How long did you take this medication to work?
What is Tacal D3?
Treating or preventing calcium deficiency. It may also be used for other conditions as determined by your doctor.
Tacal D3 is a dietary supplement. It works by providing extra calcium to the body.
Tacal D3 indications
this antacid is useful for the temporary relief of occasional indigestion and heartburn. Frequent, daily or nightly symptoms usually mean a more serious problem. Antacids by themselves do not correct these problems. The medications that are now available to treat acid problems are generally superior to antacids.
The second and more important use of Calcium Carbonate (Tacal D3) is as a source of calcium, necessary for bones and teeth and to prevent osteoporosis. A quart of milk contains about 1500 mg of calcium which is about what you need. Otherwise this or a similar calcium preparation can be taken.
How should I use Tacal D3?
Use Tacal D3 as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Take Tacal D3 by mouth with or without food.
- Take Tacal D3 with a full glass of water (8 oz/240 mL).
- If you also take azole antifungals (eg, ketoconazole), bisphosphonates (eg, etidronate), cation exchange resins (eg, sodium polystyrene sulfonate), cephalosporins (eg, cefdinir), doxycycline, iron, quinolones (eg, ciprofloxacin, levofloxacin), tetracyclines (eg, doxycycline), or thyroid hormones (eg, levothyroxine), ask your doctor or pharmacist how to take them with Tacal D3.
- If you miss a dose of Tacal D3, take it as soon as you remember. Continue to take it as directed by your doctor or on the package label.
Ask your health care provider any questions you may have about how to use Tacal D3.
Uses of Tacal D3 in details
This combination medication is used to prevent or treat low blood calcium levels in people who do not get enough calcium from their diets. It may be used to treat conditions caused by low calcium levels such as bone loss (osteoporosis), weak bones (osteomalacia/rickets), decreased activity of the parathyroid gland (hypoparathyroidism), and a certain muscle disease (latent tetany). It may also be used in certain patients to make sure they are getting enough calcium (e.g., women who are pregnant, nursing, or postmenopausal, people taking certain medications such as phenytoin, phenobarbital, or prednisone).
Calcium plays a very important role in the body. It is necessary for normal functioning of nerves, cells, muscle, and bone. If there is not enough calcium in the blood, then the body will take calcium from bones, thereby weakening bones. Vitamin D helps your body absorb calcium and phosphorus. Having the right amounts of vitamin D, calcium, and phosphorus is important for building and keeping strong bones.
How to use Tacal D3(3)
Take this medication by mouth with food. If your product contains calcium citrate, then it may be taken with or without food. Follow all directions on the product package, or take as directed by your doctor. For best absorption, if your total daily dose is more than 600 milligrams, then divide your dose and space it throughout the day. If you are uncertain about any of the information, consult your doctor or pharmacist.
If you are using the liquid form of this medication, carefully measure the dose using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose.
If you are taking the chewable form of this medication, chew thoroughly before swallowing. If you are taking capsules, swallow each capsule whole.
Do not crush or chew extended-release tablets. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split the tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing.
Use this medication regularly to get the most benefit from it. To help you remember, take it at the same time(s) each day.
If your doctor has recommended that you follow a special diet, it is very important to follow the diet to get the most benefit from this medication and to prevent serious side effects. Do not take other supplements/vitamins unless ordered by your doctor.
Calcium supplements come in different forms that contain different amounts of calcium/vitamin D. Ask your doctor or pharmacist to help select the best product for you.
If you think you may have a serious medical problem, seek immediate medical attention.
Tacal D3 description
Each chewable tablet contains Calcium Carbonate (Tacal D3) 1500 mg (equivalent to elemental calcium 600 mg) and cholecalciferol concentrate 4 mg (equivalent to vitamin D3 400 IU).
Tacal D3 dosage
Adult and the Elderly:
Elderly:1 tab twice daily [eg, 1 tab in the morning and in the evening (equivalent to calcium 1200 mg & vitamin D3 800 IU)]. Reduction of intake should be considered necessary following the monitoring of calcium levels.
Pregnant Women: 1 tab daily. No dose adjustment is required in cases of hepatic insufficiency.
The tablets are chewed and then swallowed with some liquid. In exceptional cases (eg, disabled patients), the tablets can, after consulting a doctor, be sucked.
Tacal D3 should be taken by adults only.
