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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 :

Magnachem Pharmaceuticals Pvt Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About GROCAL 500MG TABLET

GROCAL 500MG TABLET is an oral supplement used to prevent and treat calcium deficiency and support overall bone health. It is commonly prescribed for conditions such as bone thinning (osteoporosis), soft or weak bones (osteomalacia), and low blood calcium levels (hypocalcaemia). Calcium helps keep your bones and teeth strong, while vitamin D3 (cholecalciferol) helps your body absorb calcium effectively. Together, they also support healthy muscles, nerves, and normal heart function.

To get the best results, take GROCAL 500MG TABLET consistently every day as directed by your healthcare provider. It is highly recommended to take this supplement with food because stomach acid helps break down the calcium carbonate for better absorption. Combining this daily routine with regular weight-bearing exercise and a balanced diet rich in leafy greens will significantly support your progress.

Most people tolerate this supplement very well, though mild side effects like constipation or minor stomach upset can sometimes occur. These symptoms are usually temporary, but you should consult your doctor immediately if you experience signs of high calcium levels, such as persistent nausea, frequent urination, or extreme tiredness. Keep an eye on how you feel while taking this supplement and report any unusual symptoms to your doctor. This helps ensure safe, long-term treatment.

Talk to your doctor before starting GROCAL 500MG TABLET if you have a history of kidney stones, kidney disease, or heart conditions. Do not take this medicine if you already have high calcium or high vitamin D levels in your blood, or if you have a known allergy to any of its components. Your doctor will help evaluate if this supplement is appropriate for your medical history.

This supplement can interfere with how your body absorbs other medications, such as thyroid treatments or certain antibiotics, meaning they should be taken at different times of the day. You should also limit alcohol intake and avoid smoking, as both can decrease bone density and make the supplement less effective. Pregnant, breastfeeding, or elderly individuals should consult their doctor before starting to ensure the dosage meets their individual health needs.

Uses of GROCAL 500MG TABLET

GROCAL 500MG TABLET is used to prevent and treat calcium and vitamin D deficiency, helping maintain strong bones, healthy muscles, and normal nerve function. It is commonly prescribed for the following conditions:

  • Osteoporosis: GROCAL 500MG TABLET helps by supplying the essential minerals needed to slow down the thinning of bones, reducing the risk of painful bone fractures in older adults.
  • Osteomalacia and Rickets: It helps correct calcium and vitamin D deficiency, allowing bones to harden properly and become stronger.
  • Hypocalcemia (low blood calcium): It helps by restoring calcium levels in the bloodstream to support normal nerve transmission, blood clotting, and muscle contraction.
  • Latent Tetany (a condition in which low calcium makes muscles more likely to cramp or spasm): It helps maintain healthy calcium levels to reduce muscle cramps, spasms, tingling, and numbness.
  • Nutritional Support: It helps by meeting the increased calcium and vitamin D requirements during pregnancy, breastfeeding, or in individuals with restricted diets.

Key Benefits

When taken regularly as directed, GROCAL 500MG TABLET provides several important health benefits:

  • Helps build and maintain strong bones and teeth.
  • Slows bone loss and lowers the risk of fractures in people with osteoporosis.
  • Helps correct calcium and vitamin D deficiency.
  • Supports healthy muscle function and may reduce muscle cramps caused by low calcium.
  • Helps maintain healthy nerve function and normal heart function.
  • Supports better mobility and physical independence by keeping bones stronger over time.

Directions for Use

To get the maximum benefit from GROCAL 500MG TABLET, please follow these step-by-step instructions carefully:

  • Swallow the tablet whole with a full glass of water. Do not crush, break, or chew the tablet.
  • Take this supplement during or immediately after a meal, as the presence of food and stomach acid significantly improves the absorption of calcium carbonate.
  • Try to take your dose at the same time each day to build a consistent routine and keep your nutrient levels steady.

Always follow your doctor's exact instructions regarding how to take this supplement, and do not adjust your intake without consulting them first.

How GROCAL 500MG TABLET Works

GROCAL 500MG TABLET contains two ingredients that work together to improve your body's calcium levels and support healthy bones. • Calcium carbonate: It provides elemental calcium, the main mineral that builds and strengthens bones and teeth. Calcium is also needed for healthy muscles, nerves, and heart function. If your diet does not provide enough calcium, your body may take calcium from your bones, gradually making them weaker. This supplement helps replace that calcium and protects bone strength. • Cholecalciferol (Vitamin D3): It helps your intestines absorb calcium from food and supplements more efficiently. Without enough vitamin D, much of the calcium you consume passes through your body without being absorbed. By improving calcium absorption, vitamin D3 helps ensure more calcium reaches your bones and teeth, where it is needed most.
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Alcohol

Caution

Drinking alcohol can affect calcium absorption; hence it is advised to limit the alcohol intake while using GROCAL 500MG TABLET.

