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compositionComposition:CALCITRIOL-0.25MCG+ELEMENTAL CALCIUM-250MG
prescriptionPrescription Medicine
Xtracal CT Tablet 15's
Xtracal CT Tablet 15's
Xtracal CT Tablet 15's

Xtracal CT Tablet is used to prevent or treat low blood calcium levels in people who cannot get sufficient calcium from their diets. 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). It contains Elemental Calcium and Calcitriol (vitamin D3), which provide essential nutrients to maintain bone formation. It raises Vitamin D levels and thereby increases calcium levels in the blood. In some cases, it may cause side effects such as constipation, stomach upset, or gas. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.

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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

CALCITRIOL-0.25MCG+ELEMENTAL CALCIUM-250MG

Manufacturer/Marketer :

Pulse Pharmaceuticals

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Xtracal CT Tablet

Xtracal CT Tablet is a nutritional supplement primarily used to treat low blood calcium levels. It effectively treats various conditions, such as vitamin D deficiency, osteoporosis (characterised by weak bones), latent tetany (a muscle disease associated with low blood calcium levels), and rickets or osteomalacia (a condition characterised by softening of bones due to low calcium levels).

Xtracal CT Tablet consists of calcium and calcitriol (vitamin D). Xtracal CT Tablet works by increasing calcium and vitamin D levels in the body, thereby supporting the essential functions necessary for bone formation and maintenance. Together, they help prevent bone loss, support bone growth, and reduce muscle cramps caused by low calcium levels.

Xtracal CT Tablet is likely safe to use. In some cases, it may cause side effects like constipation and stomach upset. These side effects do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult a doctor.

Take Xtracal CT Tablet as advised. Your physician will decide the dosage based on your medical condition. You can take Xtracal CT Tablet with or without food. It is recommended not to exceed the recommended dose of Xtracal CT Tablet . Do not chew, bite, or crush the medicine.

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

Uses of Xtracal CT Tablet

Xtracal CT Tablet is used in the treatment of calcium deficiency and its associated conditions. The detailed uses of Xtracal CT Tablet are as follows:

  • Prevents or Treats Calcium Deficiency: Xtracal CT Tablet helps restore calcium levels in the body, which is essential for bone formation and maintenance.
  • Manages Osteoporosis: Xtracal CT Tablet strengthens the weak and brittle bones by improving bone mineral density and helps reduce the risk of fractures in osteoporosis patients.
  • Treats Osteomalacia and Rickets: Xtracal CT Tablet is effective in treating soft and weak bones in children (rickets) and adults (osteomalacia) by maintaining blood calcium levels and enhancing bone mineralisation.
  • Manages Hypoparathyroidism: Xtracal CT Tablet is used to maintain adequate calcium levels in individuals with underactive parathyroid glands.
  • Prevents and treats Latent Tetany: Xtracal CT Tablet helps increase calcium levels to prevent and relieve muscle cramps or spasms caused by latent tetany (a neuromuscular condition resulting from low blood calcium levels).

Key Benefits

  • Xtracal CT Tablet is used to treat low blood calcium levels.
  • It reduces the risk of fractures, particularly in individuals with weakened bones such as those affected by osteoporosis.
  • Xtracal CT 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.
  • Xtracal CT Tablet consists of two medicines: Calcium (mineral) 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 steroid hormone produced in the skin when exposed to ultraviolet light or obtained from food sources.
  • It helps maintain blood calcium and phosphorus levels and mineralisation of bone.
Side effects of Xtracal CT Tablet
  • Stay hydrated by drinking plenty of water.
  • Avoid dairy product such as cheese, milk, yogurt and ice cream.
  • Maintain healthy weight and exercise daily.
  • Following a low-calcium diet can help reduce hypercalcemia symptoms.
  • Reduce sodium intake to minimize calcium excretion in urine.
  • Limit animal protein consumption to decrease urinary calcium levels.
  • Increase fluid intake by drinking plenty of water to dilute urine.
  • Moderate calcium intake based on individual needs, avoiding drastic restriction.
  • Limit oxalate-rich foods like spinach and chocolate to minimize kidney stone formation.
  • Stay hydrated by drinking plenty of water.
  • Consider reducing vitamin D supplementation if excessive intake is contributing to hypercalciuria.
  • Regularly monitor urine calcium levels through 24-hour urine tests.
  • Always seek guidance from a healthcare expert prior to implementing substantial changes to your diet or lifestyle routine.
Managing Medication-Triggered UTIs: A Comprehensive Approach:
  • Inform your doctor about the medication you're taking and the UTI symptoms you're experiencing.
  • Your doctor may adjust your medication regimen or consider alternative medications or dosages that may reduce the risk of UTIs.
  • Drink plenty of water (at least 8-10 glasses a day) to help flush out bacteria. Avoid sugary drinks and caffeine, which can exacerbate UTI symptoms.
  • Urinate when you feel the need rather than holding it in. This can help prevent bacterial growth and reduce the risk of UTIs.
  • Consider cranberry supplements: Cranberry supplements may help prevent UTIs by preventing bacterial adhesion.
  • Monitor UTI symptoms and report any changes to your doctor.
  • If antibiotics are prescribed, take them as directed and complete the full course.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.
  • Skin rash caused by allergies is due to irritants or allergens. Therefore, avoid contact with such irritants.
  • Consult your doctor for proper medication and apply an anti-itch medication. Follow the schedule and use the medication whenever needed.
  • Protect your skin from extreme heat and try to apply wet compresses.
  • Soak in the cool bath, which gives a soothing impact to the affected area.

