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Gemcal Suspension is used to treat various conditions caused by low calcium levels in the body like Vitamin D deficiency, osteoporosis (weak and brittle bones), hypoparathyroidism (a condition in which parathyroid glands make low levels of calcium in the body), latent tetany (a muscle disease with low blood calcium levels), and rickets or osteomalacia (softening or deforming of bones due to lack of calcium). It consists of calcium 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 synthetic form of vitamin D that helps maintain blood calcium and phosphorus levels and mineralization of bone.

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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 :

Alkem Laboratories Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Gemcal Suspension

Gemcal Suspension is an oral suspension suggested to treat and prevent low calcium levels in the blood, which can weaken your bones. This medication is commonly used for individuals who do not get enough calcium from their daily diet or those with bone-thinning conditions. It plays a vital role in maintaining strong, healthy bone structure and supporting nerve and muscle function.

To achieve the best results, you must take this medication consistently and exactly as directed by your healthcare professional. You can take this oral suspension with or without food, though taking it with meals can help enhance absorption and prevent mild stomach upset. Making simple lifestyle adjustments, such as incorporating weight-bearing exercises and eating a balanced diet, can also significantly support your treatment.

While this medicine is generally well-tolerated, some people may experience mild side effects like constipation or an upset stomach. If you experience severe symptoms such as persistent nausea, vomiting, confusion, or unusual tiredness, you should contact your doctor immediately as these may indicate high calcium levels.

Talk to your doctor before starting this medicine if you have kidney disease, kidney stones, or a history of heart problems. Do not take this if you already have high levels of calcium or vitamin D in your blood, as this can lead to serious complications.

This medication can interact with other drugs like certain antibiotics and thyroid medicines, reducing their effectiveness if taken at the same time. You should also limit alcohol consumption and avoid smoking, as both can accelerate bone loss and weaken your skeletal system. If you are pregnant, breastfeeding, or are an elderly individual, consult your doctor to ensure this treatment is safe for your specific needs.

Uses of Gemcal Suspension

Your doctor may prescribe Gemcal Suspension to help manage the following conditions:

  • Osteoporosis: Helps preserve bone density and reduce the risk of fractures in individuals with thinning, fragile bones.
  • Hypocalcemia: Restores and maintains normal calcium levels in the body when dietary intake is insufficient.
  • Osteomalacia or Rickets: Supports proper bone mineralisation to soften and strengthen weak or malformed bones.
  • Hypoparathyroidism: Manages calcium levels when the parathyroid glands are underactive and cannot produce enough hormone to regulate calcium naturally.

Key Benefits

When used as directed as part of your treatment plan, this medicine may provide the following benefits:

  • Supports Strong Bones: This medication provides direct support to your skeletal system, helping you maintain strong bones and reducing the risk of painful bone thinning or unexpected fractures. By ensuring your body has enough calcium, it helps preserve the structural integrity of your skeleton as you age.
  • Supports Healthy Muscles & Nerves: Beyond bone health, this suspension supports daily physical comfort by ensuring proper nerve signalling and muscle function. This can help prevent uncomfortable muscle cramps, spasms, and weakness, allowing for smoother, pain-free movement. Ultimately, keeping your bones and muscles healthy helps you stay active, independent, and secure in your daily physical activities.

Directions for Use

  • Gemcal Suspension can be taken with or without food as advised by the doctor.
  • Follow your doctor’s instructions on the dosage and timing of this medication to ensure safety.
  • Take the recommended dose of Gemcal Suspension using the measuring cup.
  • Shake well before use.

