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(Inclusive of all taxes) *15 Tablet(s) in a Strip * Mkt: Torrent Pharmaceuticals Ltd * Country of Origin: India * Delivery charges if applicable will be applied at checkout

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INTRODUCTION

SHELCAL OS 500MG TABLET is a combination of Alfacalcidol and Calcium carbonate, which belongs to the group of medicines called dietary supplements. It is used in neonates, children and adults to treat osteodystrophy (bone pain, joint pain, bone deformation and fractures due to kidney disease or disturbances in calcium and phosphorus levels).

SHELCAL OS 500MG TABLET also treats disorders of the parathyroid glands (small glands found in your neck) that may increase or decrease the calcium in your blood (hyperparathyroidism), low levels of blood calcium in newborn babies, rickets or osteomalacia (softening and weakening of bones in children and adults due to a lack of adequate vitamin D), osteoporosis (bones become weak and brittle as we age, primarily in women) and osteopenia

While taking SHELCAL OS 500MG TABLET, avoid foods rich in oxalic acid (ex. spinach and rhubarb), phosphate (ex. bran) or phytic acid (ex. whole cereals) for two hours. SHELCAL OS 500MG TABLET is not recommended for use in patients with hypercalcaemia, metastatic calcification, hyperphosphatemia (except when occurring with hypoparathyroidism) or hypermagnesemia.

SHELCAL OS 500MG TABLET should be used with caution in patients with kidney problems, including kidney stones. SHELCAL OS 500MG TABLET should be used with caution in pregnant women, breastfeeding women, mothers of premature babies, children, adolescents and elderly patients. The common side effects of SHELCAL OS 500MG TABLET are diarrhea, constipation, stomach upset, abdominal pain, skin rash and itching. If any of these become worse, contact your doctor.

USES OF SHELCAL OS 500MG TABLET

Treats the following diseases where the amount of calcium in your body needs changing in adults, children and neonates:

  • Osteodystrophy
  • Hypoparathyroidism or hyperparathyroidism
  • Hypocalcaemia
  • Rickets or osteomalacia
  • Osteoporosis

HOW SHELCAL OS 500MG TABLET WORKS

SHELCAL OS 500MG TABLET regulates blood calcium levels in the body, where Alfacalcidol converts into a vitamin D metabolite to stimulate intestinal calcium absorption, increase urinary calcium excretion and suppress parathyroid hormone (PTH) secretion and calcium carbonate acts as a nutritional supplement to directly increase the body's calcium stores. All these actions together will increase the levels of calcium and phosphate in your body, which is useful in treating bone disorders and disturbances in the parathyroid glands.

DIRECTIONS FOR USE

Take SHELCAL OS 500MG TABLET as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. The correct dose and duration for you will be decided by your doctor, depending on your age, body weight and disease condition.

SIDE EFFECTS OF SHELCAL OS 500MG TABLET

COMMON

  • diarrhea
  • constipation
  • stomach upset and abdominal pain
  • rash and itching

UNCOMMON

  • headache
  • nausea and vomiting
  • pain in the muscles
  • tiredness
  • deposits of calcium in the body
  • feeling weak or unwell

RARE

  • dizziness

Stop taking SHELCAL OS 500MG TABLET and contact your doctor immediately if you experience any of the following side effects:

  • signs of an allergic reaction (severe skin rash, swelling of face or throat, breathing difficulty)
  • signs of excess calcium or phosphate in your blood (feeling weak or have pain in your muscles or bones, passing urine more often, feeling thirsty, fatigue, sick, vomiting, constipation or have lost your appetite, increased sweating, headache, confusion and drowsiness)
  • signs of kidney problems (need to pass urine less often, swelling of any parts of your body, fever with a pain or sharp spasm in one side of your lower back)

HOW TO MANAGE SIDE EFFECTS

Constipation:

Consume more fibre-rich foods such as fresh fruits, vegetables and cereals in your diet and drink plenty of water. Exercise more regularly. In case of no improvement, consult your doctor.

Diarrhea:

Drink more fluids, such as water or fruit juice or coconut water to keep yourself hydrated. In case of no improvement, consult your doctor.

Stomach pain:

Take rest to relax. Try to eat and drink slowly or have smaller and more frequent meals. Place a heating pad on your stomach. In case of no improvement, consult your doctor.

WARNING & PRECAUTIONS

PREGNANCY

SHELCAL OS 500MG TABLET should be used with caution in pregnant women or women planning to have a baby. Therefore, consult your doctor for advice.

BREASTFEEDING

SHELCAL OS 500MG TABLET should be used with caution in breastfeeding women as it may pass through the breast milk. Therefore, consult your doctor for advice.

DRIVING AND USING MACHINES

Do not drive or operate any machines if you feel dizzy after taking SHELCAL OS 500MG TABLET.

KIDNEY

SHELCAL OS 500MG TABLET should be used cautiously in patients having kidney problems including kidney stones. Consult your doctor for advice.

ALLERGY

Do not take SHELCAL OS 500MG TABLET if you are allergic to alfacalcidol or calcium carbonate.