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Pregnancy

Caution

During pregnancy, use higher doses of GROCAL 500MG 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 GROCAL 500MG TABLET.

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Breast Feeding

Caution

Consult your doctor before taking GROCAL 500MG TABLET if you are breastfeeding. GROCAL 500MG TABLET can pass into the breast milk. If GROCAL 500MG 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 GROCAL 500MG 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 GROCAL 500MG TABLET if you have kidney diseases like kidney stones or undergoing dialysis. Calcitriol in GROCAL 500MG 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

GROCAL 500MG 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 GROCAL 500MG TABLET in elderly patients. Please consult your doctor.

What if I have taken an overdose of GROCAL 500MG TABLET

If you suspect an overdose or experience severe symptoms like extreme dizziness, nausea, vomiting, or confusion, seek immediate medical attention or contact your local poison control center right away.

Diet & Lifestyle Advise

  • Eat Calcium-Rich Foods: Incorporate calcium-rich foods into your daily meals, such as yogurt, cheese, milk, fortified plant milks, tofu, and leafy green vegetables like kale and broccoli.
  • Stay Physically Active: Engage in regular weight-bearing activities, such as brisk walking, light jogging, or resistance training. These exercises encourage your body to build and repair bone tissue, helping keep your bones strong.
  • Get Safe Sunlight Exposure: Spend 10 to 15 minutes in safe, early morning sunlight a few times a week to help your body naturally produce additional vitamin D.
  • Limit Foods That Reduce Calcium Retention: Limit your intake of sodas, high-sodium foods, and excessive caffeine, as these substances can interfere with how well your body retains calcium.
  • Avoid Smoking and Excess Alcohol: Avoid smoking and limit your consumption of alcohol, as both habits are clinically shown to reduce bone density and increase fracture risks.

Have a query?

How Soon It Starts Working

  • The time required for GROCAL 500MG TABLET to start to work: The time required for GROCAL 500MG TABLET to show its action is unknown.
  • The time for which the effects of GROCAL 500MG TABLET last: The duration of action for GROCAL 500MG TABLET is unknown.

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.

What if you forget to take GROCAL 500MG TABLET

If you miss a dose of GROCAL 500MG TABLET, take it as soon as you remember. If it is almost time for your next scheduled dose, skip the missed one and continue with your regular timing. Do not take a double dose to make up for the missed one.

Drug Warnings

  • Check the Packaging Before Use: Always inspect the packaging and tablets before use. Do not take the medication if the seal is broken or if the tablets appear damaged.
  • Take Other Medicines at the Right Time: If you take thyroid hormone medications or oral antibiotics, take them at least 2 hours before or 4 to 6 hours after taking GROCAL 500MG TABLET to prevent absorption interference.
  • Avoid Taking Extra Calcium or Vitamin D: Do not take other over-the-counter vitamin D or calcium supplements at the same time unless specifically instructed by your doctor, as this may increase the risk of toxicity.
  • Stay Well Hydrated: Drink plenty of fluids, especially water, throughout the day to support kidney function and help reduce the risk of developing kidney stones.
  • Inform Your Healthcare Providers: Tell all of your healthcare providers, including dentists and surgeons, that you are taking GROCAL 500MG TABLET, particularly before undergoing any scheduled blood tests or surgical procedures.

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Drug-Drug Interactions

  • Antibiotics (such as quinolones and tetracyclines): GROCAL 500MG TABLET can bind to these drugs in your gut, significantly reducing their absorption. Space them at least 2 hours before or 4 to 6 hours after your calcium dose.
  • Thyroid hormones (like levothyroxine): Calcium carbonate reduces the absorption of thyroid medications, which can lead to poorly controlled thyroid levels. Separate these medications by at least 4 hours.
  • Thiazide diuretics (water pills): Taking these alongside GROCAL 500MG TABLET can reduce how much calcium is excreted in your urine, increasing the risk of high blood calcium levels.
  • Cardiac glycosides (like digoxin): High calcium levels can increase the risk of serious and irregular heartbeats when combined with heart medicines like digoxin.
  • Bisphosphonates (medicines such as alendronate used to treat osteoporosis): Calcium can reduce the absorption of these medicines. Take them at a different time from your calcium supplement, as advised by your doctor or pharmacist.

