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

Citromacalvit Tablet is used to prevent or treat low blood calcium levels in people who cannot get sufficient calcium from their diets. It effectively treats 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 Elemental Calcium and Calcitriol (vitamin D3), which provide essential nutrients to maintain bone formation. It raises Vitamin D levels and thereby increases calcium levels in the blood. In some cases, it may cause side effects such as constipation, stomach upset, or gas. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.

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Manufacturer/Marketer :

Novartis India Ltd

Consume Type :

Oral

Expires on or after :

Return Policy :

Not Returnable

About Citromacalvit Tablet

Citromacalvit Tablet is a nutritional supplement primarily used to treat low blood calcium levels. It effectively treats various conditions, such as vitamin D deficiency, osteoporosis (characterised by weak bones), latent tetany (a muscle disease associated with low blood calcium levels), and rickets or osteomalacia (a condition characterised by softening of bones due to low calcium levels).

Citromacalvit Tablet consists of calcium and calcitriol (vitamin D). Citromacalvit Tablet works by increasing calcium and vitamin D levels in the body, thereby supporting the essential functions necessary for bone formation and maintenance. Together, they help prevent bone loss, support bone growth, and reduce muscle cramps caused by low calcium levels.

Citromacalvit Tablet is likely safe to use. In some cases, it may cause side effects like constipation and stomach upset. These side effects do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult a doctor.

Take Citromacalvit Tablet as advised. Your physician will decide the dosage based on your medical condition. You can take Citromacalvit Tablet with or without food. It is recommended not to exceed the recommended dose of Citromacalvit Tablet . Do not chew, bite, or crush the medicine.

Inform your physician if you are allergic to Citromacalvit Tablet . Let your doctor know if you have any liver/kidney disease, heart disease, kidney stones and hypervitaminosis D (having too much vitamin D) hypercalcaemia (high calcium levels), hypervitaminosis D (high vitamin D levels), heart, kidney, liver, or blood vessel diseases, kidney stones, or malabsorption syndrome (difficulty absorbing nutrients from food) before starting Citromacalvit Tablet . Pregnant or breastfeeding women should consult their doctor before taking Citromacalvit Tablet .

Uses of Citromacalvit Tablet

Citromacalvit Tablet is used in the treatment of calcium deficiency and its associated conditions. The detailed uses of Citromacalvit Tablet are as follows:

  • Prevents or Treats Calcium Deficiency: Citromacalvit Tablet helps restore calcium levels in the body, which is essential for bone formation and maintenance.
  • Manages Osteoporosis: Citromacalvit Tablet strengthens the weak and brittle bones by improving bone mineral density and helps reduce the risk of fractures in osteoporosis patients.
  • Treats Osteomalacia and Rickets: Citromacalvit Tablet is effective in treating soft and weak bones in children (rickets) and adults (osteomalacia) by maintaining blood calcium levels and enhancing bone mineralisation.
  • Manages Hypoparathyroidism: Citromacalvit Tablet is used to maintain adequate calcium levels in individuals with underactive parathyroid glands.
  • Prevents and treats Latent Tetany: Citromacalvit Tablet helps increase calcium levels to prevent and relieve muscle cramps or spasms caused by latent tetany (a neuromuscular condition resulting from low blood calcium levels).

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Directions for Use

  • Take Citromacalvit Tablet with or without food, or as advised by a doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication to ensure safety.
  • Swallow the medicine as a whole with a glass of water.
  • Do not crush, break, or chew it.

Key Benefits

  • Citromacalvit Tablet is used to treat low blood calcium levels.
  • It reduces the risk of fractures, particularly in individuals with weakened bones such as those affected by osteoporosis.
  • Citromacalvit Tablet supports proper bone growth in children and adolescents, and aids in managing various bone disorders, such as rickets and osteomalacia.
  • It also helps relieve muscle cramps caused by low calcium levels and improves vitamin D status, which is important for immune function and overall bone health.
  • Citromacalvit Tablet consists of two medicines: Calcium (mineral) and Calcitriol (Vitamin D).
  • Calcium is a mineral that is used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation.
  • Calcitriol is a steroid hormone produced in the skin when exposed to ultraviolet light or obtained from food sources.
  • It helps maintain blood calcium and phosphorus levels and mineralisation of bone.

How Citromacalvit Tablet Works

Citromacalvit Tablet is a combination of two drugs: Elemental Calcium (mineral) and Calcitriol (vitamin D3). Elemental Calcium is a mineral that is used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation. Calcitriol is a human-made form of Vitamin D3 and treats calcium deficiency with hypoparathyroidism (the decreased activity of parathyroid glands) and metabolic bone diseases in people with chronic kidney failure. It raises Vitamin D levels and thereby increases calcium levels in the blood. This helps in improving the absorption rate of calcium from the stomach.

