulates bone formation, and helps maintain calcium balance in the body. Together, calcium and Vitamin D have a synergistic effect, promoting bone growth and reducing the risk of fractures. CoralCal-D is particularly effective in patients requiring additional calcium, ensuring optimal bone health and overall well-being.
Dosage and Administration
Take 1 tablet once or twice daily, as directed by a physician.
Consume with plenty of water.
Best taken on a full stomach for better absorption.
For effervescent tablets:
- Dissolve 1 tablet in a glass of water.
- Stir well before drinking.
Always follow the dosage recommended by your doctor.
Interactions
CoralCal-D may interact with several medications. Thiazide diuretics can reduce urinary calcium excretion, increasing the risk of hypercalcemia. When used with systemic corticosteroids, calcium absorption may decrease, potentially requiring a higher dose of CoralCal-D. Ion exchange resins like cholestyramine and paraffin oil can interfere with the absorption of vitamin D, while calcium itself may inhibit the absorption of tetracycline preparations. To avoid this, tetracyclines should be taken at least two hours before or four to six hours after calcium intake. In patients on cardiac glycosides, hypercalcemia increases toxicity risk, so regular monitoring of ECG and serum calcium levels is necessary. Additionally, when taking bisphosphonates or sodium fluoride, CoralCal-D should be administered at least three hours prior, as calcium can interfere with their absorption. Foods rich in oxalic acid (such as spinach and rhubarb) or phytic acid (found in whole grains) can also inhibit calcium absorption, so it’s best to avoid calcium supplements within two hours of consuming these foods.
Side effects | CoralCal-D
CoralCal-D may cause some side effects, although they are generally rare. Common side effects include gastrointestinal irritation, such as constipation, nausea, vomiting, and abdominal discomfort. In rare cases, hypercalcemia (high calcium levels in the blood) may occur, particularly in patients with chronic kidney disease. Other potential side effects include allergic reactions, irregular heartbeats, decreased appetite, dry mouth, drowsiness, and muscle weakness. Occasionally, Vitamin D supplements in CoralCal-D have been associated with skin rashes. If any serious side effects or signs of an allergic reaction occur, medical attention should be sought immediately.CoralCal-D may cause some side effects, although they are generally rare. Common side effects include gastrointestinal irritation, such as constipation, nausea, vomiting, and abdominal discomfort. In rare cases, hypercalcemia (high calcium levels in the blood) may occur, particularly in patients with chronic kidney disease. Other potential side effects include allergic reactions, irregular heartbeats, decreased appetite, dry mouth, drowsiness, and muscle weakness. Occasionally, Vitamin D supplements in CoralCal-D have been associated with skin rashes. If any serious side effects or signs of an allergic reaction occur, medical attention should be sought immediately.
Pregnancy and Lactation
During pregnancy, the daily intake of calcium should not exceed 1500 mg, and Vitamin D3 (cholecalciferol) should not exceed 600 IU to avoid potential complications such as hypercalcemia, which can affect the developing fetus. While therapeutic doses of Vitamin D are not considered teratogenic, overdosing should be avoided. CoralCal-D can be used during pregnancy and lactation if there is a deficiency in calcium and Vitamin D3, as these nutrients are essential for both maternal and fetal bone health. Calcium and Vitamin D3 pass into breast milk, so the dosage should be carefully monitored to prevent excessive intake in infants.
Instruction
- Dosage: Take 1 tablet once or twice daily, or as directed. For effervescent tablets, dissolve in water before drinking.
- Administration: Take with plenty of water and on a full stomach for better absorption.
- Storage: Keep below 30°C, away from light and moisture, and out of reach of children.
- Consultation: Always consult a healthcare professional before use.
- Monitoring: Regularly check serum calcium levels and renal function during long-term use.
- Dietary Considerations: Avoid taking calcium products within two hours of foods high in oxalic or phytic acid.
- Interactions: Discuss any medications with your healthcare provider to avoid potential interactions.
Following these instructions helps maximize the benefits of CoralCal-D safely.
