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Citrocium Tablet is used to treat or prevent various conditions caused by low calcium levels in the body, such as osteoporosis (weak and brittle bones), osteomalacia/rickets (weak bones), hypoparathyroidism (low levels of parathyroid hormone), and latent tetany (a muscle disease with low blood calcium levels). It contains Calcium citrate (calcium supplement) and Cholecalciferol (vitamin D3). Calcium citrate is used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation. Cholecalciferol helps the body to absorb calcium and phosphorus. Thereby, it increases calcium levels in the blood and helps to build and maintain strong bones.

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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Manufacturer/Marketer :

Bal Pharma Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Citrocium Tablet

Citrocium Tablet is an oral supplement used to prevent and treat low blood calcium levels in individuals who do not get enough calcium from their diets. It is commonly suggested to manage or prevent conditions like bone loss (osteoporosis), weak bones (osteomalacia), and decreased activity of the parathyroid gland. By addressing these mineral deficiencies, this medication helps maintain overall skeletal structure and strength.

To achieve the best results, you should take Citrocium Tablet consistently at the same times each day as directed by your healthcare provider. This supplement can be taken with or without food, though taking it with a meal may help reduce any mild stomach discomfort. Combining this supplement with regular weight-bearing exercise and a balanced diet rich in dairy or leafy greens can further enhance its positive effects on your bones.

While this medication is generally well-tolerated, some people may experience mild side effects like stomach upset or constipation. If you develop serious side effects such as unusually high levels of calcium in your blood—which can cause nausea, vomiting, or increased thirst—you must contact your doctor immediately. Seeking professional medical advice ensures these symptoms are managed safely.

Before you begin taking Citrocium Tablet , talk to your doctor if you have a history of kidney stones, kidney disease, or high calcium levels in your blood or urine. Do not take this if you already have elevated blood calcium levels or severe kidney impairment. Your doctor will help determine if this supplement is safe for your specific medical background.

This supplement can interact with certain suggested medicines, including certain antibiotics and thyroid medications, by reducing their absorption in your body. It is also advisable to limit alcohol intake and avoid smoking, as both can interfere with how your body absorbs and uses calcium. If you are pregnant, breastfeeding, or an older adult, consult your healthcare provider to ensure you are taking the correct amount for your specific life stage.

Uses of Citrocium Tablet

Citrocium Tablet is used to prevent and treat calcium and vitamin D deficiency, support healthy bones, and improve calcium absorption. The detailed uses of this medicine are as follows:

  • Osteoporosis: Citrocium Tablet helps prevent and treat bone thinning and loss, reducing the overall risk of fractures.
  • Hypocalcemia: It treats low levels of calcium in the blood, ensuring normal muscle, nerve, and bone function.
  • Osteomalacia or Rickets: It helps treat soft or weak bones by providing the calcium and vitamin D needed for proper bone mineralization.
  • Hypoparathyroidism: It helps manage low parathyroid hormone levels, which can cause calcium levels in the blood to become too low.

Key Benefits

Citrocium Tablet helps strengthen bones, improves calcium absorption, and supports healthy muscle and nerve function. Its benefits include:

  • Helps strengthen bones, reducing the risk of bone thinning, fractures, and bone pain associated with calcium and vitamin D deficiency.
  • Supports an active and independent lifestyle by maintaining strong, healthy bones.
  • Promotes healthy muscle contractions and normal nerve function, helping reduce muscle cramps and spasms caused by low calcium levels.
  • Improves calcium absorption and utilization, ensuring your body makes the best use of the calcium needed to maintain bone strength.
Side effects of Citrocium Tablet
Here are the steps to cope with constipation as a side effect of medication:
  • Inform your doctor about your constipation symptoms. They may adjust your medication or advise alternative treatments.
  • Stay hydrated by drinking sufficient of water (at least 8-10 glasses a day) to help soften stool and promote bowel movements.
  • Increase fibre intake by eating foods high in fibre, such as fruits, whole grains, vegetables and legumes, to help bulk up the stool.
  • Establish a bowel routine by trying to go to the bathroom at the same time each day to train your bowels.
  • Engaging in regular exercise, like walking or yoga, can support in bowel movement stimulation.
  • Consult your doctor if constipation persists, and discuss alternative treatments or adjustments to your medication.

