Calcium Carbonate [Elemental] + Vitamin D3: Brands, Price & Uses in Bangladesh

Calcium Carbonate [Elemental] + Vitamin D3 is a combined mineral and vitamin supplement in which calcium carbonate supplies elemental calcium and vitamin D3 (cholecalciferol) promotes intestinal absorption of that calcium. It is used for the following indications, classified by strength of evidence:

Established / Guideline-Supported Uses

• Prevention and treatment of calcium and vitamin D deficiency, including dietary insufficiency, in adults and children who cannot meet requirements through diet alone.
• Adjunct in the prevention and management of osteoporosis, particularly in postmenopausal women, elderly individuals, and patients on long-term corticosteroid therapy, where Calcium Carbonate [Elemental] + Vitamin D3 is used together with (not as a replacement for) specific anti-osteoporotic therapy such as bisphosphonates when indicated.
• Supportive therapy in osteomalacia and rickets due to nutritional calcium/vitamin D deficiency.
• Calcium/vitamin D supplementation during pregnancy and lactation when dietary intake is inadequate, as directed by a physician.

Adjunct / Combination-Therapy Uses

• As a calcium and vitamin D supplement alongside disease-specific treatment in secondary hyperparathyroidism associated with vitamin D deficiency, and as a calcium supplement in chronic kidney disease under medical supervision (used together with, not instead of, phosphate binders or active vitamin D analogues where those are separately indicated).

Calcium Carbonate [Elemental] + Vitamin D3 does not treat the underlying cause of bone disease and is not a substitute for prescription osteoporosis medication when that is required; it is intended to correct or prevent deficiency and to support bone health as directed by a physician.

Adult Dose

Pediatric Dose

Use in children should be guided by a pediatrician; dosing is weight- and age-based and depends on the specific product formulation (e.g. chewable tablet or syrup) and its elemental calcium/vitamin D3 content per dose. See Use in Special Populations and Pediatric Uses.

Renal Impairment

Calcium Carbonate [Elemental] + Vitamin D3 should be used with caution and under medical supervision in patients with renal impairment, as this population is at increased risk of hypercalcemia; dose and serum calcium/phosphate should be monitored by the treating physician. It is contraindicated in severe renal impairment/renal failure with hypercalcemia risk (see Contraindications).

Administration

Take Calcium Carbonate [Elemental] + Vitamin D3 with or immediately after food, as gastric acid released during a meal improves calcium carbonate dissolution and absorption. Swallow tablets with water; chewable formulations should be chewed before swallowing. If more than one dose per day is prescribed, divide doses evenly through the day for better absorption and tolerability.

Calcium Carbonate [Elemental] + Vitamin D3 is generally well tolerated at recommended doses. Reported adverse effects include:

• Common: constipation, bloating, flatulence, and mild gastrointestinal upset.
• Less common: nausea, vomiting, dry mouth, and increased thirst.
• Rare (usually with excessive/prolonged high-dose use): hypercalcemia (symptoms may include increased thirst, increased urination, fatigue, muscle weakness, confusion), hypercalciuria, and nephrolithiasis (kidney stones). See Precautions and Warnings.