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Shelcal -OS Tablet 15 is a combination medicine primarily used to treat nutritional deficiencies, osteomalacia/rickets, vitamin D deficiency, hypoparathyroidism, renal osteodystrophy, and hypocalcaemia. It works by providing essential nutrients necessary for bone formation and maintenance. Common side effects include stomach pain, itching, rash, constipation, stomach upset or gas. Inform your doctor if you are pregnant, breastfeeding, taking any other medicines or have pre-existing medical conditions.

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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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Drug-Drug Interactions

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Drug-Drug Interaction: Shelcal -OS Tablet 15 may interact with antacids containing magnesium, heart-related drugs (digoxin), water pills (furosemide), anticonvulsants (carbamazepine, phenytoin, primidone), painkillers (aspirin), an antidepressant (duloxetine), iron supplements (ferrous sulfate) and thyroid drugs (levothyroxine).

Drug-Food Interaction: Avoid spinach, rhubarb, bran, whole grains, soft drinks, caffeine and alcohol with Shelcal -OS Tablet 15 as they may reduce the absorption of calcium.

Drug-Disease Interaction: Avoid taking Shelcal -OS Tablet 15 if you have hypercalcaemia (high calcium levels in the blood) or calcification (high calcium levels in body tissues). If you have granulomas (small areas of inflammation), sarcoidosis, cancer, parathyroid gland disorder, kidney stones or any other kidney problems, inform your physician before taking Shelcal -OS Tablet 15.

Drug-Drug Interactions

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How does the drug interact with Shelcal-OS Tablet:
Co-administration of Alfacalcidol and Calcium carbonate with Gefitinib may interfere with the absorption of Gefitinib and reduce its effectiveness.

How to manage the interaction:
Although there is an interaction, Alfacalcidol and Calcium carbonate can be taken with Gefitinib if prescribed by the doctor. However, if you experience any unusual symptoms, consult the doctor. Do not discontinue using any medications without consulting a doctor.
How does the drug interact with Shelcal-OS Tablet:
Co-administration of Dolutegravir with Alfacalcidol and Calcium carbonate can reduce the effectiveness of dolutegravir.

How to manage the interaction:
Although there is an interaction, Alfacalcidol and Calcium carbonate can be taken with dolutegravir if prescribed by the doctor. However, if you experience any unusual symptoms, consult the doctor. Do not discontinue using any medications without consulting a doctor.
How does the drug interact with Shelcal-OS Tablet:
Co-administration of Alfacalcidol and Calcium carbonate with Raltegravir may interfere with the absorption and reduce the effectiveness of Raltegravir.

How to manage the interaction:
Taking Alfacalcidol and Calcium carbonate with Raltegravir may lead to an interaction, it can be taken if prescribed by the doctor. However, if you experience any unusual symptoms, consult the doctor. Do not discontinue the medication without consulting a doctor.
How does the drug interact with Shelcal-OS Tablet:
Co-administration of Alfacalcidol and Calcium carbonate with Ketoconazole may decrease the effectiveness of Ketoconazole.

How to manage the interaction:
Although there is an interaction, Alfacalcidol and Calcium carbonate can be taken with Ketoconazole if prescribed by the doctor. However, if you experience any unusual symptoms, consult the doctor. Do not discontinue the medication without consulting a doctor.

Drug-Food Interactions

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ALFACALCIDOL-0.25MCG+CALCIUM-500MGPotassium rich foods
Moderate

Drug-Food Interactions

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ALFACALCIDOL-0.25MCG+CALCIUM-500MGPotassium rich foods
Moderate
Common Foods to Avoid:
Spinach

How to manage the interaction:
Consumption of foods high in oxalic acid (spinach or rhubarb) with Alfacalcidol and Calcium carbonate may decrease calcium absorption. Avoid foods high in oxalic acid (spinach or rhubarb) while being treated with Alfacalcidol and Calcium carbonate.

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