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compositionComposition:CALCIUM CARBONATE-1250MG+CHOLECALCIFEROL-250IU
prescriptionPrescription Medicine
HICAL TABLET

HICAL TABLET is used to treat low blood calcium levels. 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).

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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

Composition :

CALCIUM CARBONATE-1250MG+CHOLECALCIFEROL-250IU

Manufacturer/Marketer :

Gracewell Co

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About HICAL TABLET

HICAL TABLET is used to treat low blood calcium levels. It may also be given to pregnant, nursing, and postmenopausal women to ensure that they are getting enough calcium.

HICAL TABLET contains Calcium carbonate and Cholecalciferol. Calcium carbonate provides essential nutrients to maintain bone formation. Cholecalciferol aids in the absorption of calcium.

Take HICAL TABLET as prescribed by your doctor. In some cases, HICAL TABLET can cause side effects like constipation or stomach upset, nausea, vomiting, loss of appetite, and weakness. If these side effects persist longer, please consult your doctor.

If you are known to be allergic to HICAL TABLET or its inactive components, please inform your doctor. Pregnant or breastfeeding women should consult their doctor before taking HICAL TABLET.

Uses of HICAL TABLET

HICAL TABLET is used in the treatment of Osteoporosis, Postmenopausal osteoporosis, Osteomalacia, Rickets, Calcium deficiency, and Hypoparathyroidism. The detailed uses of HICAL TABLET are as follows:

  • Bone Health Support: HICAL TABLET helps prevent and treat osteoporosis and osteomalacia by improving bone density.
  • Calcium Deficiency: HICAL TABLET corrects low calcium levels in the blood due to poor dietary intake or absorption.
  • Rickets: HICAL TABLET treats soft or weak bones caused by vitamin D deficiency.
  • Hypoparathyroidism: HICAL TABLET manages calcium imbalance due to underactive parathyroid glands.

Have a query?

Directions for Use

  • Recommended to take HICAL TABLET with food to enhance its absorption.
  • 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

  • HICAL TABLET treats and prevents low blood calcium levels.
  • It helps manage bone disorders such as osteoporosis, osteomalacia, and rickets.
  • It supports bone mineralisation, making bones stronger and less brittle.
  • HICAL TABLET helps maintain healthy teeth and skeletal structure.
  • It helps manage hypoparathyroidism by improving calcium absorption.
  • It is useful in conditions like tetany caused by low calcium levels.
  • It reduces the risk of fractures by improving bone strength.

How HICAL TABLET Works

HICAL TABLET consists of two medicines, namely: Calcium carbonate (mineral) and Cholecalciferol (Vitamin D3). • Calcium carbonate is a mineral that provides essential nutrients which help bone formation and maintenance. • Cholecalciferol(Vitamin D3) aids in the absorption of calcium.

Storage

Store in a cool and dry place away from sunlight

What if I have taken an overdose of HICAL TABLET

An overdose of HICAL TABLET may cause nausea, vomiting, loss of appetite, headache, drowsiness, mental/mood changes, tiredness and weakness. If you suspect you have taken an overdose or notice signs of overdose, please consult a doctor immediately.

Drug Warnings

  • If you are known to be allergic to HICAL TABLET or any other medicines, please tell your doctor.
  • HICAL 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), and malabsorption syndrome (difficulty absorbing nutrition from food).
  • If you are pregnant or planning to become pregnant, it is advised to inform your doctor before using HICAL TABLET.
  • HICAL TABLET should be used with caution in children and only if prescribed by a doctor.
  • Inform your doctor before taking HICAL TABLET if you have any heart/kidney/liver/blood vessel diseases, kidney stones, sarcoidosis (growth of inflammatory cells in different parts of the body), 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, and phosphate imbalance.

Drug-Drug Interactions

verifiedApollotooltip
Calcium carbonateKetoconazole
Severe
Calcium carbonatePatiromer calcium
Severe

Drug-Drug Interactions

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Calcium carbonateKetoconazole
Severe
How does the drug interact with Hical Tablet:
Co-administration of Hical Tablet with Ketoconazole may decrease the effects of Ketoconazole.

How to manage the interaction:
Although there is an interaction, Hical Tablet can be taken with Ketoconazole if prescribed by the doctor. However, maintain a gap of 2 or more hours between both medicines. Do not discontinue the medication without consulting a doctor.
Calcium carbonatePatiromer calcium
Severe
How does the drug interact with Hical Tablet:
Co-administration of Hical Tablet may lower the effectiveness of Patiromer calcium in binding potassium.