Directions for Use

  • Take Xtracal CT Tablet with or without food, or as advised by a doctor.
  • 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 Xtracal CT Tablet Works

Xtracal CT Tablet is a combination of two drugs: Elemental Calcium (mineral) and Calcitriol (vitamin D3). Elemental 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 human-made form of Vitamin D3 and treats calcium deficiency with hypoparathyroidism (the decreased activity of parathyroid glands) 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 stomach.
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Alcohol

Consult your doctor

The interaction of alcohol with Xtracal CT Tablet is unknown. Please consult a doctor before consuming alcohol with Xtracal CT Tablet .

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Pregnancy

Consult your doctor

Please consult a doctor if you are pregnant. Xtracal CT Tablet is given to pregnant women if the doctor thinks benefits outweigh risks.

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Breast Feeding

Consult your doctor

It is unknown whether Xtracal CT Tablet is excreted in human milk. Therefore, please consult a doctor if you are breastfeeding. Xtracal CT Tablet is given to breastfeeding mothers only if the doctor thinks the benefits are greater than the risks.

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Driving

Safe if suggested

Xtracal CT Tablet usually does not affect your ability to drive or operate machinery.

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Liver

Consult your doctor

Consult your doctor if you have any history of liver diseases before taking Xtracal CT Tablet . Liver disease can alter the metabolism and therapeutic activity of certain forms of Vitamin D.

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Kidney

Consult your doctor

Take Xtracal CT Tablet with caution, especially if you have a history of kidney diseases. The dose may be adjusted by your doctor as required.

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Children

Consult your doctor

Xtracal CT Tablet should be used in children only if recommended by a doctor.

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Heart

Caution

Xtracal CT Tablet should be taken with extreme caution in patients with heart disease. Please consult your physician.

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Geriatrics

Safe if suggested

Xtracal CT Tablet can be safely given in elderly patients if recommended by the physician.

What if I have taken an overdose of Xtracal CT Tablet

Do not take more than the suggested dose of Xtracal CT Tablet as it may cause undesirable effects. If you suspect you have taken an overdose, please consult a doctor immediately.

Diet & Lifestyle Advise

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

Have a query?

How Soon It Starts Working

  • The time required for Xtracal CT Tablet to start to work: The time required for Xtracal CT Tablet to show its action is unknown. 
  • The time for which the effects of Xtracal CT Tablet last: The duration of action for Xtracal CT 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 Xtracal CT Tablet

If you miss a dose of Xtracal CT 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.

Drug Warnings

  • If you are allergic to Xtracal CT Tablet or any other medicines, please tell your doctor.
  • If you are pregnant or planning to become pregnant, it is advised to inform your doctor before using Xtracal CT Tablet .
  • Consult your doctor if you are pregnant or breastfeeding.
  • Xtracal CT 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), or malabsorption syndrome (difficulty absorbing nutrients from food).
  • Inform your doctor before taking Xtracal CT Tablet if you have any heart/kidney/liver/blood vessel diseases, kidney stones, 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, or a phosphate imbalance.
  • Xtracal CT Tablet may contain sugar or sorbitol; hence, caution should be taken in case of intolerance to sugars, diabetes, and phenylketonuria (increased levels of an amino acid called phenylalanine).

