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EP Cal Tablet is a combination medicine primarily used to treat nutritional deficiencies, low calcium levels (hypocalcaemia), osteoporosis, osteomalacia (Rickets), and Vitamin D deficiency. This medicine works by increasing the calcium and vitamin D levels in the body and regulates bodily functions, thus providing essential nutrients necessary for bone formation and maintenance. Common side effects include constipation, nausea, vomiting, and stomach upset.

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Written By Veda Maddala , M Pharmacy
Reviewed By Santoshini Reddy G , M Pharmacy
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More about the Product

Composition :

CALCIUM CITRATE-1000MG+MAGNESIUM-100MG+VITAMIN D3-200IU+ZINC-4MG

Manufacturer/Marketer :

Estragen Pharma Pvt Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About EP Cal Tablet

EP Cal Tablet is a supplement suggested to prevent or treat low blood calcium levels in people who do not get enough calcium from their diets. It is commonly used to support bone health and manage conditions like osteoporosis, weak bones (osteomalacia), and decreased activity of the parathyroid gland. By addressing these nutritional gaps, it helps maintain the health of your skeletal system.

To get the most benefit, you should take EP Cal Tablet regularly and at the same time each day. It can be taken with or without food, though taking it with a meal may improve absorption and decrease the risk of mild stomach upset. Making simple lifestyle adjustments, such as including calcium-rich foods in your diet and doing light weight-bearing exercises, will help maximise its effectiveness.

While most people tolerate this supplement well, some may experience mild side effects like constipation or stomach upset. If you notice any unusual or serious symptoms, such as severe nausea, vomiting, or muscle weakness, stop taking it and consult your doctor immediately. These symptoms can be an early sign of excessively high mineral levels in your body.

Do not take this if you have high calcium levels in your blood or urine, or severe kidney disease. You should talk to your doctor before starting EP Cal Tablet if you have a history of kidney stones, heart disease, or sarcoidosis. These conditions can alter how your body processes minerals, requiring careful medical monitoring.

This supplement can interact with certain antibiotics and thyroid medications, reducing their absorption and making them less effective. If you are pregnant, breastfeeding, or an older adult, talk to your doctor or pharmacist to ensure this supplement is safe and appropriate for your specific nutritional needs.

Uses of EP Cal Tablet

EP Cal Tablet is used to treat or prevent low blood calcium levels. The detailed uses of EP Cal Tablet are as follows:

  • Osteoporosis: EP Cal Tablet helps slow down bone loss and maintains bone density in individuals with weak, thinning, or brittle bones.
  • Calcium Deficiency: It restores low calcium levels in the body, which is essential for healthy nerves, muscles, bones, and heart function.
  • Osteomalacia: It provides the necessary building blocks to treat soft bones, ensuring proper bone mineralisation and strength.
  • Hypoparathyroidism: It helps manage low parathyroid hormone levels by maintaining stable, healthy calcium levels in the blood.

Key Benefits

EP Cal Tablet helps replenish essential nutrients that support strong bones, healthy muscles, and normal nerve function. With regular use, it helps improve mobility, reduce muscle cramps, and promote overall physical well-being.

  • Supports Strong Bones: By providing nutrients essential for bone health, this medicine helps maintain bone density, reduces the risk of fractures, and supports comfortable, independent movement.
  • Promotes Healthy Muscle and Nerve Function: This medicine supports normal muscle contractions and nerve signalling, helping reduce muscle cramps, spasms, and muscle weakness.
  • Supports Overall Health: The essential nutrients help maintain healthy cellular function, strengthen the immune system, and support daily energy levels for improved overall well-being.
Side effects of EP Cal Tablet
Here are the steps to cope with constipation as a side effect of medication:
  • Inform your doctor about your constipation symptoms. They may adjust your medication or advise alternative treatments.
  • Stay hydrated by drinking sufficient of water (at least 8-10 glasses a day) to help soften stool and promote bowel movements.
  • Increase fibre intake by eating foods high in fibre, such as fruits, whole grains, vegetables and legumes, to help bulk up the stool.
  • Establish a bowel routine by trying to go to the bathroom at the same time each day to train your bowels.
  • Engaging in regular exercise, like walking or yoga, can support in bowel movement stimulation.
  • Consult your doctor if constipation persists, and discuss alternative treatments or adjustments to your medication.