How to manage the interaction:
Although there is an interaction, Hical Tablet can be taken with Patiromer calcium if prescribed by the doctor. Consult the prescriber if you experience symptoms such as metabolic alkalosis like nausea, vomiting, tremor, muscle twitching, lightheadedness, numbness or tingling, prolonged muscle spasms, slowed breathing, irregular heartbeat, and confusion. Do not discontinue the medication without a doctor's advice.
Calcium carbonateGefitinib
Severe
How does the drug interact with Hical Tablet:
Co-administration of Hical Tablet may interfere with the absorption of Gefitinib and reduce its effectiveness.

How to manage the interaction:
Although there is an interaction, Hical Tablet can be taken with Gefitinib if prescribed by the doctor. However, Gefitinib and Hical Tablet should not be taken orally at the same time. Maintain a gap of 2-6 hours between both medicines. Do not discontinue using any medications without consulting a doctor.
Calcium carbonateRaltegravir
Severe
How does the drug interact with Hical Tablet:
Co-administration of Hical Tablet may interfere with the absorption of Raltegravir and reduce its effectiveness.

How to manage the interaction:
Taking Hical Tablet with Raltegravir should be avoided. Consult the doctor if you have any concerns, the doctor may recommend alternatives that do not interact with raltegravir. Do not discontinue the medication without consulting a doctor.
Calcium carbonateDigoxin
Severe
How does the drug interact with Hical Tablet:
Co-administration of Hical Tablet and Digoxin may increase the calcium levels may increase the effects of Digoxin

How to manage the interaction:
Although there is an interaction, Hical Tablet can be taken with Digoxin if prescribed by the doctor. Do not discontinue the medication without consulting a doctor.
Calcium carbonateDolutegravir
Severe
How does the drug interact with Hical Tablet:
Co-administration of Dolutegravir with Hical Tablet can reduce the effectiveness of dolutegravir.

How to manage the interaction:
Although there is an interaction, Hical Tablet can be taken with dolutegravir if prescribed by the doctor. However, dolutegravir and Hical Tablet should not be taken orally at the same time. Maintain a gap of 2-6 hours between both medicines. Do not discontinue using any medications without consulting a doctor.
ColecalciferolAluminium hydroxide
Severe
How does the drug interact with Hical Tablet:
The combined use of aluminum hydroxide with Hical Tablet may increase the risk of toxicity.

How to manage the interaction:
Co-administration of Hical Tablet with Aluminium hydroxide can possibly result in an interaction, but it can be taken if your doctor has advised it. If you're having any of these symptoms like bone pain, muscle weakness, anemia, seizures, or dementia, it's important to contact your doctor right away. Do not stop using any medications without a doctor's advice.
ColecalciferolDihydrotachysterol
Severe
How does the drug interact with Hical 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 Hical Tablet 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.
ColecalciferolCalcifediol
Severe
How does the drug interact with Hical 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 Hical Tablet 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.
ColecalciferolCalcitriol
Severe
How does the drug interact with Hical 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 Hical Tablet 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.

Drug-Food Interactions

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CALCIUM CARBONATE-1250MG+CHOLECALCIFEROL-250IUFiber rich foods
Moderate

Drug-Food Interactions

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CALCIUM CARBONATE-1250MG+CHOLECALCIFEROL-250IUFiber rich foods
Moderate
Common Foods to Avoid:
Spinach

How to manage the interaction:
Taking Calcium carbonate and Colecalciferol with food containing oxalic acid (e.g., spinach) or phytic acid (e.g., whole grains) can decrease the absorption of Calcium carbonate and Colecalciferol. It is advised to take Calcium carbonate and Colecalciferol 2 hours after or before consumption of food containing oxalic acid or phytic acid.

Diet & Lifestyle Advise

Calcium-Rich Foods:

  • Include dairy products such as milk, yoghurt, cheese, or milk-based custard in your daily diet.
  • Eat a daily serving of broccoli, cabbage, bok choy, spinach, and other green leafy vegetables.
  • Snack on calcium-rich nuts like almonds or Brazil nuts.
  • Sprinkle sesame seeds over food, vegetables, or salads as they are high in calcium.

Healthy Dietary Choices:

  • Replace meat with tofu to add extra calcium to your meals.

Foods to Limit:

  • Avoid or reduce caffeine, soft drinks, and alcohol as they can inhibit calcium absorption.

Habit Forming

No

Therapeutic Class

[MULTIMINERALS]

All Substitutes & Brand Comparisons

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Alcohol

Caution

Drinking alcohol can affect calcium absorption; hence it is advised to limit the alcohol intake while using HICAL TABLET.

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Pregnancy

Caution

During pregnancy, use higher doses of HICAL TABLET than the daily dietary allowance only when advised by the doctor. Calcitriol in higher doses may harm the foetus. Your doctor will weigh the potential risks and benefits before prescribing HICAL TABLET.