Directions for Use

  • Citrocium Tablet can be taken with or without food. However, taking it with food may help reduce stomach upset and improve absorption.
  • Follow your doctor’s instructions on the dosage and timing of this medication.
  • Swallow Citrocium Tablet as a whole with a glass of water.
  • Do not crush, chew, or break it.

How Citrocium Tablet Works

Citrocium Tablet contains Calcium Citrate and Vitamin D3. Calcium Citrate: It is a highly absorbable form of calcium that helps build and maintain strong bones and teeth. It also supports normal muscle contractions, nerve function, and heart function by providing the calcium your body needs. Vitamin D3: It helps your intestines absorb calcium more efficiently from food and supplements. By improving calcium absorption and utilization, it helps maintain healthy bones and prevents the body from drawing calcium from existing bone stores.
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Alcohol

Unsafe

Drinking alcohol can affect calcium absorption; hence it is advised to limit/avoid alcohol intake while using Citrocium Tablet .

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Pregnancy

Consult your doctor

Please consult a doctor if you are pregnant. Citrocium Tablet is given to pregnant women if the doctor thinks the benefits outweigh the risks.

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Breast Feeding

Consult your doctor

It is unknown whether Citrocium Tablet is excreted in human milk. Therefore, please consult a doctor if you are breastfeeding.

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Driving

Safe if suggested

Citrocium Tablet usually does not affect your ability to drive or operate machinery.

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Liver

Consult your doctor

Let your doctor know if you have any history of liver diseases before taking Citrocium Tablet . Hepatic impairment/liver disease can alter the metabolic and therapeutic activity of certain Vitamin D forms.

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Kidney

Consult your doctor

It is advised to seek doctor's advice before starting Citrocium Tablet if you have kidney diseases like kidney stones or undergoing dialysis.

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Children

Consult your doctor

Citrocium Tablet should be used in children only if recommended by a doctor.

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Heart

Caution

Citrocium Tablet should be used cautiously in individuals with heart problems. Excess calcium from supplements may increase the risk of heart disease in some cases, so it's important to consult your doctor before starting.

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Geriatrics

Consult your doctor

Citrocium Tablet should be avoided in geriatric individuals with heart concerns, as excess calcium may increase cardiovascular risks. Always seek medical advice before use to ensure safety.

What if I have taken an overdose of Citrocium Tablet

If you take too much of this supplement, you may experience symptoms like severe nausea, vomiting, extreme thirst, weakness, or mental changes. In case of an accidental overdose, seek immediate medical attention or contact a poison control center right away.

Diet & Lifestyle Advise

  • Engage in Weight-Bearing Exercise: Activities like walking, jogging, hiking, or strength training help stimulate bone cells, encouraging your bones to become denser and stronger.
  • Get Safe Sunlight Exposure: Spend 10 to 15 minutes in early morning sunlight a few times a week to help your body naturally synthesize the essential vitamin that aids mineral absorption.
  • Eat a Bone-Friendly Diet: Incorporate natural sources of calcium and vitamins into your daily meals, such as low-fat dairy products, leafy green vegetables (like kale and collard greens), and fortified foods.
  • Limit Caffeine and Sodium: Excessive intake of salt and caffeine can increase the amount of calcium your body loses through urine, so try to consume them in moderation.
  • Avoid Smoking and Heavy Alcohol Consumption: Tobacco and heavy drinking directly weaken bones and make it much harder for your body to absorb nutrients efficiently.
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How Soon It Starts Working

  • The time required for Citrocium Tablet to start to work: The time required for Citrocium Tablet to show its action is unknown.
  • The time for which the effects of Citrocium Tablet last: The duration of action for Citrocium Tablet is unknown.

What if you forget to take Citrocium Tablet

If you miss a dose of Citrocium Tablet , take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed one and continue with your regular schedule. Do not take a double dose to make up for the one you missed.

Storage

•Store Citrocium Tablet in its original packaging at room temperature, ideally between 68°F and 77°F (20°C to 25°C).