Directions for Use

  • EP Cal Tablet can be taken with or without food as advised by your doctor.
  • Follow your doctor’s instructions on the dosage and timing of this medication.
  • Swallow EP Cal Tablet as a whole with a glass of water.
  • Do not crush, break, or chew it.

How EP Cal Tablet Works

EP Cal Tablet works through the combined action of its four key components to support bone structure and metabolic functions. Calcium citrate serves as a highly absorbable source of calcium, which is the primary mineral used by the body to build and maintain strong bones and teeth. Vitamin D3 (cholecalciferol) plays a critical role by helping your intestines absorb calcium efficiently from your diet. Magnesium helps convert vitamin D into its active form and regulates calcium transport across cell membranes, ensuring calcium goes into the bones rather than depositing in soft tissues. Zinc stimulates bone-building cells (osteoblasts) and prevents the excessive breakdown of bone tissue, while also supporting immune health.
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Alcohol

Caution

Avoid consumption of alcohol while taking EP Cal Tablet .

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Pregnancy

Caution

Please consult your doctor before taking EP Cal Tablet if you are pregnant or if you have any concerns regarding this; your doctor will advise only if the benefits outweigh the risks.

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Breast Feeding

Caution

Consult your doctor before taking EP Cal Tablet ; your doctor will decide whether EP Cal Tablet can be taken by breastfeeding mothers or not.

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Driving

Safe

EP Cal Tablet is unlikely to affect your ability to drive. However, drive or operate machinery only if you are alert.

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Liver

Caution

Please consult your doctor before taking EP Cal Tablet if you have a liver impairment or any concerns regarding this.

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Kidney

Caution

Please consult your doctor before taking EP Cal Tablet if you have kidney impairment or any concerns regarding this.

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Children

Caution

EP Cal Tablet should be given to children only if advised by the doctor.

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Heart

Consult your doctor

Inform your doctor if you have any existing heart disease. Your doctor will recommend this medicine only if the potential benefits outweigh the risks.

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Geriatrics

Safe if suggested

EP Cal Tablet is generally considered safe for elderly patients when recommended by a doctor. Seek medical advice if you have any concerns.

What if I have taken an overdose of EP Cal Tablet

If you suspect an overdose, seek immediate medical attention. Symptoms of an overdose may include severe nausea, vomiting, extreme thirst, constipation, confusion, or muscle weakness.

Diet & Lifestyle Advise

  • Include calcium-rich foods in your diet, such as dairy products, leafy green vegetables, and fortified foods, to support the effects of EP Cal Tablet .
  • Engage in regular weight-bearing exercises like walking, jogging, or resistance training to help strengthen your bones.
  • Limit your intake of caffeine, alcohol, and carbonated beverages, as these can interfere with how your body absorbs and uses calcium.
  • Avoid smoking, as tobacco use is linked to decreased bone density and an increased risk of bone fractures.
  • Spend a few minutes in safe, direct sunlight daily to help your body produce natural vitamin D, which further aids calcium absorption.
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How Soon It Starts Working

The time required for EP Cal Tablet to start to work: The time required for EP Cal Tablet to show its action is unknown. The time for which the effects of EP Cal Tablet last: The duration of action for EP Cal Tablet is clinically unknown.

Storage

• Store EP Cal Tablet tablets at room temperature, ideally between 15°C and 30°C (59°F to 86°F).

What if you forget to take EP Cal Tablet

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

Drug Warnings

  • Check the expiration date on the package before use, and do not take tablets that are expired or damaged.
  • If you are taking other medications, such as iron supplements or certain antibiotics, space them at least 2 hours before or 4 to 6 hours after taking EP Cal Tablet to prevent absorption issues.
  • Inform your doctor if you have a history of kidney stones before starting this supplement.
  • Let all your healthcare providers, including dentists and surgeons, know that you are taking EP Cal Tablet regularly.
  • Monitor your blood and urine calcium levels periodically if your doctor advises you to do so during long-term therapy.