How Gemcal Suspension Works

This medicine combines two active components that work together to keep your bones healthy and strong. The first active component is calcium, an essential mineral that serves as the primary building block for your bones. Your body relies on a constant supply of calcium to maintain bone density and support critical everyday functions in your muscles, nerves, and heart. The second active component is calcitriol, which is the active form of vitamin D. Even if you consume enough calcium, your digestive system cannot absorb it properly without sufficient vitamin D. Calcitriol acts like a key, helping your intestines absorb calcium from your food and supplements into your bloodstream, where your body can use it. Together, these two components ensure that your bones receive the essential nutrients they need to stay strong.
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Alcohol

Caution

Drinking alcohol can affect calcium absorption; hence, limit alcohol consumption while using Gemcal Suspension .

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Pregnancy

Consult your doctor

Consult your doctor if you are pregnant. Your doctor will weigh the potential risks and benefits before recommending this medicine.

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Breast Feeding

Consult your doctor

Consult your doctor before taking Gemcal Suspension if you are breastfeeding. Gemcal Suspension can pass into the breast milk.

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Driving

Safe if suggested

Gemcal Suspension usually does not affect your ability to drive.

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Liver

Consult your doctor

Consult your doctor if you have any history of liver diseases before taking Gemcal Suspension . Hepatic impairment/liver disease can alter the metabolism and therapeutic activity of certain Vitamin D forms.

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Kidney

Consult your doctor

You should seek a doctor's advice before starting Gemcal Suspension if you have kidney diseases like kidney stones or undergoing dialysis. Be cautious if you are undergoing dialysis to maintain adequate phosphorus levels and avoid ectopic calcification (calcium deposition).

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Children

Consult your doctor

Please consult your doctor. Your doctor will recommend a suitable dose based on your child's age, body weight and condition.

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Heart

Caution

Gemcal Suspension can be taken if you have heart problems, but only under medical supervision. Excess calcium may affect heart rhythm or interact with heart medications, so it's important to consult your doctor before starting it.

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Geriatrics

Consult your doctor

Gemcal Suspension is commonly used in geriatric patients. However, it's important to consult your doctor first, as excess calcium or vitamin D can affect kidney function or interact with heart medications.

What if I have taken an overdose of Gemcal Suspension

If you suspect an overdose or experience severe symptoms like extreme weakness, confusion, or persistent vomiting, seek immediate medical attention. 

Diet & Lifestyle Advise

  • Bone-Healthy Diet: Eat a balanced diet rich in natural sources of bone-supporting nutrients, such as dairy products, leafy green vegetables, and fortified foods.
  • Weight-Bearing Exercise: Engage in regular, low-impact, weight-bearing exercises like walking or light strength training to help stimulate bone growth and maintain density.
  • Limit Caffeine & Alcohol: Limit your intake of caffeine, alcohol, and carbonated beverages, as these can interfere with how your body absorbs and uses calcium.
  • Stay Hydrated: Stay well-hydrated by drinking plenty of water throughout the day, which helps protect your kidneys and reduces the risk of kidney stones.
  • Quit Smoking: Avoid smoking, as tobacco use can accelerate bone loss and decrease the effectiveness of your bone health treatments.
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Have a query?

How Soon It Starts Working

  • The time required for Gemcal Suspension to start to work: The onset time of Gemcal Suspension has not been clinically established.
  • The time for which the effects of Gemcal Suspension last: The duration of Gemcal Suspension ’s effect is clinically not established.

Storage

• Store the suspension at room temperature, ideally between 15°C and 30°C (59°F to 86°F).

What if you forget to take Gemcal Suspension

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

Drug Warnings

  • Shake Well Before Use: Always shake the bottle well before every use to prevent the medication from settling unevenly at the bottom.
  • Check Before Use: Check the colour and consistency of the suspension before taking it; do not use it if you notice unusual clumping or discolouration.
  • Follow-Up Monitoring: Keep all follow-up appointments with your doctor for scheduled blood and urine tests, as these checks are necessary to monitor your calcium levels.
  • Antacid Interaction: Avoid taking antacids that contain magnesium at the same time as this medication, as this can interfere with your treatment.
  • Medical Test Alert: Inform any healthcare provider or laboratory staff that you are taking this medication, as it can occasionally affect certain medical test results.

verifiedApollotooltip
  • Medication Timing: May reduce the absorption of certain antibiotics (like tetracyclines and quinolones) and thyroid medications (like levothyroxine) when taken at the same time. Separate these medicines by at least 2 to 4 hours.
  • Thiazide Diuretic Interaction: May increase the risk of high calcium levels if taken with thiazide diuretics (water pills).
  • Digoxin Interaction: May increase the risk of irregular heartbeats if combined with cardiac glycosides (like digoxin).