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Breast Feeding

Caution

Consult your doctor before taking HICAL TABLET if you are breastfeeding. HICAL TABLET can pass into the breast milk. If HICAL TABLET is used during breastfeeding, please monitor the mother and the infant's serum calcium levels.

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Driving

Caution

No interaction found/established

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Liver

Caution

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

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Kidney

Caution

Seek doctor advice before starting HICAL TABLET if you have kidney diseases like kidney stones or undergoing dialysis. Calcitriol in HICAL TABLET increases inorganic phosphate levels in serum; hence caution should be taken in patients undergoing dialysis to maintain adequate phosphorus levels and avoid ectopic calcification (calcium deposition).

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Children

Caution

HICAL TABLET should be used with caution in children and only if prescribed by a doctor.

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Heart

Consult your doctor

Please inform your doctor if you have any pre-existing heart problems

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Geriatrics

Consult your doctor

Limited information available for use of HICAL TABLET in elderly patients. Please consult your doctor.

FAQs

HICAL TABLET used to treat low blood calcium levels. HICAL TABLET 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). HICAL TABLET can also be given to pregnant, nursing, and postmenopausal women to ensure that they are getting enough calcium.

HICAL TABLET contains Calcium carbonate and Cholecalciferol. Calcium carbonate provides essential nutrients to maintain bone formation. Cholecalciferol aids in the absorption of calcium.

HICAL TABLET is used to increase low levels of calcium in the body. Hence, it is not advised to use HICAL TABLET during hypercalcemia, since it causes the overdose of calcium, leading to kidney stones and other effects.

Do not use HICAL TABLET if you are allergic to HICAL TABLET or any other ingredients in it. HICAL TABLET is not recommended in hypercalcemia (high calcium levels), metastatic calcification (extra deposits of calcium in the body), hypervitaminosis D (high vitamin D levels), and malabsorption syndrome (difficulty absorbing nutrients from food).

Individual factors, including health needs, diet, and lifestyle, influence the optimal timing for taking HICAL TABLET. Furthermore, the timing may require adjustment to prevent interactions if you're taking other medications. Consulting a healthcare professional is crucial for personalized guidance tailored to your unique needs and circumstances.

HICAL TABLET offers numerous benefits, including supporting bone health, essential for bone mineralization, and potentially reducing the risk of osteoporosis. Adequate calcium and vitamin D intake helps maintain strong bones and teeth while supporting muscle function and nerve transmission. Overall, HICAL TABLET plays a vital role in maintaining overall health and well-being, particularly bone health.

Swallow the whole HICAL TABLET with a glass of water, taking care not to crush, chew, or break it.

Do not take HICAL TABLET if you have kidney disease, high levels of calcium in your blood (hypercalcemia), or a history of kidney stones, as it may worsen these conditions. It is crucial to inform your doctor about your medical history, underlying health conditions, and all medications you're currently taking to avoid potential interactions or adverse effects. Failure to do so may result in serious health complications. Consult your doctor or healthcare professional for personalized advice and careful monitoring.

Taking HICAL TABLET more than the recommended dose leads to overdose, which might cause nausea/vomiting, loss of appetite, mental/mood changes, headache, drowsiness, weakness, and tiredness. If you suspect an overdose or unusual symptoms, seek medical attention right away.

The recommended daily intake of vitamin D varies based on factors such as age, sex, health status, diet, and lifestyle. It's best to consult your healthcare provider to determine the optimal dosage for your needs. They will consider your health status, medications, dietary habits, lifestyle, and other factors to recommend a suitable dose.

Low vitamin D levels can lead to various health issues, including weakened bones, increased risk of fractures, fatigue, mood changes, impaired immune function, infections, autoimmune diseases, cardiovascular disease, cognitive impairment, and neurodegenerative diseases. Severe deficiency can cause rickets in children and osteomalacia in adults. It is essential to maintain adequate vitamin D levels through sun exposure, diet, and supplements (if necessary). Consult a healthcare professional for personalized advice.

The common side effects of HICAL TABLET, which may occur in some individuals, include constipation or stomach upset, nausea, vomiting, loss of appetite, mood changes, weakness, tiredness, fast or pounding heartbeat, bone/muscle pain, and headache. Most of these side effects of HICAL TABLET do not require medical attention and gradually resolve over time. However, if these side effects persist longer, please consult your doctor.

Country of origin

India

Manufacturer/Marketer address

G-785,Ghandhi Nagar,Kurukshetra,Thanesar, Haryana 136119
Other Info - HIC0015

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