Drug-Drug Interactions

verifiedApollotooltip

Drug-Drug Interaction: Xtracal CT Tablet may have interaction with antibiotics (doxycycline, minocycline, ciprofloxacin, levofloxacin), drugs used to treat bone loss (alendronate), anti-cancer drug (estramustine), thyroid drugs (levothyroxine), high cholesterol-lowering medicines (cholestyramine, colestipol), weight-loss drugs (orlistat), iron supplement (ferrous sulfate), calcium supplements (ergocalciferol, cholecalciferol), painkillers (aspirin), antidepressants (duloxetine).

Drug-Food Interaction: Avoid spinach, rhubarb, bran, and whole grains with Xtracal CT Tablet as they may reduce the absorption of calcium.

Drug-Disease Interaction: If you have cancer, kidney stones, high levels of calcium or vitamin D in the blood, parathyroid gland disorder, liver, kidney, or heart problems, sarcoidosis (growth of tiny collections of inflammatory cells in any part of the body), Crohn's disease, Whipple's disease (a bacterial infection that most often affects joints and digestive system), achlorhydria (absence of stomach acid), inform your doctor before taking Xtracal CT Tablet .

CalcitriolDoxercalciferol
Severe
CalcitriolErgocalciferol
Severe

Drug-Drug Interactions

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CalcitriolDoxercalciferol
Severe
How does the drug interact with Xtracal CT Tablet:
Co-administration of Doxercalciferol and Xtracal CT Tablet are forms of vitamin D, and taking too much vitamin D may lead to toxic effects related to increased calcium levels in the blood and urine.

How to manage the interaction:
Taking Doxercalciferol with Xtracal CT Tablet can lead to an interaction, it can be taken if advised by a doctor. Consult the prescriber if you experience symptoms of vitamin D intoxication such as weakness, fatigue, headache, vertigo, drowsiness, ringing in the ears, loss of appetite, nausea, vomiting, constipation, dry mouth, metallic taste, muscle pain, bone pain, muscle incoordination, and low muscle tone. Do not discontinue the medication without consulting a doctor.
CalcitriolErgocalciferol
Severe
How does the drug interact with Xtracal CT Tablet:
Co-administration of Ergocalciferol and Xtracal CT Tablet are forms of vitamin D, and taking too much vitamin D may lead to toxic effects related to increased calcium levels in the blood and urine.

How to manage the interaction:
Co-administration of Ergocalciferol with Xtracal CT Tablet can lead to an interaction, it can be taken if advised by a doctor. Consult the prescriber if you experience symptoms of vitamin D intoxication such as weakness, fatigue, headache, vertigo, drowsiness, ringing in the ears, loss of appetite, nausea, vomiting, constipation, dry mouth, metallic taste, muscle pain, bone pain, muscle incoordination, and low muscle tone. Do not discontinue the medication without consulting a doctor.
CalcitriolDihydrotachysterol
Severe
How does the drug interact with Xtracal CT Tablet:
Co-administration of Xtracal CT Tablet with Dihydrotachysterol can increase the risk of adverse effects.

How to manage the interaction:
Co-administration of Dihydrotachysterol with Xtracal CT Tablet can possibly result in an interaction, but it can be taken if your doctor has advised it. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, throwing up, constipation, dry mouth, strange taste in your mouth, muscle or bone pain, trouble coordinating movements, weak muscles, peeing a lot, feeling very thirsty, losing weight, eye infection, sensitivity to light, itching, or a higher body temperature - make sure to call a doctor right away. Do not discontinue any medications without consulting a doctor.
CalcitriolRifapentine
Severe
How does the drug interact with Xtracal CT Tablet:
Co-administration of Rifapentine with Xtracal CT Tablet may decrease the effects of Xtracal CT Tablet.

How to manage the interaction:
Although there is an interaction, Xtracal CT Tablet can be taken with Rifapentine if prescribed by the doctor. The doctor may recommend dose adjustment or special tests to use both medicines safely. Do not discontinue the medication without consulting a doctor.
CalcitriolOrlistat
Severe
How does the drug interact with Xtracal CT Tablet:
Co-administration of Orlistat with Xtracal CT Tablet may reduce the levels of Xtracal CT Tablet which can lead to low treatment outcomes.

