Shelcal 500 mg Tablet (15 Tab)

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What is Shelcal 500 Tablet used for?
Shelcal 500 is a calcium and vitamin D3 tablet. It promotes bone health and reduces the risk of fractures in people with low calcium and vitamin D levels. It is used to treat bone diseases such as osteomalacia and osteoporosis, in which the bones become weak and brittle.

How should I take Shelcal 500 Tablet?
Take Shelcal 500 tablet through your mouth (orally) and swallow it whole with a full glass of water or milk. Do not cut, chew or crush the tablet or it may not provide the desired results. There is no best time to take a Shelcal 500 tablet. Take it at the same time everyday preferably with or after a meal. Take the dose as mentioned by your doctor in the prescription. Do not take more than the prescribed dose or you may experience severe side effects.

How does Shelcal 500 Tablet work?
Shelcal 500 works by increasing calcium and vitamin D levels in the body and strengthening the bones. It corrects calcium and Vitamin D deficiency in the body and reduces the risk of fractures especially in older men and postmenopausal women suffering from bone diseases like osteoporosis.

I missed a dose. What should I do?
If you forget to take a dose, take it as soon as you remember. If your next dose is due soon, skip the missed dose and continue with the next dose at the same time. Do not take two doses to compensate for the missed dose.

I have taken too much. What should I do?
If you have taken more than your prescribed dose you may experience severe side effects. Call your doctor immediately.

What are the benefits of Shelcal 500 tablet?
Calcium makes up a major part of the bones and is necessary for maintaining bone strength and normal functioning of muscles and nerves. Calcium cannot be produced by the body and must be obtained from the foods you eat. Vitamin D helps the body absorb calcium in the gut. In addition to sunlight exposure, vitamin D is also produced in the body as a result of the foods we eat. With age, calcium and vitamin D deficiencies become more common, resulting in weak and fragile bones prone to fractures. Shelcal 500 helps maintain the body’s calcium and vitamin D levels, thus promoting bone health. It is used to treat bone diseases such as osteomalacia, a condition in which bones become soft, weak and brittle. It can also be used in combination with other medicines to treat osteoporosis in the elderly and in postmenopausal women.

What are the side effects of Shelcal 500 tablet?
Side effects with Shelcal 500 are uncommon and rarely seen. It may cause stomach pain, constipation, nausea, flatulence, and diarrhea. To combat these side effects, rest and drink plenty of water throughout the day, and eat light, small meals. If you develop symptoms of allergy such as swelling of the face, lips, tongue, throat, or difficulty breathing, contact your doctor right away. Shelcal 500 tablets may cause numbness, drowsiness, headaches, heart failure, and lung disorders in rare cases. If you are on long-term treatment, your doctor will check your blood calcium levels and collect urine samples to monitor your kidney function, because high blood calcium levels (hypercalcemia) can cause severe side effects, often affecting the heart and kidneys.

What are the Precautions that I should take with Shelcal 500 Tablet?
If you are allergic to calcium, vitamin D3, or any other ingredients in Shelcal 500 Tablet, do not take it. Inform your doctor if you have or have had kidney stones (nephrolithiasis), kidney failure, high levels of vitamin D in your blood (hypervitaminosis D), or unusually high levels of calcium in your blood or urine. Also, if you are taking any other calcium or vitamin D3 medicines, let your doctor know as it may increase calcium levels in your blood excessively.

What are the substances that I should avoid with Shelcal 500 Tablet?
Shelcal 500 may interfere with the working of antibiotics like tetracycline and ciprofloxacin, so it should not be taken with them. It should not be taken with other medicines like diuretics (water drugs), corticosteroids, cholestyramine (drugs for high cholesterol), laxatives or heart medicines like cardiac glycosides. Shelcal 500 interacts with some foods containing oxalic acid (found in spinach and cocoa), and phytic acid (found in cereals, vegetables, and seeds) and reduces calcium absorption if taken together. Consult your doctor before taking any supplements if you are pregnant or breastfeeding. It is unlikely to produce any effects with alcohol.

When should I consult my doctor after starting Shelcal 500 Tablet?
Your doctor will prescribe Shelcal 500 for a set period of time, after which your symptoms should improve and you should start feeling better. After completing the course, your doctor may ask you for a follow-up visit to ensure that your condition has improved. If you do not notice any improvement after the course has finished, or if you experience severe side effects, consult your doctor right away.

Frequently asked questions:

What is Shelcal 500 used for?
Shelcal 500 helps maintain the body’s calcium and vitamin D levels, thus promoting bone health. It is used to treat bone diseases such as osteomalacia, a condition in which bones become soft and weak and prone to fractures. It can also be used in combination with other medicines to treat osteoporosis in the elderly and in postmenopausal women.

Can we take Shelcal 500 daily?
Your doctor will decide the dose of Shelcal 500 depending on your condition. There is no best time to take a Shelcal 500 tablet. Take it at the same time everyday preferably with or after a meal. Do not take more than the dose prescribed by your doctor or you may experience severe side effects.

Does Shelcal 500 have side effects?
Side effects with Shelcal 500 are uncommon and rarely seen. It may cause stomach pain, constipation, nausea, flatulence, and diarrhea. To combat these side effects, rest and drink plenty of water throughout the day, and eat light, small meals. If you develop symptoms of allergy such as swelling of the face, lips, tongue, throat, or difficulty breathing, contact your doctor right away.

How do you increase calcium in bones?
Eating calcium-rich foods such as milk, cheese, yogurt, green vegetables, calcium-fortified drinks, and fish like sardines is a natural way to increase calcium in the bones. Simply eating a calcium-rich diet is insufficient; the body also requires vitamin D for adequate calcium absorption. Sun exposure for at least 20 minutes a day can help boost vitamin D levels and improve calcium absorption in the gut. Depending on your body's requirement for calcium, your doctor may prescribe calcium supplements as well.

Can excess calcium intake be harmful?
Excess calcium intake can lead to increased levels of calcium in the blood or hypercalcemia. The symptoms of hypercalcaemia include thirst, nausea, vomiting, constipation, abdominal pain, muscle weakness, anorexia, fatigue, mental disturbances, increased urination, bone pain, kidney stones, and an irregular heartbeat. Severe hypercalcaemia can also cause coma and death in rare cases.

References:
Ostocalcium Plus chewable tablets. Patient Information leaflet. March 2022. Accessed on 01.09.2022. https://india-consumer.gsk.com/media/950467/patient-information-leaflet-ostocal-tabs-final.pdf
SHELCAL 500. May 2022. Accessed on 01.09.2022. https://www.torrentian.com/pisheet/Upload/PI_Sheet/2624.pdf
Calcium Carbonate 600 mg / Cholecalciferol 400 I.U. Patient Information Leaflet. November 2020. Accessed on 01.09.2022. https://www.hpra.ie/img/uploaded/swedocuments/1f19c046-3233-4bf0-b89e-820f1f673211.pdf

Calcium and Vitamin D: Important at every age. National Institute of Arthritis and Musculoskeletal Disease. Accessed on 01.09.2022. https://www.bones.nih.gov/health-info/bone/bone-health/nutrition/calcium-and-vitamin-d-important-eve....
van der Velde R. Y., Brouwers J. R. B. J., Geusens P. P., Lems W. F., & van den Bergh J. P. W. (2014). Calcium and vitamin D supplementation: state of the art for daily practice. Food & Nutrition Research. https://doi.org/10.3402/fnr.v58.21796
Sizar O, Khare S, Goyal A, et al. Vitamin D Deficiency. [Updated 2022 Jul 18]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK532266/


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500 mg Tablet

Best Before: Jul 2024

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