Storage

Store in a cool and dry place away from sunlight
  • Stay hydrated by drinking plenty of water.
  • Avoid dairy product such as cheese, milk, yogurt and ice cream.
  • Maintain healthy weight and exercise daily.
  • Following a low-calcium diet can help reduce hypercalcemia symptoms.
  • Reduce sodium intake to minimize calcium excretion in urine.
  • Limit animal protein consumption to decrease urinary calcium levels.
  • Increase fluid intake by drinking plenty of water to dilute urine.
  • Moderate calcium intake based on individual needs, avoiding drastic restriction.
  • Limit oxalate-rich foods like spinach and chocolate to minimize kidney stone formation.
  • Stay hydrated by drinking plenty of water.
  • Consider reducing vitamin D supplementation if excessive intake is contributing to hypercalciuria.
  • Regularly monitor urine calcium levels through 24-hour urine tests.
  • Always seek guidance from a healthcare expert prior to implementing substantial changes to your diet or lifestyle routine.
Managing Medication-Triggered UTIs: A Comprehensive Approach:
  • Inform your doctor about the medication you're taking and the UTI symptoms you're experiencing.
  • Your doctor may adjust your medication regimen or consider alternative medications or dosages that may reduce the risk of UTIs.
  • Drink plenty of water (at least 8-10 glasses a day) to help flush out bacteria. Avoid sugary drinks and caffeine, which can exacerbate UTI symptoms.
  • Urinate when you feel the need rather than holding it in. This can help prevent bacterial growth and reduce the risk of UTIs.
  • Consider cranberry supplements: Cranberry supplements may help prevent UTIs by preventing bacterial adhesion.
  • Monitor UTI symptoms and report any changes to your doctor.
  • If antibiotics are prescribed, take them as directed and complete the full course.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
  • Skin rash caused by allergies is due to irritants or allergens. Therefore, avoid contact with such irritants.
  • Consult your doctor for proper medication and apply an anti-itch medication. Follow the schedule and use the medication whenever needed.
  • Protect your skin from extreme heat and try to apply wet compresses.
  • Soak in the cool bath, which gives a soothing impact to the affected area.

What if I have taken an overdose of Citromacalvit Tablet

Do not take more than the suggested dose of Citromacalvit Tablet as it may cause undesirable effects. If you suspect you have taken an overdose, please consult a doctor immediately.

Drug Warnings

  • If you are allergic to Citromacalvit Tablet or any other medicines, please tell your doctor.
  • If you are pregnant or planning to become pregnant, it is advised to inform your doctor before using Citromacalvit Tablet .
  • Consult your doctor if you are pregnant or breastfeeding.
  • Citromacalvit Tablet is not recommended if you have hypercalcemia (high calcium levels), metastatic calcification (extra deposits of calcium in the body), hypervitaminosis D (high vitamin D levels), or malabsorption syndrome (difficulty absorbing nutrients from food).
  • Inform your doctor before taking Citromacalvit Tablet if you have any heart/kidney/liver/blood vessel diseases, kidney stones, Crohn's disease (inflammatory bowel disease), Whipple's disease (bacterial infection affecting joints and digestive system), achlorhydria (little or no stomach acid), low levels of bile, or a phosphate imbalance.
  • Citromacalvit Tablet may contain sugar or sorbitol; hence, caution should be taken in case of intolerance to sugars, diabetes, and phenylketonuria (increased levels of an amino acid called phenylalanine).

Drug-Drug Interactions

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CalcitriolErgocalciferol
Severe
CalcitriolAmobarbital
Severe

Drug-Drug Interactions

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CalcitriolErgocalciferol
Severe
How does the drug interact with Citromacalvit Tablet:
Co-administration of Ergocalciferol and Citromacalvit Tablet are forms of vitamin D, and taking too much vitamin D may lead to toxic effects related to increased calcium levels in the blood and urine.

How to manage the interaction:
Co-administration of Ergocalciferol with Citromacalvit Tablet can lead to an interaction, it can be taken if advised by a doctor. Consult the prescriber if you experience symptoms of vitamin D intoxication such as weakness, fatigue, headache, vertigo, drowsiness, ringing in the ears, loss of appetite, nausea, vomiting, constipation, dry mouth, metallic taste, muscle pain, bone pain, muscle incoordination, and low muscle tone. Do not discontinue the medication without consulting a doctor.
CalcitriolAmobarbital
Severe
How does the drug interact with Citromacalvit Tablet:
Co-administration of Amobarbital and Citromacalvit Tablet may decrease the effects of Citromacalvit Tablet.