Tacal D3 interactions
Thiazide diuretics reduce calcium excretion in the urine. Because of the increased risk of hypercalcaemia, calcium monitoring is recommended in cases when thiazide diuretics are given simultaneously.
Systemic corticosteroids reduce calcium absorption. In the case of concomitant administration of corticosteroids, it might be necessary to increase the dose of Tacal D3.
Orlistat, combined ion-exchange resin treatment eg, cholestyramine or laxatives eg, paraffin oil can reduce the gastrointestinal absorption of vitamin D3. An interval of at least 2 hrs should be observed between ingestion of ion-exchange resins (eg, cholestyramine) or laxatives and Tacal D3 as otherwise the absorption of vitamin D3 is reduced.
Calcium Carbonate (Tacal D3) can alter tetracycline absorption when given simultaneously. It is recommended that taking tetracycline be staggered by at least 2 hrs before or 4-6 hrs after taking calcium by mouth.
Hypercalcaemia can increase the toxicity of cardiac glycosides in the case of simultaneous administration with calcium and vitamin D. Consequently patients must be monitored regularly (ECG check and calcaemia).
Rifampicin, phenytoin or barbiturates may reduce the activity of vitamin D3, since they increase the rate of its metabolism.
Calcium salts may decrease the absorption of iron, zinc or strontium. Consequently, the iron, zinc or strontium preparation should be taken at a distance of 2 hrs from the calcium preparation.
Calcium salts may reduce the absorption of the estramustin or thyroid hormones. It is recommended that taking Tacal D3 be spaced at least 2 hrs from these medicines.
In the case of concomitant bisphosphonate, sodium fluoride or fluoroquinolone administration, it is recommended that taking Tacal D3 be spaced by at least 3 hrs, as their absorption during digestion may be reduced.
Oxalic acid (found in spinach and rhubarb) and phytic acid (found in wholegrain cereals) can inhibit calcium absorption by forming insoluble compound with calcium ions. Patients must not take calcium containing-products in the 2 hrs after the consumption of foods rich in oxalic acid and phytic acid.
Tacal D3 side effects
Applies to acetaminophen: capsule, capsule liquid filled, elixir, liquid, powder, powder for solution, solution, suppository, suspension, syrup, tablet, tablet chewable, tablet disintegrating, tablet effervescent, tablet extended release
Other dosage forms:
- intravenous solution
As well as its needed effects, acetaminophen (the active ingredient contained in Tacal D3) may cause unwanted side effects that require medical attention.
Major Side Effects
If any of the following side effects occur while taking acetaminophen, check with your doctor immediately:
- Bloody or black, tarry stools
- bloody or cloudy urine
- fever with or without chills (not present before treatment and not caused by the condition being treated)
- pain in the lower back and/or side (severe and/or sharp)
- pinpoint red spots on the skin
- skin rash, hives, or itching
- sore throat (not present before treatment and not caused by the condition being treated)
- sores, ulcers, or white spots on the lips or in the mouth
- sudden decrease in the amount of urine
- unusual bleeding or bruising
- unusual tiredness or weakness
- yellow eyes or skin
If any of the following symptoms of overdose occur while taking acetaminophen, get emergency help immediately:
Symptoms of overdose:
- increased sweating
- loss of appetite
- nausea or vomiting
- stomach cramps or pain
- swelling, pain, or tenderness in the upper abdomen or stomach area
Tacal D3 contraindications
Hypersensitivity to the Calcium Carbonate (Tacal D3) or cholecalciferol, or to any of the excipients of Tacal D3. Renal failure; hypercalciuria and hypercalcaemia and diseases and/or conditions, which lead to hypercalcaemia and/or hypercalciuria (eg, myeloma, bone metastases, primary hyperparathyroidism); kidney stones (nephrolitiasis, nephrocalcinosis); hypervitaminosis D.
Active ingredient matches for Tacal D3:
Calcium Carbonate/Colecalciferol in Netherlands.