Drug Warnings

  • Check with your doctor before taking other supplements: Avoid taking other multivitamins or mineral supplements containing calcium or vitamin D without medical guidance to prevent an accidental build-up of these nutrients.
  • Space out other medications: This supplement can bind to certain medicines (like tetracycline or fluoroquinolone antibiotics, and levothyroxine). Take Citrocium Tablet at least 2 hours before or 4 to 6 hours after taking these medications.
  • Monitor your blood levels: If you are taking this supplement long-term, your doctor may occasionally request blood or urine tests to check your calcium levels and kidney function.
  • Stay hydrated: Drink plenty of water throughout the day while taking this supplement to help reduce the risk of developing kidney stones.
  • Inspect the bottle: Do not use the medication if the safety seal under the cap is broken, missing, or if the tablets show signs of discoloration or damage.

Drug-Drug Interactions

verifiedApollotooltip
  • Antibiotics (Tetracyclines and Quinolones): Citrocium Tablet can decrease the absorption and effectiveness of these antibiotics. Space them out as advised by your pharmacist.
  • Thyroid Hormone (Levothyroxine): Taking these together can lower the amount of thyroid hormone your body absorbs. Take them at least 4 hours apart.
  • Thiazide Diuretics: These water pills can reduce the amount of calcium excreted in your urine, which may increase the risk of having too much calcium in your blood.
  • Iron and Zinc Supplements: High doses of calcium can interfere with the absorption of iron and zinc in the digestive tract.
Severe

Drug-Drug Interactions

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How does the drug interact with Citrocium Tablet:
The combined use of calcifediol with cholecalciferol can increase the risk of side effects.

How to manage the interaction:
Although there is a possible interaction between colecalciferol and calcifediol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - contact a doctor right away. Do not discontinue any medications without consulting a doctor.
Severe
How does the drug interact with Citrocium Tablet:
Cholecalciferol and dihydrotachysterol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects.

How to manage the interaction:
Although there is a possible interaction between colecalciferol and dihydrotachysterol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - contact a doctor right away. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Citrocium Tablet:
The combined use of cholecalciferol and ergocalciferol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects.

How to manage the interaction:
Although there is a possible interaction between colecalciferol and ergocalciferol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - contact a doctor right away. Do not discontinue any medications without consulting a doctor.
Calcium citrate + ColecalciferolDihydroxialumini sodium carbonate
Severe
How does the drug interact with Citrocium Tablet:
Co-administration of Calcium citrate with Dihydroxyaluminum sodium carbonate may increase the effects of Dihydroxyaluminum sodium carbonate, which could result in too high aluminum blood levels.

How to manage the interaction:
Although there is an interaction, Calcium citrate can be used with Dihydroxyaluminum sodium carbonate if prescribed by the doctor. However, maintain a gap of 2-3 hours between both medicines. Do not discontinue the medication without consulting a doctor.
How does the drug interact with Citrocium Tablet:
Cholecalciferol and doxercalciferol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects.

How to manage the interaction:
Although there is a possible interaction between colecalciferol and doxercalciferol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - make sure to call a doctor right away. Do not discontinue any medications without consulting a doctor.
Severe
How does the drug interact with Citrocium Tablet:
Co-administration of Calcium citrate with Aluminum hydroxide may increase the effects of aluminum hydroxide, which could result in too high aluminum blood levels.

How to manage the interaction:
Although there is an interaction, calcium citrate can be used with aluminum hydroxide if prescribed by the doctor. However, maintain a gap of 2-3 hours between both medicines. Do not discontinue the medication without a doctor's advice.
How does the drug interact with Citrocium Tablet:
Co-administration of Dolutegravir with Calcium citrate can reduce the effectiveness of dolutegravir.

How to manage the interaction:
Although there is an interaction, Calcium citrate can be used with Dolutegravir if prescribed by the doctor. However, take dolutegravir at least two hours before or six hours after calcium citrate. Do not discontinue the medication without consulting a doctor.
How does the drug interact with Citrocium Tablet:
The combined use of cholecalciferol and paricalcitol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects.

How to manage the interaction:
Although there is a possible interaction between colecalciferol and paricalcitol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - contact a doctor right away. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Citrocium Tablet:
Co-administration of Cholecalciferol and Calcitriol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects.

How to manage the interaction:
Although there is a possible interaction between colecalciferol and calcitriol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - contact a doctor right away. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Citrocium Tablet:
Taking Cholecalciferol together with Sucralfate may increase the risk or severity of kidney problems.