Drug-Drug Interactions

verifiedApollotooltip
  • Antibiotics (Tetracyclines and Quinolones): Taking these with EP Cal Tablet can significantly reduce the absorption and effectiveness of the antibiotic. Space these medications out as advised by your pharmacist.
  • Thyroid Medications (Levothyroxine): EP Cal Tablet can lower the absorption of thyroid hormones. Take your thyroid medication at least 4 hours apart from this supplement.
  • Thiazide Diuretics: Taking these water pills alongside EP Cal Tablet may increase the risk of developing excessively high calcium levels in your blood.
    Iron Supplements: Calcium can interfere with the body's ability to absorb iron. Space these supplements several hours apart.
Calcium citrate + Magnesium hydroxide + Zinc sulfate + ColecalciferolDihydroxialumini sodium carbonate
Severe
Calcium citrate + Magnesium hydroxide + Zinc sulfate + ColecalciferolPatiromer calcium
Severe

Drug-Drug Interactions

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Calcium citrate + Magnesium hydroxide + Zinc sulfate + ColecalciferolDihydroxialumini sodium carbonate
Severe
How does the drug interact with EP Cal Tablet:
Co-administration of Calcium citrate with Dihydroxyaluminum sodium carbonate may increase the effects of Dihydroxyaluminum sodium carbonate, which could result in too high aluminum blood levels.

How to manage the interaction:
Although there is an interaction, Calcium citrate can be used with Dihydroxyaluminum sodium carbonate if prescribed by the doctor. However, maintain a gap of 2-3 hours between both medicines. Do not discontinue the medication without consulting a doctor.
Calcium citrate + Magnesium hydroxide + Zinc sulfate + ColecalciferolPatiromer calcium
Severe
How does the drug interact with EP Cal Tablet:
Taking Magnesium hydroxide and Patiromer calcium may reduce the effectiveness of patiromer calcium.

How to manage the interaction:
Although taking Magnesium hydroxide and Patiromer calcium together can evidently cause an interaction, it can be taken if your doctor has suggested it. However, if you experience any symptoms contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
Calcium citrate + Magnesium hydroxide + Zinc sulfate + ColecalciferolErgocalciferol
Severe
How does the drug interact with EP Cal 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 colecalciferol 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.
Calcium citrate + Magnesium hydroxide + Zinc sulfate + ColecalciferolAluminium hydroxide
Severe
How does the drug interact with EP Cal Tablet:
Co-administration of Calcium citrate with Aluminum hydroxide may increase the effects of aluminum hydroxide, which could result in too high aluminum blood levels.

How to manage the interaction:
Although there is an interaction, calcium citrate can be used with aluminum hydroxide if prescribed by the doctor. However, maintain a gap of 2-3 hours between both medicines. Do not discontinue the medication without a doctor's advice.
Calcium citrate + Magnesium hydroxide + Zinc sulfate + ColecalciferolCalcitriol
Severe
How does the drug interact with EP Cal Tablet:
Co-administration of Cholecalciferol and Calcitriol are forms of vitamin D, and taking too much vitamin D may lead to side effects.

How to manage the interaction:
Although there is a possible interaction between colecalciferol 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 citrate + Magnesium hydroxide + Zinc sulfate + ColecalciferolCalcifediol
Severe
How does the drug interact with EP Cal 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 colecalciferol and calcifediol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms, contact a doctor right away. Do not discontinue any medications without consulting a doctor.
Calcium citrate + Magnesium hydroxide + Zinc sulfate + ColecalciferolDoxercalciferol
Severe
How does the drug interact with EP Cal 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 colecalciferol 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.
Calcium citrate + Magnesium hydroxide + Zinc sulfate + ColecalciferolSucralfate
Severe
How does the drug interact with EP Cal Tablet:
The serum concentration of Sucralfate can be increased when it is combined with Cholecalciferol.