List of Tacal D3 substitutes (brand and generic names)
|Sort by popularity|
|Unit description / dosage (Manufacturer)||Price, USD|
|Capsule; Oral; Calcium / Calcium Carbonate 320 mg; Vitamin D3 / Cholecalciferol 125 IU (Sanitas)|
|Sanidecal-D Forte (Chile)|
|Capsule; Oral; Calcium / Calcium Carbonate 450 mg; Vitamin D3 / Cholecalciferol 175 IU|
|Shelcal (Georgia, India)|
|Shelcal Ca carbonate 1250mg, Vit D3250iu TAB / 15 (Elder Pharmaceuticals Pvt Ltd)||$ 0.76|
|Shelcal Ca 500mg, Vit D3 250iu TAB / 15 (Elder Pharmaceuticals Pvt Ltd)||$ 0.51|
|Shelcal Ca carbonate 625mg, Vit D3125iu TAB / 30 (Elder Pharmaceuticals Pvt Ltd)||$ 0.76|
|30's (Elder Pharmaceuticals Pvt Ltd)||$ 0.76|
|15's (Elder Pharmaceuticals Pvt Ltd)||$ 0.76|
|Shelcal 1 Bottle 150 mL (Elder Pharmaceuticals Pvt Ltd)|
|Shelcal 625 mg+125 iu Tablet (Elder Pharmaceuticals Pvt Ltd)||$ 0.03|
|Shelcal 200 ml Syrup (Elder Pharmaceuticals Pvt Ltd)||$ 0.02|
|Shelcal 250 mg+125 iu Tablet (Elder Pharmaceuticals Pvt Ltd)||$ 0.03|
|Shelcal 150 ml Suspension (Elder Pharmaceuticals Pvt Ltd)||$ 0.02|
|Shelcal 1250 mg+250 iu Tablet (Elder Pharmaceuticals Pvt Ltd)||$ 0.06|
|Shelcal 500 mg+250 iu Tablet (Elder Pharmaceuticals Pvt Ltd)||$ 0.06|
|Super Calcio+Vit. D (Peru)|
|Tablet; Oral; Acetaminophen 500 mg (Medicus)|
|Tablets; Oral; Acetaminophen 500 mg (Medicus)|
|theiCal-D3 (United Kingdom)|
|Thompson's Liquid Calcium (New Zealand)|
|Tonacal D3 (Italy)|
|Tablet; Oral; Calcium / Calcium Carbonate; Calcium Gluconate; Calcium Phosphate Tribasic; Vitamin D3 (Svizera (ACE))|
|Trical-D Ca Carbonate 500mg, Vit D3250iu TAB / 15 (Svizera (ACE))||$ 0.72|
|Trical-D Ca Carbonate 250mg, Vit D3125iu TAB / 30 (Svizera (ACE))||$ 0.72|
|TRICAL-D tab 30's (Svizera (ACE))||$ 0.72|
|TRICAL-D tab 15's (Svizera (ACE))||$ 0.72|
|Varcal Forte (India)|
|VARCAL FORTE tab 10's (Zota)||$ 0.40|
|Veriscal D (Spain)|
|Vicalvit D (Poland)|
|Vit-Dcal Calcium carbonate 1250 mg, cholecalciferol 200 IU. TAB / 15 (Fenestra)||$ 1.64|
|VIT-DCAL tab 15's (Fenestra)||$ 1.81|
|Vita Calcea (Belgium)|
|Vitrum Calcium + Vitamin D3 (Georgia)|
|Tablet, Film-Coated; Oral; Calcium Carbonate / Oyster Shells 1.25 g; Vitamin D3 / Cholecalciferol 200 IU|
|Vitrum Calcium + Vitamin D3 - 60 Tablets||$ 19.80|
|Zivical D (Colombia)|
- DailyMed. "CALCIUM CARBONATE; FAMOTIDINE; MAGNESIUM HYDROXIDE: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailyme... (accessed September 17, 2018).
- DailyMed. "CALCIUM: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailyme... (accessed September 17, 2018).
- PubChem. "Calcium". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
ReviewsThe results of a survey conducted on ndrugs.com for Tacal D3 are given in detail below. The results of the survey conducted are based on the impressions and views of the website users and consumers taking Tacal D3. We implore you to kindly base your medical condition or therapeutic choices on the result or test conducted by a physician or licensed medical practitioners.
Consumer reported usefulNo survey data has been collected yet
Consumer reported price estimatesNo survey data has been collected yet
Consumer reported time for resultsNo survey data has been collected yet
1 consumer reported age
There are no reviews yet. Be the first to write one!
Information checked by Dr. Sachin Kumar, MD Pharmacology