How to manage the interaction:
Co-administration of Citromacalvit Tablet with Amobarbital can possibly result in an interaction, but it can be taken if a doctor has advised it. If you notice any of these symptoms, it's important to contact a doctor right away. Do not stop using any medications without talking to a doctor.
How does the drug interact with Citromacalvit Tablet:
Co-administration of Orlistat with Citromacalvit Tablet may reduce the levels of Citromacalvit Tablet which can lead to low treatment outcomes.

How to manage the interaction:
Although there is an interaction, Citromacalvit Tablet can be taken with Orlistat when prescribed by the doctor. Do not discontinue any medications without consulting a doctor.
CalcitriolRifapentine
Severe
How does the drug interact with Citromacalvit Tablet:
Co-administration of Rifapentine with Citromacalvit Tablet may decrease the effects of Citromacalvit Tablet.

How to manage the interaction:
Although there is an interaction, Citromacalvit Tablet can be taken with Rifapentine if prescribed by the doctor. The doctor may recommend dose adjustment or special tests to use both medicines safely. Do not discontinue the medication without consulting a doctor.
How does the drug interact with Citromacalvit Tablet:
Co-administration of Doxercalciferol and Citromacalvit Tablet are forms of vitamin D, and taking too much vitamin D may lead to toxic effects related to increased calcium levels in the blood and urine.

How to manage the interaction:
Taking Doxercalciferol with Citromacalvit Tablet can lead to an interaction, it can be taken if advised by a doctor. Consult the prescriber if you experience symptoms of vitamin D intoxication such as weakness, fatigue, headache, vertigo, drowsiness, ringing in the ears, loss of appetite, nausea, vomiting, constipation, dry mouth, metallic taste, muscle pain, bone pain, muscle incoordination, and low muscle tone. Do not discontinue the medication without consulting a doctor.
CalcitriolCalcifediol
Severe
How does the drug interact with Citromacalvit Tablet:
Co-administration of Calcifediol and Citromacalvit Tablet are forms of vitamin D, and taking too much vitamin D may lead to toxic effects related to increased calcium levels in the blood and urine.

How to manage the interaction:
Taking Calcifediol with Citromacalvit Tablet can lead to an interaction, it can be taken if advised by a doctor. Consult the prescriber if you experience symptoms of vitamin D intoxication such as weakness, headache, fatigue, drowsiness, vertigo, ringing in the ears, loss of appetite, nausea, vomiting, constipation, dry mouth, metallic taste, muscle pain, bone pain, muscle incoordination, and low muscle tone. Do not discontinue the medication without consulting a doctor.
CalcitriolBurosumab
Severe
How does the drug interact with Citromacalvit Tablet:
Co-administration of Citromacalvit Tablet and Burosumab may cause increases in phosphorus and vitamin D levels in the blood, which may lead to an increased risk of kidney stones.

How to manage the interaction:
There may be a possibility of interaction between Citromacalvit Tablet and Burosumab, but it can be taken if prescribed by a doctor. If you have any of these symptoms like kidney stones, it's important to contact a doctor right away. Do not stop using any medications without a doctor's advice. Do not discontinue the medication without consulting a doctor.
CalcitriolDigitoxin
Severe
How does the drug interact with Citromacalvit Tablet:
Co-administration of Citromacalvit Tablet with Digitoxin may increase the risk or severity of digitoxin toxicity and irregular heart rhythm.

How to manage the interaction:
Although there is an interaction, Citromacalvit Tablet can be taken with Digitoxin if prescribed by the doctor. Consult the prescriber if you experience symptoms that could indicate high blood calcium, such as weakness, fatigue, headache, dizziness, drowsiness, ringing in the ears, loss of appetite, nausea, vomiting, constipation, dry mouth, a metallic taste in the mouth, bone or muscle pain, incoordination, frequent urination, and weight loss. Also, seek medical attention if you experience symptoms of digitoxin toxicity, such as blurred vision, slow pulse, or irregular heartbeats. Do not discontinue the medication without consulting a doctor.
CalcitriolMetolazone
Severe
How does the drug interact with Citromacalvit Tablet:
Co-administration of Metolazone with Citromacalvit Tablet can cause blood calcium levels to become too high.

