Adcal-D3 Caplets, 750 mg/200 I.U

Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist have told you.

• Keep this leaflet. You may need to read it again.
• Ask your pharmacist if you need more information or advice.
• If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.
• You must talk to a doctor if you do not feel better or if you feel worse.

1. What Adcal-D3 Caplets are and what they are used for
2. What you need to know before you take Adcal-D3 Caplets
3. How to take Adcal-D3 Caplets
4. Possible side effects
5. How to store Adcal-D3 Caplets
6. Contents of the pack and other information

• if you are allergic to calcium carbonate, vitamin D3 or any of the other ingredients of this medicine (listed in section 6).
• if you have measured high levels of calcium in your blood (hypercalcaemia). Your doctor will be able to tell you if you do.
• If you have severe kidney failure

Talk to your doctor or pharmacist before taking Adcal-D3 Caplets if you:

• Have been previously diagnosed with osteoporosis (thinning of the bones) due to long periods of inactivity, such as long-term bed rest.
• Have problems with your kidneys, for example a history of kidney stones. Signs of kidney stones include: pain in abdomen or groin, high temperature, feeling sweaty, nausea, vomiting, blood in urine or urine infection.
• Have measured high levels of calcium in your blood (hypercalcaemia) or measured high levels of calcium in your urine (hypercalciuria). Signs of hypercalcaemia include: abdominal pain, excessive thirst and urination, nausea, vomiting, stomach ache, constipation.
• Have been told you have sarcoidosis (inflammation that produces lumps of cells in various organs in the body). Typically, signs of sarcoidosis include: tender, red bumps on skin, shortness of breath or a persistant cough.
• Have previously been told that you have an intolerance to some sugars.
• Are taking any other medication, even those you may have bought for yourself without prescription.

If you are concerned that you may have any of the health conditions listed above, make an appointment with your doctor.

Tell your doctor or pharmacist if you are taking calcium supplements or antacids for indigestion, digitalis drugs (e.g. Lanoxin), diuretics or corticosteroids.

If you are taking thyroxine, bisphosphonates, zinc, strontium ranelate and iron or fluoride medicines, tetracycline or quinolone antibiotics make sure your doctor or pharmacist knows this. When taking these medicines leave a period of about 4 hours before taking your Adcal-D3 Caplets. Do not take any of these listed medicines at the same time as your Adcal-D3 Caplets.

Tell your doctor if you are taking orlistat as this may reduce absorption of vitamin D.

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

In pregnancy or when breast feeding, Adcal-D3 Caplets should only be used under medical supervision. Ask your doctor or pharmacist for advice before taking any medicine.

This medicine should not be taken within 2 hours of eating foods rich in oxalic acid (e.g. spinach and rhubarb), phosphate (e.g. bran), or phytic acid (e.g. whole cereals).

If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.

This medicine contains less than 1 mmol sodium (23 mg) per tablet, this is to say essentially ‘sodium-free’.

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme: Website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.

By reporting side effects you can help provide more information on the safety of this medicine.

• Each caplet contains the active substances calcium carbonate (750 mg equivalent to 300 mg of elemental calcium) and vitamin D3 (200 I.U. equivalent to 5 micrograms of colecalciferol).
• The other ingredients in the tablet core are colloidal silicon dioxide, microcrystalline cellulose, croscarmellose sodium, magnesium stearate, modified food starch, sucrose, sodium ascorbate, medium chain triglycerides, silicon dioxide, DL-alpha-tocopherol and pregelatinized starch.
• The orange film-coat contains hypromellose, polydextrose, acacia, talc, titanium dioxide, iron oxide yellow and iron oxide red.

Adcal-D3 Caplets are orange capsule-shaped film-coated tablets (‘caplets’) provided in bottles of 112 or 224 tablets. Not all pack sizes may be marketed.