How to manage the interaction:
There may be a possibility of interaction between Cholecalciferol and Sucralfate, but it can be taken if prescribed by a doctor. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

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  • Foods High in Oxalic or Phytic Acid: Foods like spinach, rhubarb, whole-grain cereals, and beans can bind to minerals in your gut and decrease their absorption. Avoid eating these foods within 2 hours of taking Citrocium Tablet .
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Habit Forming

No

Therapeutic Class

[NUTRITIONAL SUPPLEMENT]

FAQs

Citrocium Tablet is used to prevent and treat calcium deficiency.
Citrocium Tablet contains Calcium citrate and Cholecalciferol. Calcium citrate is a calcium supplement used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation. Cholecalciferol is vitamin D3 that helps the body to absorb calcium and phosphorous. Thereby, it increases calcium levels in the blood and helps to build and maintain strong bones.
You are not recommended to take Citrocium Tablet if you have hypervitaminosis D (high vitamin D levels in the blood) as it may worsen the condition. However, please consult a doctor before using Citrocium Tablet .
Citrocium Tablet is not recommended for patients with malabsorption (inefficient absorption of nutrients from the bowel) syndrome. Please consult a doctor before using Citrocium Tablet if you have malabsorption syndrome.
You are not recommended to take Citrocium Tablet with levothyroxine as co-administration of these two medicines at the same time may reduce the effectiveness of levothyroxine. However, if you are supposed to take both medicines, you are advised to maintain a time gap of a minimum of 4 hours between taking Citrocium Tablet and levothyroxine.
Citrocium Tablet is not recommended for a patient suffering from kidney stones as it may worsen the condition. Therefore, if you have any kidney problems or have a history of kidney stones, please inform your doctor before taking Citrocium Tablet .
Vitamin D can be found in various food sources, including mushrooms, particularly shiitake and portobello, and fortified plant-based milk like soy and almond milk. Fortified cereals and vegetarian vitamin D-fortified yoghurt are also good sources. Additionally, sun-dried mushrooms and orange juice fortified with vitamin D can contribute to your daily intake. Some brands of tofu and other soy products may also contain vitamin D. Naturally rich sources include cod liver oil and fatty fish like salmon, mackerel, and sardines. However, it's essential to check nutrition labels to confirm the presence of vitamin D in these foods.
Vitamin D is an essential nutrient that helps maintain overall health. It keeps bones and teeth healthy by helping the body absorb calcium and phosphorus. It also supports the immune system, helps regulate mood, and contributes to heart health.
The common side effects of Citrocium Tablet may include upset stomach, constipation, and nausea. However, these symptoms vanish as your body adjusts to the medication. If these symptoms become worse, please consult a doctor for relief.
Hypoparathyroidism is a disease characterized by low levels of parathyroid hormone. This can cause low calcium levels and trigger tetany.
Do not take Citrocium Tablet unless you have a diagnosed deficiency or necessity, as determined by a doctor.
Yes, you can take Citrocium Tablet with or without food. However, if you find that it causes mild stomach upset or gas, taking it with a meal can help prevent these symptoms. Talk to your doctor or pharmacist if stomach discomfort persists.
Mild constipation is a common side effect of calcium-containing supplements. To manage this, try to drink more water throughout the day, increase your dietary fiber intake, and stay physically active. If the constipation is severe or does not improve, talk to your doctor or pharmacist.
Pregnant women require adequate calcium and vitamin D to support the growing baby's bone development, but taking too much can be harmful. Your doctor will determine the exact dose that is safe for you. Talk to your doctor before taking Citrocium Tablet if you are pregnant or planning to become pregnant.
Caffeine can slightly interfere with how your body absorbs minerals and can increase calcium loss in your urine. It is best to limit your caffeine intake and avoid taking this supplement with large amounts of coffee or tea. Talk to your doctor or pharmacist for more specific dietary advice.
You should check the label of your multivitamin first, as many contain calcium and vitamin D. Taking both together could lead to an accidental buildup of these nutrients in your body. Talk to your doctor or pharmacist to make sure your total daily intake is safe.
Because you cannot feel your bone density changing, your doctor will monitor your progress using periodic blood tests to check mineral levels or a bone density scan (DEXA scan) to evaluate bone strength. Talk to your doctor about how often you need these tests.

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Country of origin

India

Manufacturer/Marketer address

Bal Pharma Limited, #21&22, Bommasandra Industrial. Area, Hosur Road, Bangalore - 560 099., Karnataka., INDIA.
Other Info - CIT0080
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