Calboral-D Tablet

Calcium and vitamin D supplement for:

• Prevention and treatment of calcium and vitamin D deficiency
• Osteoporosis (with other treatments) and to support bone health in the elderly
• Extra needs in pregnancy, breastfeeding, growing children
• Long-term steroid use, after menopause

Adults: usually 1 tablet (500–600 mg calcium + 200–400 IU vitamin D3) once or twice daily, or as directed. Total calcium from food and supplements should generally not exceed 2,000–2,500 mg/day.

Children: as directed by the doctor.

• Take with or after meals for better absorption; chewable tablets should be chewed.
• Separate from iron, thyroid tablets, tetracyclines and quinolones by at least 2–4 hours.

• High blood or urine calcium (hypercalcaemia, hypercalciuria)
• Calcium kidney stones, severe kidney failure
• Vitamin D excess
• Allergy to any ingredient

Common: constipation, wind, bloating, nausea.

Uncommon: high calcium in blood or urine with long-term high doses (thirst, frequent urination, tiredness, confusion).

Rare: kidney stones, allergic reactions.

• Kidney disease or history of kidney stones: use only under supervision.
• Long-term use: blood and urine calcium may need checking.
• Sarcoidosis: risk of high calcium.
• Do not combine with other vitamin D products without advice.

Safe at recommended doses in pregnancy and breastfeeding; often recommended.

• Thiazide diuretics (risk of high calcium)
• Digoxin (high calcium increases toxicity)
• Tetracyclines, quinolones, levothyroxine, iron, bisphosphonates, zinc (absorption reduced — separate doses)
• Corticosteroids (reduce calcium absorption)

High calcium: nausea, vomiting, thirst, increased urination, constipation, confusion, heart rhythm problems. Stop and seek medical care.

Store below 30°C in a dry place, tightly closed.