How to manage the interaction:
Although there is an interaction, Citromacalvit Tablet can be taken with metolazone if prescribed by the doctor. Consult the doctor if you experience symptoms such as dizziness, drowsiness, weakness, lethargy, headache, nausea, vomiting, or seizures. Do not discontinue the medication without consulting a doctor.
How does the drug interact with Citromacalvit Tablet:
Co-administration of Citromacalvit Tablet with Carbamazepine may decrease the effects of Citromacalvit Tablet.

How to manage the interaction:
Although there is an interaction, Citromacalvit Tablet can be taken with Carbamazepine if prescribed by the doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.

Drug-Food Interactions

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CALCITRIOL-0.25MCG+ELEMENTAL CALCIUM-1200MGFiber rich foods, Potassium rich foods
Moderate

Drug-Food Interactions

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CALCITRIOL-0.25MCG+ELEMENTAL CALCIUM-1200MGFiber rich foods, Potassium rich foods
Moderate
Common Foods to Avoid:
Spinach

How to manage the interaction:
Foods high in oxalic acid (spinach) may decrease calcium absorption. Consider taking calcium at least 2 hours before or after eating meals high in oxalic acid or phytic acid.

Diet & Lifestyle Advise

  • Include dairy products like milk, yoghurt, cheese, or milk-based custard in your diet.
  • Eat daily a serving of broccoli, cabbage, bok choy (Chinese white cabbage), spinach, and other green leafy vegetables.
  • Snack on calcium-rich nuts like Brazil nuts or almonds.
  • Sprinkle sesame seeds over your food, vegetables, and salads. Sesame seeds are high in calcium.
  • Avoid or reduce the intake of caffeine, soft drinks, and alcohol that inhibit calcium absorption.
  • Replace the meat with tofu or tempeh for extra calcium in your food.

Habit Forming

No

Therapeutic Class

[NUTRITIONAL SUPPLEMENT]

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Alcohol

Safe if prescribed

The interaction of alcohol with Citromacalvit Tablet is unknown. Please consult a doctor before consuming alcohol with Citromacalvit Tablet .

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Pregnancy

Consult your doctor

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

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Breast Feeding

Consult your doctor

It is unknown whether Citromacalvit Tablet is excreted in human milk. Therefore, please consult a doctor if you are breastfeeding. Citromacalvit Tablet is given to breastfeeding mothers only if the doctor thinks the benefits are greater than the risks.

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Driving

Safe if prescribed

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

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Liver

Consult your doctor

Consult your doctor if you have any history of liver diseases before taking Citromacalvit Tablet . Liver disease can alter the metabolism and therapeutic activity of certain forms of Vitamin D.

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Kidney

Consult your doctor

Take Citromacalvit Tablet with caution, especially if you have a history of kidney diseases. The dose may be adjusted by your doctor as required.

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Children

Safe if prescribed

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

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Heart

Citromacalvit Tablet should be taken with extreme caution in patients with heart disease. Please consult your physician.

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Geriatrics

Consult your doctor

Citromacalvit Tablet can be safely given in elderly patients if recommended by the physician.

FAQs

Citromacalvit Tablet belongs to the class of nutritional supplements used to prevent or treat low blood calcium levels.

Citromacalvit Tablet contains Elemental Calcium and Calcitriol. Elemental Calcium is a mineral that is used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation. Calcitriol is a man-made form of Vitamin D3 and treats calcium deficiency with hypoparathyroidism (the decreased activity of parathyroid glands) and metabolic bone diseases in people with chronic kidney failure. It raises Vitamin D levels and thereby increases calcium levels in the blood. This helps in improving the absorption rate of calcium from the stomach.

You are not recommended to take Citromacalvit Tablet if you have hypervitaminosis D (high levels of vitamin D in the blood) as it may worsen the condition. However, please consult a doctor before using Citromacalvit Tablet .

You are not recommended to take Citromacalvit 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 the medicines, you are advised to maintain a time gap of a minimum of 4 hours between taking Citromacalvit Tablet and levothyroxine.

Yes, Citromacalvit Tablet may interfere with certain laboratory tests, including cholesterol tests and may give false test results. Therefore, it is recommended to inform your doctor or lab technician that you are taking Citromacalvit Tablet before undergoing any tests.

Citromacalvit Tablet may cause kidney stones due to the accumulation of high levels of calcium when used for a prolonged time. Therefore, please consult a doctor before taking Citromacalvit Tablet if you have any kidney problems or a history of kidney stones.

Country of origin

India

Manufacturer/Marketer address

Sandoz House, Shiv Sagar Estate, Worli Mumbai -400 018, India
Other Info - CIT0010

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