Product Details

What you need to know before you take TheiCal-D3 1000 mg / 880 IU chewable tablets

Do not take TheiCal-D3 1000 mg / 880 IU chewable tablets – if you are allergic (hypersensitive) to calcium, vitamin D3 or any of the other ingredients of TheiCal-D3 1000 mg / 880 IU chewable tablets – if you have high levels of calcium in your blood (hypercalcaemia) – if you have increased excretion of calcium with your urine (hypercalciuria) – if you suffer from overactive parathyroid glands (hyperparathyroidism) – if you suffer from bone marrow cancer (myeloma) – if you suffer from cancer that has affected your bones (bone metastases) – if you have a restraint of the limbs (prolonged immobilisation) accompanied with hypercalcaemia and / or hypercalciuria – if you are taking any other medicines or food supplements containing calcium or vitamin D – If you are under 18 years of age You may wish to talk to your pharmacist about the long-term use of this medicine especially: – if you have or have ever had kidney stones (nephrolithiasis), calcium deposits in your kidneys (nephrocalcinosis) or severe kidney problems – if you suffer from an excessive supply of vitamin D (hypervitaminosis D) – if you have sarcoidosis – if you are taking any medicines, particularly medicines for the heart Warnings and precautions Talk to your pharmacist before taking TheiCal-D3 1000 mg / 880 IU chewable tablets – if you are being treated with cardiac glycosides or thiazide diuretics (water tablets) for heart problems they may suggest you need to consult your doctor. – if you suffer from kidney problems you have to take TheiCal-D3 1000 mg / 880 IU chewable tablets with special care. – take special care when taking TheiCal-D3 1000 mg / 880 IU chewable tablets if you suffer from sarcoidosis (an immune system disorder which may affect your liver, lung, skin or lymph nodes). There is a risk that the effect of this medicinal product gets too strong which can result in an overdose of calcium in the body. – if you are immobile and are suffering from osteoporosis this medicinal product has to be used with special care, as the level of calcium in your blood might increase. Children and adolescents TheiCal-D3 1000 mg / 880 IU chewable tablets are not intended for use in children and adolescents. Other medicines and TheiCal-D3 1000 mg / 880 IU chewable tablets Tell your pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. – In the case of simultaneous treatment with digitalis glycosides (cardiac glycosides derived from foxglove), cardiac arrhythmias can occur. Rigorous medical monitoring including an ECG and measurement of the blood calcium level is therefore necessary. – In the case of simultaneous administration of diuretics of the thiazide drug class (also called water tablets), the blood calcium level should be regularly monitored since thiazides decrease the excretion of calcium in the urine. – The absorption and thus also the effectiveness of certain antibiotics (called tetracyclines) are decreased by the simultaneous administration of TheiCal-D3 1000 mg / 880 IU chewable tablets. These drugs should be taken at least 2 hours before or 4–6 hours after TheiCal-D3 1000 mg / 880 IU chewable tablets. – Furthermore, other medicines such as sodium fluoride (used to strengthen the tooth enamel or to treat osteoporosis) and bisphosphonate (used to treat osteoporosis) drugs are affected by interactions. These products should therefore be taken at least 3 hours before TheiCal-D3 1000 mg / 880 IU chewable tablets. – As long an interval as possible should be left between the administration of cholestyramine (a product to lower raised cholesterol levels) or laxatives such as liquid paraffin and TheiCal-D3 1000 mg / 880 IU chewable tablets since otherwise vitamin D is not absorbed properly. – The simultaneous administration of TheiCal-D3 1000 mg / 880 IU chewable tablets and phenytoin (a product for the treatment of epilepsy) or barbiturates (hypnotics) can result in a reduction in the effect of vitamin D. – The simultaneous administration of TheiCal-D3 1000 mg / 880 IU chewable tablets and glucocorticoids (e.g. cortisone) can result in a reduction in the effect of vitamin D and to a decreased calcium level in the blood. – The additional supplementation of calcium and vitamin D should be given only under medical supervision and will require frequent monitoring of the calcium levels in the blood and urine. – Calcium can reduce the effect of levothyroxine (used to treat thyroid deficiency).Forthisreason,levothyroxine should be taken at least four hours before or four hours after TheiCal-D3 1000 mg / 880 IU chewable tablets. – The effect of quinolone antibiotics may be reduced if taken at the same time as calcium. Take quinolone antibiotics two hours before or six hours after taking TheiCal-D3 1000 mg / 880 IU chewable tablets. TheiCal-D3 1000 mg / 880 IU chewable tablets with food and drink You can take TheiCal-D3 1000 mg / 880 IU chewable tablets at any time, with or without food. Please notice that oxalic acid (contained in spinach and rhubarb) and phytic acid (contained in wholegrain cereals) can reduce the amount of calcium you absorb in your bowel. In the 2 hours before or after eating food containing high amounts of oxalic or phytic acid patients should not take medicinal products that contain calcium. Pregnancy and breast-feeding If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your pharmacist for advice before taking this medicine. If you are pregnant you may use TheiCal-D3 1000 mg / 880 IU chewable tablets in case of a calcium and vitamin D deficiency. The daily dose of half a tablet must not be exceeded. During pregnancy the total daily amount of calcium should not be higher than 1,500 mg and the total daily amount of vitamin D3 should not be higher than 600 IU (International Units). Long-term overdose of calcium and vitamin D during pregnancy must be avoided since this may lead to high levels of calcium in the blood and may have a negative effect on the unborn child. TheiCal-D3 1000 mg / 880 IU chewable tablets can be used during breast-feeding. As calcium and vitamin D pass into breastmilk check with your pharmacist first if your child receives any other products containing vitamin D. Package leaflet: Information for the user 1000 mg/880 IU chewable tablets Calcium and Colecalciferol Driving and using machines TheiCal-D3 1000 mg / 880 IU chewable tablets has no influence on your ability to drive and use machines. TheiCal-D3 1000 mg / 880 IU chewable tablets contain aspartame (E951) This medicine contains 1mg aspartame (E951) in each chewable tablet. Aspartame is a source of phenylalanine. It may be harmful if you have phenylketonuria (PKU), a rare genetic disorder in which phenylalanine builds up because the body cannot remove it properly. TheiCal-D3 1000 mg / 880 IU chewable tablets contain benzyl alcohol This medicine contains 0.02 mg benzyl alcohol in each chewable tablet. Benzyl alcohol may cause allergic reactions. Ask your doctor or pharmacist for advice if you are pregnant or breast-feeding or if you have a liver or kidney disease. This is because large amounts of benzyl alcohol can build-up in your body and may cause side effects (called “metabolic acidosis”). TheiCal-D3 1000 mg / 880 IU chewable tablets contain isomalt (E953) and sucrose If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product. Sucrose may be harmful to the teeth. TheiCal-D3 1000 mg / 880 IU chewable tablets are essentially ‘sodium-free’ This medicine contains less than 1 mmol sodium (23 mg) per chewable tablet, that is to say essentially ‘sodium-free’. TheiCal-D3 1000 mg / 880 IU chewable tablets contain sorbitol (E420) This medicine contains 119.32 mg sorbitol (E420) in each chewable tablet.