500 mg / 800 IU film-coated tablets
calcium / cholecalciferol ( vitamin D 3 )

What Kalcipos-D forte is and what it is used for

Kalcipos-D forte is used for the prevention and treatment of calcium and vitamin D 3 in the elderly, and as adjunctive therapy in osteoporosis ( osteoporosis ) when the deficiency of calcium and vitamin D 3 is present or suspected.

Calcipos-D forte contains calcium and vitamin D 3, both of which are important substances for bone formation. Vitamin D 3 regulates the uptake and metabolism of calcium as well as the storage of calcium in the skeleton.

Ask your doctor, pharmacist, or other healthcare professional if you have any further questions, and always follow their instructions.

What you need to know before using Kalcipos-D forte

Do not use Kalcipos-D forte

  • if you have hypercalcaemia (increased amount of calcium in the blood) or hypercalciuria (increased amount of calcium in the urine).
  • if you have kidney stones .
  • if you have calcification in the kidney tissue.
  • if you have hypervitaminosis D (an excess of vitamin D in your blood).
  • if you have severe renal impairment / renal failure.
  • if you are allergic to calcium , cholecalciferol ( vitamin D) or any of the other ingredients of this medicine (listed in section 6).

Warnings and cautions

Talk to your doctor or pharmacist before taking Kalcipos-D forte

  • if you suffer from sarcoidosis (a special type of connective tissue disease that affects the lungs, skin and joints, among other things). You should then consult a doctor before starting treatment with Kalcipos-D forte .
  • if you are taking other medicines that contain calcium or vitamin D.
  • if you have impaired kidney function or a high tendency to get kidney stones . You should then consult a doctor before starting treatment with Kalcipos-D forte .
  • if you become bedridden or sedentary and have osteoporosis, consult your doctor

Children and young people

Calcipos-D forte tablets are not intended for the treatment of children and adolescents.

Other medicines and Kalcipos-D forte

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.

The treatment effect of Kalcipos-D forte may be affected if taken concomitantly with certain other medicines;

  • high blood pressure (thiazide diuretics)
  • heart problems (cardiac glycosides such as digoxin )
  • high blood fats (cholestyramine)
  • constipation ( laxatives such as liquid paraffin)
  • epilepsy ( phenytoin or barbiturates )
  • inflammatory conditions / impaired immunity ( cortisone ).

The treating physician, therefore, needs to be aware of such concomitant medication.

If you are taking certain medicines at the same time;

– osteoporosis (bisphosphonates)

you should take these preparations at least three hours before taking Kalcipos-D forte.

If you are taking certain medicines at the same time;

– infection ( quinolones )

you should take these preparations two hours before or six hours after taking Kalcipos-D forte.

If you are taking certain medicines at the same time;

– infection ( tetracycline s),

you should take these two hours before or four to six hours after taking Kalcipos-D forte.

If you are taking certain medicines at the same time;

– caries (sodium fluoride)

you should take these preparations at least three hours before taking Kalcipos-D forte.

If you are also taking medicines for;

hypothyroidism (levothyroxine)

you should allow at least four hours between the intake of Calcipos-D forte and levothyroxine.

Calcium salts can reduce the absorption of iron, zinc, and strontium ranelate. Therefore, preparations containing iron, zinc, or strontium ranelate should be taken at least two hours before or after ingestion of the Calcipos-D forte.

If you are being treated with orlistat (an anti-obesity agent), your uptake of fat-soluble vitamins may be affected (eg vitamin D 3 ).

Kalcipos-D forte with food and drink

The absorption of calcium in the body can be inhibited by foods containing oxalic acid (found in spinach and rhubarb, for example) and phytic acid (found in whole grain products, for example). You should wait at least two hours after eating foods high in oxalic acid or phytic acid before taking Kalcipos-D forte.

Fertility, pregnancy and lactation

During pregnancy, the daily intake should not exceed 1500 mg calcium and 600 IU (15 micrograms) vitamin D 3 . Calcipos-D forte is therefore not recommended during pregnancy. Calcipos-D forte, on the other hand, can be used during pregnancy if there is a proven deficiency of calcium and vitamin D.

