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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

Romical Plus Tablet is used to treat low blood calcium levels. It contains Calcitriol, which raises Vitamin D levels and thereby increases calcium levels in the blood. In some cases, this medicine may cause side effects such as stomach upset, nausea, vomiting, loss of appetite, mood changes, weakness, tiredness, and headache. Inform the doctor if you are pregnant or breastfeeding, taking any other medication, or have any pre-existing medical conditions.

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Whats That

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Composition :

CALCITRIOL-0.25MCG

Consume Type :

ORAL

Return Policy :

Not Returnable

About Romical Plus Tablet

Romical Plus Tablet is primarily used to treat low blood calcium levels. It effectively treats various conditions, such as vitamin D deficiency, osteoporosis (characterised by weak bones), and latent tetany (a muscle disease associated with low blood calcium levels). Additionally, Romical Plus Tablet is used to treat hyperparathyroidism (overactive parathyroid glands) and metabolic bone disease in people with chronic kidney disease, surgery, or other conditions.

Romical Plus Tablet contains Calcitriol (Vitamin D3). Calcitriol is a synthetic version of Vitamin D3. It raises Vitamin D levels and thereby increases calcium levels in the blood. This helps in improving the absorption rate of calcium from the intestine.

In some cases, Romical Plus Tablet can cause side effects like constipation, 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 Romical Plus Tablet do not require medical attention and gradually resolve over time. However, if these side effects persist longer, please consult your doctor.

Take Romical Plus Tablet as prescribed by your doctor. Depending on your medical condition, you are advised to take Romical Plus Tablet for as long as your doctor has prescribed it for you. Romical Plus Tablet can be taken with or without food. Do not chew, bite or break the medicine.

Inform your physician if you are allergic to Romical Plus 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 Romical Plus Tablet. Pregnant or breastfeeding women should consult their doctor before taking Romical Plus Tablet.

Uses of Romical Plus Tablet

Romical Plus Tablet is used to treat conditions caused by low levels of calcium and vitamin D in the body. The detailed uses of Romical Plus Tablet are as follows:

  • Postmenopausal osteoporosis: Romical Plus Tablet strengthens bones and reduces the risk of fractures in women after menopause.
  • Steroid-induced osteoporosis: Romical Plus Tablet is used to prevent bone thinning in individuals taking long-term oral corticosteroids.
  • Osteomalacia/Rickets: Romical Plus Tablet helps to strengthen weak bones by enhancing calcium and phosphate absorption.
  • Hypoparathyroidism: Romical Plus Tablet manages low parathyroid hormone levels by regulating calcium levels.

Directions for Use

  • Take Romical Plus Tablet with or without food as advised by your doctor. 
  • It is advised to take Romical Plus Tablet once daily; however, follow your doctor’s recommendation regarding the dosage and duration.
  • Swallow Romical Plus Tablet as a whole with a glass of water. 
  • Do not crush, chew or break it.

Medicinal Benefits

  • Romical Plus Tablet offers several medicinal benefits by helping to maintain strong and healthy bones through the prevention and treatment of calcium and vitamin D deficiencies.
  • It reduces the risk of fractures, particularly in individuals with weakened bones such as those affected by osteoporosis.
  • Romical Plus 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.
  • It is an essential nutrient to maintain bone formation and maintenance.

How Romical Plus Tablet Works

Romical Plus Tablet contains Calcitriol (Vitamin D3); it is used to prevent or treat a calcium deficiency. It is an essential nutrient to maintain bone formation and maintenance. Calcitriol is a synthetic version of Vitamin D3 and treats calcium deficiency with hypoparathyroidism (the parathyroid gland's decreased activity) 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 intestine.

Storage

• Store in a cool and dry place away from sunlight.• Keep Romical Plus Tablet out of the sight and reach of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.

What if I have taken an overdose of Romical Plus Tablet

Avoid exceeding the recommended dose as it could lead to an overdose. Symptoms of overdose may include feeling tired, difficulty thinking clearly, loss of appetite, nausea, vomiting, constipation, increased thirst, increased urination, weight loss, weakness, headache, upset stomach, dry mouth, muscle or bone pain, metallic taste in the mouth, difficult or painful urination, changes in vision, hallucination (seeing things or hearing voices that do not exist), fever or chills, stomach pain, pale/fatty stools, yellowing of the skin or eyes, runny nose, decreased sexual desire, and irregular heartbeat. If you experience these symptoms or suspect you have taken an overdose, seek immediate medical attention.

Drug Warnings

  • Avoid taking Romical Plus Tablet if you are allergic to it.
  • Before taking Romical Plus Tablet, inform your doctor if you are undergoing hemodialysis due to kidney problems and have a stent in the heart.
  • Romical Plus Tablet may alter calcium levels, so it is recommended to monitor calcium levels in the blood and urine regularly.
  • Inform your doctor immediately if you notice fever, increased thirst and urination, dehydration, bedwetting, constipation, and stomach pain, as they may be signs of very high calcium levels in your blood.
  • Pregnant or breastfeeding women should consult their doctor before taking Romical Plus Tablet.
  • Higher doses of vitamin D than the recommended daily dose should be used in pregnant women only when advised by the doctor.
  • Do not take Romical Plus Tablet if you have hypercalcemia (high calcium levels), hypervitaminosis D (high vitamin D levels), or malabsorption syndrome (difficulty absorbing nutrition from food).

Diet & Lifestyle Advise

  • Include dairy products like milk, yoghurt, cheese, or milk-based custard in your diet.
  • Eat a serving of broccoli, cabbage, bok choy, spinach, and other green leafy vegetables daily.
  • 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

MULTIMINERALS
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Alcohol

Caution

Drinking alcohol can affect calcium absorption; hence, it is advised to limit the alcohol intake while using Romical Plus Tablet.

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Pregnancy

Consult your doctor

Use higher doses of Romical Plus Tablet during pregnancy than the daily dietary allowance only when the doctor advises. Calcitriol in higher doses may harm the fetus. Your doctor will weigh the potential risks and benefits before prescribing Romical Plus Tablet.

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Breast Feeding

Consult your doctor

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

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Driving

Safe if prescribed

Romical Plus Tablet may not affect your ability to drive.

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Liver

Caution

Before taking $ name, let your doctor know if you have any history of liver disease. Hepatic impairment/liver disease can alter the metabolic and therapeutic activity of certain Vitamin D forms.

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Kidney

Caution

It is advised to seek a doctor's advice before starting Romical Plus Tablet if you have kidney diseases like kidney stones or are undergoing dialysis. Calcitriol in Romical Plus 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

Romical Plus Tablet should be used with caution in children and only if prescribed by a doctor.

Have a query?

FAQs

Romical Plus Tablet belongs to a group of medicines called vitamin D metabolites primarily used to treat low blood calcium levels. Romical Plus 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).

Romical Plus Tablet contains calcitriol, which works by helping the body absorb more calcium from the diet. This helps to form healthy bones and reduce bone damage.

Romical Plus Tablet can cause kidney stones due to excess calcium deposition when used for a prolonged period. Please consult your doctor before taking Romical Plus Tablet as a daily supplement if you have any kidney problems or a history of kidney stones.

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

Do not use Romical Plus Tablet if you are allergic to any of the ingredients in Romical Plus Tablet. It 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 nutrition from food).

Country of origin

India
Other Info - RO98467

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