Drug-Food Interactions

  • High-fiber foods, spinach, and whole grains: Foods rich in oxalic acid (like spinach and rhubarb) or phytic acid (like bran and whole grains) can bind to calcium in your digestive tract, reducing its overall absorption. Avoid eating these foods within 2 hours of taking your supplement.

Drug-Disease Interactions

  • Hypercalcemia: Do not take GROCAL 500MG TABLET if you have elevated calcium levels in your blood, as this can lead to severe complications.
  • Kidney Stones: If you have a history of calcium oxalate kidney stones, taking this supplement may increase your risk of forming new stones. Talk to your doctor to monitor your levels.
  • Severe Kidney Disease: Individuals with impaired kidney function cannot process minerals properly, which may lead to a dangerous buildup of calcium and phosphate in the body.

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Habit Forming

No

Therapeutic Class

[MULTIMINERALS]

FAQs

GROCAL 500MG TABLET used to treat low blood calcium levels. GROCAL 500MG 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). GROCAL 500MG TABLET can also be given to pregnant, nursing, and postmenopausal women to ensure that they are getting enough calcium.

GROCAL 500MG TABLET contains Calcium carbonate and Cholecalciferol. Calcium carbonate provides essential nutrients to maintain bone formation. Cholecalciferol aids in the absorption of calcium.

GROCAL 500MG TABLET is used to increase low levels of calcium in the body. Hence, it is not advised to use GROCAL 500MG TABLET during hypercalcemia, since it causes the overdose of calcium, leading to kidney stones and other effects.

Do not use GROCAL 500MG TABLET if you are allergic to GROCAL 500MG TABLET or any other ingredients in it. GROCAL 500MG 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 GROCAL 500MG 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.

GROCAL 500MG 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, GROCAL 500MG TABLET plays a vital role in maintaining overall health and well-being, particularly bone health.

Swallow the whole GROCAL 500MG TABLET with a glass of water, taking care not to crush, chew, or break it.

Do not take GROCAL 500MG 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 GROCAL 500MG 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 GROCAL 500MG 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 GROCAL 500MG TABLET do not require medical attention and gradually resolve over time. However, if these side effects persist longer, please consult your doctor.

It is highly recommended to take GROCAL 500MG TABLET with food. The stomach acid produced during a meal helps break down the calcium carbonate, allowing your body to absorb it much more efficiently. Talk to your doctor or pharmacist if you have trouble taking it with meals.

Constipation is a common side effect of calcium. You can manage this by drinking plenty of water, increasing your daily dietary fiber, and engaging in light physical activity. If the issue persists or becomes painful, talk to your doctor.

You should check the label of your multivitamin first. Taking both products together can sometimes lead to excessive intake of calcium or vitamin D, which can cause side effects. To stay within safe limits, talk to your doctor or pharmacist to review your supplement regimen.

Yes, calcium and vitamin D are vital for the healthy development of a baby's bones. However, you must consult your obstetrician to determine the exact dosage you need, as taking too much can be harmful. Talk to your doctor to find the safest dose for you.

GROCAL 500MG TABLET begins supplying nutrients to your blood immediately, but rebuilding bone density is a slow, gradual process. It typically takes several months of consistent daily use before improvements can be measured on a bone density test. Talk to your doctor about scheduling periodic evaluations.

If you have had kidney stones, you must use extra caution because supplemental calcium can sometimes increase the risk of new stones forming. Your doctor will weigh the benefits and may monitor your blood and urine levels. Talk to your doctor before starting this supplement.

It is best to avoid taking GROCAL 500MG TABLET with coffee or tea. Caffeine can reduce the amount of calcium your body absorbs and increase the amount excreted in your urine. Take your supplement with water during a meal instead. Talk to your doctor or pharmacist for personalized dietary tips.

Yes, but you must not take them at the same time. Calcium carbonate can block your body from absorbing thyroid medicines like levothyroxine, making them less effective. You should separate the two doses by at least 4 hours. Talk to your doctor or pharmacist to help organize your schedule.

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Country of origin

India

Manufacturer/Marketer address

1st Flr Sharda Cinema Bldg, 172 Mmgs Marg, Dadar East, Mumbai - 400014
Other Info - GRO0019
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