Effects of Overdosing | CoralCal-D
Overdosing on CoralCal-D can lead to hypervitaminosis D and hypercalcemia, which can manifest through various symptoms. Gastrointestinal issues such as anorexia, nausea, vomiting, constipation, and abdominal pain are common. Neurologically, individuals may experience muscle weakness, fatigue, and mental disturbances. There may also be an increase in thirst and urination, known as polydipsia and polyuria, along with bone pain due to elevated calcium levels. Kidney complications, including nephrocalcinosis and the formation of kidney stones, may occur. In severe cases, cardiac problems such as irregular heartbeats can arise, potentially leading to serious outcomes like coma or even death. Management of hypercalcemia involves discontinuing calcium and vitamin D supplements, ensuring rehydration, and closely monitoring serum electrolytes and renal function to prevent further complications.
Therapeutic Class
Its therapeutic class is: Specific mineral & vitamin combined preparations
CoralCal-D Warning
- Use with caution in patients taking thiazide diuretics due to increased risk of hypercalcemia.
- Monitor patients with sarcoidosis for potential increased metabolism of vitamin D.
- Caution is advised for immobilized patients with osteoporosis to avoid hypercalcemia.
- Always consult a registered healthcare professional before starting CoralCal-D.
- Important for pregnant or breastfeeding individuals and those taking other medications that may interact with calcium or vitamin D.
Chemical Stucture
Chemical Formula: [Ca(H2O)6]2+
Chemical Stucture:
Storage Conditions
Store at temperature of below 30°C, protect from light & moisture. Keep out of reach of children.
***Special announcement
We have collected the mentioned information from various sources with caution, but they are in no way a substitute for doctors, so consult doctors for any medicine to use. As information is collected from various sources, we cannot guarantee its effectiveness and usefulness. Therefore, we are not responsible for any side effects or adverse effects after taking the medicine due to the information mentioned above.
- This information is for general information only and is in no way a substitute for medical advice.
- Consult your doctor before consuming.
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FAQs on CoralCal-D
What is CoralCal-D?
CoralCal-D is a dietary supplement that combines calcium carbonate and vitamin D3, designed to prevent and treat calcium and vitamin D deficiencies.
What are the main benefits of CoralCal-D?
It helps in preventing osteoporosis, treating rickets, improving bone health in the elderly, and addressing calcium and vitamin D deficiencies.
How should I take CoralCal-D?
It is typically taken with food. The usual dose is one tablet per day, but consult your doctor for personalized advice.
Who should not take CoralCal-D?
Individuals with high levels of calcium or vitamin D, kidney stones, sarcoidosis, or allergies to any ingredients in CoralCal-D should avoid this supplement.
What are the possible side effects of CoralCal-D?
Common side effects may include constipation, nausea, vomiting, diarrhea, headache, drowsiness, and dry mouth.
Can CoralCal-D be taken during pregnancy or breastfeeding?
It can be used during pregnancy and breastfeeding, but it is crucial to consult a healthcare professional for appropriate dosages.
Is there a risk of overdose with CoralCal-D?
Yes, overdosing may lead to hypervitaminosis D and hypercalcemia, which can have serious health consequences.
How should CoralCal-D be stored?
Store at temperatures below 30°C, away from light and moisture, and keep out of reach of children.
Does CoralCal-D interact with any medications?
Yes, it may interact with thiazide diuretics, corticosteroids, and certain antibiotics like tetracycline. Always consult a healthcare provider about potential interactions.
Can CoralCal-D help with osteoporosis?
Yes, it is specifically indicated for the prevention and treatment of osteoporosis and associated fractures.
What should I do if I miss a dose of CoralCal-D?
If you miss a dose, take it as soon as you remember. If it’s almost time for your next dose, skip the missed dose and continue with your regular schedule.
Can children take CoralCal-D?
It’s important to consult a pediatrician before giving CoralCal-D to children to ensure proper dosage and safety.
Is CoralCal-D effective for vegetarians?
CoralCal-D is derived from coral calcium, which is not plant-based. Vegetarians should consult their healthcare provider for suitable alternatives.
How long can I take CoralCal-D?
CoralCal-D can be taken long-term, but regular monitoring of calcium levels and kidney function is advised, especially in elderly patients.
Where can I buy CoralCal-D?
CoralCal-D is available at pharmacies and online medical supply stores. Ensure you purchase it from reputable sources to guarantee quality.