What is it TheiCal-D3 1000 mg / 880 IU chewable tablets is a calcium-vitamin D3-supplement. It is used to prevent and treat a lack of calcium and vitamin D in the elderly and for vitamin D- and calcium supplementation as supportive treatment of osteoporosis (brittle bones). Directions 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. Always take TheiCal-D3 1000 mg / 880 IU chewable tablets exactly as described in this leaflet. You should check with your doctor or pharmacist if you are not sure. Adults and elderly take 1 chewable tablet daily (corresponding to 1,000 mg of calcium and 880 IU (International Units) of vitamin D3). Pregnant women take only half a chewable tablet daily (corresponding to 500 mg of calcium and 440 IU (International Units) of vitamin D3). The daily dose of half a tablet must not be exceeded. The tablet has to be chewed before it is swallowed. It should be taken at any time, with or without food. TheiCal-D3 1000 mg / 880 IU chewable tablets should be taken as long-term treatment. Talk to your doctor how long you should take TheiCal-D3 1000 mg / 880 IU chewable tablets (see also section 2, Take special care with TheiCal-D3 1000 mg / 880 IU chewable tablets). If you take more TheiCal-D3 1000 mg / 880 IU chewable tablets than you should Overdose of TheiCal-D3 1000 mg / 880 IU chewable tablets may lead to symptoms such as feeling sick (nausea), vomiting, thirst or excessive thirst, increased urine output, depletion of body fluids or constipation. If an overdose is suspected, contact your doctor or pharmacist immediately. If you forget to take TheiCal-D3 1000 mg / 880 IU chewable tablets, take it as soon as you remember. However, do not take a double dose to make up for a forgotten tablet. If you wish to interrupt or prematurely discontinue the treatment, please consult your doctor. If you have any further questions on the use of this product, ask your doctor or pharmacist. Warnings 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 TheiCalD3 1000mg/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 have kidney stones (nephrolithiasis) if you have calcium deposits in your kidneys (nephrocalcinosis) if you suffer from an excessive supply of vitamin D (hypervitaminosis D) if you have severe kidney problems Take special care with TheiCal-D3 1000 mg / 880 IU chewable tablets: during long-term treatment the levels of calcium in your blood and urine and your kidney function have to be monitored regularly. This is especially important if you have a tendency to develop kidney stones. Depending on your blood levels your doctor might reduce the dosage or discontinue the treatment. if you are simultaneously being treated with cardiac glycosides or thiazide diuretics (water tablets) for heart problems the levels of calcium in your blood and urine and your kidney function have to be monitored regularly. Depending on your blood levels your doctor might reduce the dosage or discontinue the treatment. if you suffer from kidney problems you have to take TheiCal-D3 1000 mg / 880 IU chewable tablets with special care. Your calcium levels of the blood and urine have to be checked. If you suffer from severe kidney problems, use other forms of vitamin D than cholecalciferol. Take additional supplementation of calcium and vitamin D only under medical supervision and your doctor will require frequent monitoring of the calcium levels in the blood and urine. 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. The levels of calcium in the blood and urine have to be monitored. 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. TheiCal-D3 1000 mg / 880 IU chewable tablets are not intended for use in children and adolescents. Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