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.
Calcium citrate + Magnesium hydroxide + Zinc sulfate + ColecalciferolGefitinib
Severe
How does the drug interact with EP Cal Tablet:
Taking gefitinib with magnesium hydroxide can reduce the effectiveness of gefitinib

How to manage the interaction:
Although taking Magnesium hydroxide and Gefitinib together can possibly result in an interaction, they can be taken together if prescribed by your doctor. In case you experience any unusual side effects, consult a doctor. Do not discontinue using any medications without consulting a doctor.
Calcium citrate + Magnesium hydroxide + Zinc sulfate + ColecalciferolDolutegravir
Severe
How does the drug interact with EP Cal Tablet:
Co-administration of Dolutegravir with Calcium citrate can reduce the effectiveness of dolutegravir.

How to manage the interaction:
Although there is an interaction, Calcium citrate can be used with Dolutegravir if prescribed by the doctor. However, take dolutegravir at least two hours before or six hours after calcium citrate. Do not discontinue the medication without consulting a doctor.

Drug-Food Interactions

verifiedApollotooltip
  • Foods High in Oxalic or Phytic Acid: Spinach, rhubarb, bran, and whole grains can bind to calcium and reduce its absorption in your intestines. Avoid eating these foods within 2 hours of taking EP Cal Tablet .
CALCIUM CITRATE-1000MG+MAGNESIUM-100MG+VITAMIN D3-200IU+ZINC-4MGFiber rich foods

Drug-Food Interactions

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CALCIUM CITRATE-1000MG+MAGNESIUM-100MG+VITAMIN D3-200IU+ZINC-4MGFiber rich foods
Common Foods to Avoid:
Spinach

How to manage the interaction:
Taking calcium with food may improve absorption. Foods strong in oxalic acid (spinach or rhubarb) or phytic acid (bran and whole grains) may, however, inhibit calcium absorption. Calcium supplements can be taken with food to improve absorption. Consider taking calcium at least 2 hours before or after eating meals high in oxalic or phytic acid.

All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[NUTRITIONAL SUPPLEMENT]

FAQs

Yes. Constipation is a common side effect of calcium-containing supplements such as EP Cal Tablet . Drinking plenty of water, eating fibre-rich foods, and staying physically active may help relieve constipation. If your constipation is severe, persistent, or accompanied by significant abdominal pain, contact your doctor.
It is best to avoid taking EP Cal Tablet with coffee or tea because caffeine can interfere with your body's ability to absorb calcium. Try to wait at least an hour after taking your supplement before consuming caffeinated drinks. Talk to your doctor or pharmacist if you have more questions.
The duration of use depends entirely on the reason you were suggested this supplement, such as treating a temporary deficiency or managing long-term bone health. Your healthcare provider will guide you on how long to take it. Talk to your doctor for regular monitoring of your bone health.
Pregnant and breastfeeding women have specific daily requirements for calcium and other minerals. While these nutrients are vital, taking too much can be harmful, so you should always verify the correct dosage first. Talk to your doctor before starting EP Cal Tablet .
Yes, you can take EP Cal Tablet with or without food. However, if you experience a mild stomach upset or bloating, taking it with a meal can help prevent these symptoms. Talk to your doctor if stomach discomfort continues.
If you have a history of kidney stones, you should use this supplement with caution. Your body may handle calcium differently, so it is important to monitor your intake and drink plenty of fluids. Talk to your doctor to see if EP Cal Tablet is suitable for you.
Taking both together could lead to an accidental intake of too much calcium, magnesium, zinc, or vitamin D. It is best to review the labels of both products to avoid exceeding the daily recommended limits. Talk to your doctor or pharmacist to help check your supplement schedule.
Yes, EP Cal Tablet can lower the absorption of several common medications, including some antibiotics and thyroid treatments. To prevent this, you should space out your doses by several hours. Talk to your doctor or pharmacist for a personalised 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

B - 4/17, CHITRAKOOT (BASEMENT), NEAR CHITRAKOOT STADIUM JAIPUR - 302021, Rajasthan INDIA
Other Info - EPC0005

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