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  • Calcium Absorption Warning: Foods high in oxalic acid (such as spinach and rhubarb) or phytic acid (such as whole grains) can reduce how well your body absorbs calcium from this medicine.

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All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[VITAMINS]

FAQs

Gemcal Suspension consists of two vitamins: Calcium and Calcitriol (vitamin D). Calcium is a mineral used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation. Calcitriol helps maintain blood calcium and phosphorus levels and mineralisation of bone.
Antacids may alter the absorption of Calcium from Gemcal Suspension . Hence it is advised to take Gemcal Suspension two hours before or four hours after taking antacids.
Gemcal Suspension is used to treat low levels of calcium in the body. Hence it is not advised to use Gemcal Suspension if you have hypercalcemia since higher calcium levels may lead to kidney stones and other effects.
Gemcal Suspension can cause kidney stones due to excess calcium deposition when used for a prolonged period. Please consult your doctor before taking Gemcal Suspension as a daily supplement if you have any kidney problems or a history of kidney stones.
Milk is considered to be the best source of calcium. You can take Gemcal Suspension with milk.
The primary food sources of vitamin D are Oily fish, such as salmon and sardines, red meat, liver (avoid liver if you are pregnant), egg yolks, and fortified foods, such as some fat spreads and breakfast cereals are rich in sources of vitamin D.
The common side effects of Gemcal Suspension include constipation, stomach upset, nausea or vomiting, muscle pain, fast or repeated strike heartbeat, and headache.
Vitamin D is essential for maintaining strong bones, teeth, and muscles. It helps regulate calcium and phosphate levels in the body, ensuring these vital nutrients are used efficiently to keep the skeleton, smile, and muscles healthy and thriving.
Yes, you can take Gemcal Suspension with or without food. Taking it with a meal can often help improve how your body absorbs the calcium and can also prevent minor stomach upset. Talk to your doctor or pharmacist if you have persistent stomach discomfort.
You should always use the measuring device, cup, or syringe that comes with the bottle to ensure you receive the exact amount suggested. Do not use a standard kitchen spoon, as they are not accurate. Talk to your doctor or pharmacist if you need assistance measuring your dose.
You should avoid taking other calcium or vitamin D supplements unless your doctor specifically instructs you to do so. Taking multiple sources of these nutrients can increase your risk of developing high calcium levels in your blood. Talk to your doctor or pharmacist before starting any new supplements.
Shaking the bottle ensures that the active ingredients are distributed evenly throughout the liquid. If you do not shake it, you may get too little of the active ingredients in your first few doses and too much in your final doses. Talk to your doctor or pharmacist if you have questions about using this suspension.
You should consult your doctor before using this medication if you are pregnant, planning to become pregnant, or breastfeeding. Your healthcare provider will evaluate your nutritional needs and determine if this product is appropriate for you. Talk to your doctor or pharmacist.
Yes, the active ingredients in Gemcal Suspension can prevent your body from fully absorbing thyroid medicines like levothyroxine. To avoid this interaction, you should separate the times you take these medications by several hours. Talk to your doctor or pharmacist to set up a safe schedule.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Country of origin

India

Manufacturer/Marketer address

Alkem Laboratories Limited, Devashish Building, Alkem House, Senapati Bapat Road, Lower Parel, Mumbai - 400 013.
Other Info - GEM0021
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