Calcipos-D forte can be used during breastfeeding. Calcium and vitamin D 3 pass into breast milk. This should be considered when giving vitamin D supplements to the baby.

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Driving and using machines

Calcipos-D forte has no known effects on the ability to drive and use machines.

Calcipos-D forte contains sucrose

One tablet of Kalcipos-D forte contains 1.8 mg of sucrose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.

Sodium content

This medicine contains less than 1 mmol sodium (23 mg) per tablet, ie essentially ‘sodium-free.

3. How to use Kalcipos-D forte

Always use this medicine exactly as your doctor or pharmacist has told you. 

Ask your doctor or pharmacist if you are unsure.

Dose one is usually 1 or 2 tablets daily.

The tablets can be swallowed whole, divided, or crushed.

The amount of calcium in a tablet of Kalcipos-D forte is lower than the usual recommended intake. Calcium intake from the diet should be calculated by the prescribing physician.

If you take more Kalcipos-D forte than you should

If you have ingested too much medicine or if e.g. a child inadvertently ingested the medicine immediately contact a doctor, hospital, or the Poison Information Center (tel. 112) for risk assessment and advice.

Symptoms of a high dose of Kalcipos-D forte are loss of appetite, thirst, increased urination, nausea, vomiting, and constipation.

If you forget to take Kalcipos-D forte

Do not take a double dose to make up for a forgotten tablet.

4. Possible side effects

Like all medicines, Kalcipos-D forte can cause side effects, although not everybody gets them.

Stop taking Kalcipos-D forte and contact a doctor immediately if you get any of the following symptoms ( angioedema )

Uncommon (affects 1 to 10 users in 1,000): Hypercalcaemia (increased amount of calcium in the blood) and/or hypercalciuria (increased amount of calcium in the urine).

Rare (affects 1 to 10 users in 10,000): Constipation, bloating, nausea, abdominal pain, diarrhea, pruritus, rash, and urticaria ( hives ).

Very rare (affects less than 1 patient in 10,000): Milk-alkali syndrome (also known as Burnett’s syndrome and usually occurs only in patients who have ingested large amounts of calcium ), whose symptoms are frequent urination, headache, loss of appetite, nausea, or vomiting, unusual fatigue or weakness as well as increased calcium levels in the blood and kidney failure.

Has been reported (occurs in unknown numbers of users): Severe allergic (hypersensitivity) reactions such as swelling of the face, lips, tongue, or throat ( angioedema or laryngeal edema).

Special patient group

Patients with renal impairment are at risk for high levels of phosphate in the blood, kidney stones, and calcification of the kidney tissue.

If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

5. How to store Kalcipos-D forte

Keep this medicine out of the sight and reach of children.

Used before the expiry date which is stated on the carton. The expiration date is the last day of the specified month.

Do not store above 25 ° C. Store in the original package. Close the jar tightly. Sensitive to light and moisture.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

Empty packaging can be recycled via the Packaging Collection. Jar and lid are sorted as hard plastic packaging.

Contents of the pack and other information

Content declaration

  • The active substances are calcium carbonate 1300 mg equivalent to calcium 500 mg and cholecalciferol 20 micrograms equivalent to 800 IU vitamin D 3.
  • The other ingredients are maltodextrin, silica, medium chain triglycerides , sodium ascorbate, sucrose 1.8 mg, sodium starch octenyl succinate (E1450), allrac  alpha-tocopherol, croscarmellose sodium, anhydrous colloidal paraffin silica, silpromellar paraffin silica. See also section 2 ‘Calcipos-D forte contains sucrose’ and ‘Sodium content’

What the medicine looks like and contents of the pack

Kalcipos-D forte is a film-coated tablet that is white, oval, engraved with R150.

Pack sizes: 30, 90, and 180 tablets in a plastic jar.

Not all pack sizes may be marketed.

Marketing Authorisation Holder

Meda AB

Box 906

170 09 Solna

Phone: 08-630 1900

Manufacturer

Recipharm Stockholm AB

Lagervägen 7

136 50 Jordbro

Rottapharm Ltd

Damastown Industrial Park

Mulhuddart

Dublin 15

Ireland

Muhammad Nadeem

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