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compositionComposition:CALCIUM CARBONATE-1250MG+CHOLECALCIFEROL-500IU
prescriptionPrescription Medicine
TRICAL HD TABLET

TRICAL HD 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-500IU

Manufacturer/Marketer :

Svizera Healthcare

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About TRICAL HD TABLET

TRICAL HD 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.

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

Take TRICAL HD TABLET as prescribed by your doctor. In some cases, TRICAL HD 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 TRICAL HD TABLET or its inactive components, please inform your doctor. Pregnant or breastfeeding women should consult their doctor before taking TRICAL HD TABLET.

Uses of TRICAL HD TABLET

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

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

Key Benefits

  • TRICAL HD 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.
  • TRICAL HD 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.

Directions for Use

  • Recommended to take TRICAL HD 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.

How TRICAL HD TABLET Works

TRICAL HD 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.
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Alcohol

Caution

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

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Pregnancy

Caution

During pregnancy, use higher doses of TRICAL HD 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 TRICAL HD TABLET.

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Breast Feeding

Caution

Consult your doctor before taking TRICAL HD TABLET if you are breastfeeding. TRICAL HD TABLET can pass into the breast milk. If TRICAL HD 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 TRICAL HD 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 TRICAL HD TABLET if you have kidney diseases like kidney stones or undergoing dialysis. Calcitriol in TRICAL HD 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

TRICAL HD 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 TRICAL HD TABLET in elderly patients. Please consult your doctor.

What if I have taken an overdose of TRICAL HD TABLET

An overdose of TRICAL HD 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.

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.

Have a query?

How Soon It Starts Working

The time required for TRICAL HD TABLET to start to work: The time required for TRICAL HD TABLET to show its action is unknown.

The time for which the effects of TRICAL HD TABLET last: The duration of action for TRICAL HD TABLET is unknown.

What if you forget to take TRICAL HD TABLET

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

Storage

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

Drug Warnings

  • If you are known to be allergic to TRICAL HD TABLET or any other medicines, please tell your doctor.
  • TRICAL HD 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 TRICAL HD TABLET.
  • TRICAL HD TABLET should be used with caution in children and only if prescribed by a doctor.
  • Inform your doctor before taking TRICAL HD 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

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Drug-Drug Interactions: Inform your doctor if you are taking any of these medicines, as there may be an interaction

  • Vitamin D analogue (Calcitriol, Doxercalciferol)
    • Potential effect: May increase vitamin D levels, leading to toxic effects.
  • Antacid (Aluminium hydroxide)
    • Potential effect: May increase the risk of toxicity.
  • Medicine used to treat stomach ulcers (Sucralfate)
    • Potential effect: May increase the risk or severity of kidney problems.
  • Anti-HIV medicine (Raltegravir, Dolutegravir)
    • Potential effect: May interfere with the absorption and reduce the effectiveness of HIV medicine.

Drug-Food Interactions: Avoid or reduce the intake of caffeine, soft drinks, and alcohol that inhibit calcium absorption.

Drug-Disease Interactions: Before starting TRICAL HD TABLET, inform your doctor if you have any of these conditions

  • High levels of vitamin D levels
  • Malabsorption syndrome
  • Kidney stones
  • Phosphate imbalance
ColecalciferolErgocalciferol
Severe
ColecalciferolDoxercalciferol
Severe

Drug-Drug Interactions

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ColecalciferolErgocalciferol
Severe
How does the drug interact with Trical Hd 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 Trical Hd Tablet 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.
ColecalciferolDoxercalciferol
Severe
How does the drug interact with Trical Hd 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 Trical Hd Tablet 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.
ColecalciferolParicalcitol
Severe
How does the drug interact with Trical Hd 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 Trical Hd Tablet 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.
ColecalciferolCalcifediol
Severe
How does the drug interact with Trical Hd 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 Trical Hd 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.
ColecalciferolDihydrotachysterol
Severe
How does the drug interact with Trical Hd 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 Trical Hd 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.
ColecalciferolSucralfate
Severe
How does the drug interact with Trical Hd 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.
ColecalciferolAluminium hydroxide
Severe
How does the drug interact with Trical Hd Tablet:
The combined use of aluminum hydroxide with Trical Hd Tablet may increase the risk of toxicity.

How to manage the interaction:
Co-administration of Trical Hd 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.
ColecalciferolCalcitriol
Severe
How does the drug interact with Trical Hd 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 Trical Hd 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.
Calcium carbonatePatiromer calcium
Severe
How does the drug interact with Trical Hd Tablet:
Co-administration of Trical Hd Tablet may lower the effectiveness of Patiromer calcium in binding potassium.

How to manage the interaction:
Although there is an interaction, Trical Hd 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 carbonateRaltegravir
Severe
How does the drug interact with Trical Hd Tablet:
Co-administration of Trical Hd Tablet may interfere with the absorption of Raltegravir and reduce its effectiveness.

How to manage the interaction:
Taking Trical Hd 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.

Drug-Food Interactions

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CALCIUM CARBONATE-1250MG+CHOLECALCIFEROL-500IUFiber rich foods
Moderate

Drug-Food Interactions

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CALCIUM CARBONATE-1250MG+CHOLECALCIFEROL-500IUFiber 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.

Habit Forming

No

Therapeutic Class

[MULTIMINERALS]

FAQs

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

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

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

Do not use TRICAL HD TABLET if you are allergic to TRICAL HD TABLET or any other ingredients in it. TRICAL HD 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 TRICAL HD 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.

TRICAL HD 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, TRICAL HD TABLET plays a vital role in maintaining overall health and well-being, particularly bone health.

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

Do not take TRICAL HD 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 TRICAL HD 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 TRICAL HD 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 TRICAL HD TABLET do not require medical attention and gradually resolve over time. However, if these side effects persist longer, please consult your doctor.

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Country of origin

India

Manufacturer/Marketer address

29-33, Ancillary Industrial Plots Govandi Mumbai MH 400043 INDIA
Other Info - TRI0855
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