How to manage the interaction:
Although there is an interaction, Xtracal CT Tablet can be taken with Orlistat when prescribed by the doctor. Do not discontinue any medications without consulting a doctor.
CalcitriolDigitoxin
Severe
How does the drug interact with Xtracal CT Tablet:
Co-administration of Xtracal CT Tablet with Digitoxin may increase the risk or severity of digitoxin toxicity and irregular heart rhythm.

How to manage the interaction:
Although there is an interaction, Xtracal CT Tablet can be taken with Digitoxin if prescribed by the doctor. Consult the prescriber if you experience symptoms that could indicate high blood calcium, such as weakness, fatigue, headache, dizziness, drowsiness, ringing in the ears, loss of appetite, nausea, vomiting, constipation, dry mouth, a metallic taste in the mouth, bone or muscle pain, incoordination, frequent urination, and weight loss. Also, seek medical attention if you experience symptoms of digitoxin toxicity, such as blurred vision, slow pulse, or irregular heartbeats. Do not discontinue the medication without consulting a doctor.
CalcitriolCarbamazepine
Severe
How does the drug interact with Xtracal CT Tablet:
Co-administration of Xtracal CT Tablet with Carbamazepine may decrease the effects of Xtracal CT Tablet.

How to manage the interaction:
Although there is an interaction, Xtracal CT Tablet can be taken with Carbamazepine if prescribed by the doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
CalcitriolColecalciferol
Severe
How does the drug interact with Xtracal CT Tablet:
Co-administration of Cholecalciferol and Xtracal CT Tablet 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 colecalciferol and Xtracal CT Tablet, 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.
CalcitriolBurosumab
Severe
How does the drug interact with Xtracal CT Tablet:
Co-administration of Xtracal CT Tablet and Burosumab may cause increases in phosphorus and vitamin D levels in the blood, which may lead to an increased risk of kidney stones.

How to manage the interaction:
There may be a possibility of interaction between Xtracal CT Tablet and Burosumab, but it can be taken if prescribed by a doctor. If you have any of these symptoms like kidney stones, it's important to contact a doctor right away. Do not stop using any medications without a doctor's advice. Do not discontinue the medication without consulting a doctor.
CalcitriolMetolazone
Severe
How does the drug interact with Xtracal CT Tablet:
Co-administration of Metolazone with Xtracal CT Tablet can cause blood calcium levels to become too high.

How to manage the interaction:
Although there is an interaction, Xtracal CT Tablet can be taken with metolazone if prescribed by the doctor. Consult the doctor if you experience symptoms such as dizziness, drowsiness, weakness, lethargy, headache, nausea, vomiting, or seizures. Do not discontinue the medication without consulting a doctor.

Drug-Food Interactions

verifiedApollotooltip
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Therapeutic Class

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FAQs

Xtracal CT Tablet belongs to the class of nutritional supplements used to prevent or treat low blood calcium levels.

Xtracal CT Tablet contains Elemental Calcium and Calcitriol. Elemental 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 man-made form of Vitamin D3 and treats calcium deficiency with hypoparathyroidism (the decreased activity of parathyroid glands) 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 stomach.

You are not recommended to take Xtracal CT Tablet if you have hypervitaminosis D (high levels of vitamin D in the blood) as it may worsen the condition. However, please consult a doctor before using Xtracal CT Tablet .

You are not recommended to take Xtracal CT Tablet with levothyroxine as co-administration of these two medicines at the same time may reduce the effectiveness of levothyroxine. However, if you are supposed to take both the medicines, you are advised to maintain a time gap of a minimum of 4 hours between taking Xtracal CT Tablet and levothyroxine.

Yes, Xtracal CT Tablet may interfere with certain laboratory tests, including cholesterol tests and may give false test results. Therefore, it is recommended to inform your doctor or lab technician that you are taking Xtracal CT Tablet before undergoing any tests.

Xtracal CT Tablet may cause kidney stones due to the accumulation of high levels of calcium when used for a prolonged time. Therefore, please consult a doctor before taking Xtracal CT Tablet if you have any kidney problems or a history of kidney stones.

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Author Details

Veda MaddalaDoctor badge

Written By

  • Veda Maddala

    M Pharmacy

Dr Aneela SiddabathuniDoctor badge

Reviewed By

  • Dr Aneela Siddabathuni

    MPharma., PhD

Last Updated

Doctor imageWe provide you with authentic, trustworthy and relevant information

Country of origin

INDIA

Manufacturer/Marketer address

4F10, Ballad Estates, Tarnaka, Hyderabad - 500017, TS, India.
Other Info - XTR0094
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