OTHERS

SHELCAL OS 500MG TABLET is not recommended for use if you:

  • have hypercalcaemia (high levels of calcium in your blood)
  • have metastatic calcification (high levels of calcium in your body tissues)
  • have hyperphosphatemia (except when occurring with hypoparathyroidism)
  • have hypermagnesemia

Before taking SHELCAL OS 500MG TABLET, inform your doctor if you:

  • have granulomas or sarcoidosis

Use in Pediatrics:

SHELCAL OS 500MG TABLET should be used with caution in premature babies, newborns, children and adolescents. Consult your doctor for advice.

Use in Geriatrics:

SHELCAL OS 500MG TABLET should be used with caution in elderly patients. Consult your doctor for advice.

INTERACTIONS

A. Drug-Drug interactions:  

Before taking SHELCAL OS 500MG TABLET, inform your doctor if you are taking any of the following medicine:

  • medicines used to clear fluid from the body (Ex. chlorothiazide, chlorthalidone, hydrochlorothiazide, indapamide and metolazone)
  • medicines used to treat epilepsy (Ex. carbamazepine, phenobarbital, phenytoin, primidone)
  • rifampicin and isoniazid (medicines used to treat tuberculosis)
  • medicines used to suppress the immune system (Ex. cortisone, prednisone and prednisolone)

B. Drug-Food interaction:

Avoid taking SHELCAL OS 500MG TABLET within 2 hours of eating foods rich in oxalic acid (Ex. spinach and rhubarb), phosphate (Ex. bran) or phytic acid (Ex. whole cereals).

Overdosage:

If you or anyone else accidentally take too much of SHELCAL OS 500MG TABLET, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose are nausea/vomiting, loss of appetite, mental/mood changes, headache, weakness and dizziness.

SYNOPSIS

Drug :   Alfacalcidol, Calcium carbonate 
Pharmacological Category :   Vitamin D analogues, Antacids
Therapeutic Indication :   Osteodystrophy, hypoparathyroidism or hyperparathyroidism, hypocalceamia, rickets or osteomalacia, osteoporosis
Dosage Forms :   Tablet, Capsule

MORE INFORMATION

  • Keep SHELCAL OS 500MG TABLET out of reach from children
  • Store at room temperature

FAQs ABOUT SHELCAL OS 500MG TABLET

Q: What is the use of SHELCAL OS 500MG TABLET?

A: SHELCAL OS 500MG TABLET is used in the treatment of hypocalcaemia, rickets or osteomalacia, hypophosphatemia, hypoparathyroidism, osteodystrophy and osteoporosis to increase blood calcium. It also maintains the balance of calcium and phosphate metabolism in the body.

Q: Does SHELCAL OS 500MG TABLET have vitamin D?

A: Yes, SHELCAL OS 500MG TABLET contains alpha-calcidiol, which is similar to fat-soluble vitamin D but produced artificially. It helps increase intestinal absorption of calcium and acts as a regulator of calcium and phosphate metabolism.

Q: What are the side effects of SHELCAL OS 500MG TABLET?

A: SHELCAL OS 500MG TABLET may cause constipation, nausea, loss of appetite, feeling thirsty, bone pain, stomach pain, frequent urination and muscle weakness due to its effect on the blood calcium level. If any of these symptoms bother you, consult your doctor immediately.

Q: Is SHELCAL OS 500MG TABLET good for health?

A: SHELCAL OS 500MG TABLET contains vitamin D and calcium, which help strengthen bones and improve the overall quality of bones. Calcium is also required for the optimal functioning of muscles, the nervous system and the heart. Hence, taking this medicine is good for your overall health.

Q: How do I take SHELCAL OS 500MG TABLET?

A: Always take SHELCAL OS 500MG TABLET as instructed by your doctor and continue to follow any advice about diet recommended by your doctor. Do not stop taking the medicine suddenly because the symptoms may return.

REFERENCES

1. KD Tripathi. Drugs affecting calcium balance. Essentials of medical pharmacology. Eighth edition. 2019. Page – 361, 362, 368.

2. Thawee Songpatanasilp, La-Or Chailurkit, Akekachai Nichachotsalid, Manoj Chantarasorn. Combination of alfacalcidol with calcium can improve quadriceps muscle strength in elderly ambulatory Thai women who have hypovitaminosis D: a randomized controlled trial. Journal of the Medical Association of Thailand. [Revised in September 2009] [Accessed on 22nd June 2022] https://pubmed.ncbi.nlm.nih.gov/19894330/

3. LEO Pharma. Electronic Medicines Compendium (EMC). [Revised in February 2022] [Accessed on 22nd June 2022] https://www.medicines.org.uk/emc/files/pil.12653.pdf

4. Biokirch GmbH. Electronic Medicines Compendium (EMC). [Revised in August 2016] [Accessed on 22nd June 2022] https://www.medicines.org.uk/emc/files/pil.1295.pdf

5. CYNO Pharmaceuticals. Cecal -Plus. [Accessed on 22nd June 2022] https://www.cyno.co.in/cecal-plus/#:~:text=Calcium%20carbonate%20uses%20to%20reduces,in%20digestion%20and%20upset%20stomach

USEFUL DIAGNOSTIC TESTS

  • Serum calcium level
  • Serum potassium level
  • Serum alkaline phosphatase
  • Serum parathyroid hormone

PRODUCT DETAILS

    Net Qty
    1 N
    Item Weight
    25 g
    Ingredient
    ALFACALCIDOL 0.25MCG+CALCIUM CARBONATE 1250 mg
    Hsn Code
    30045039
DISCLAIMER

The contents of this website are for informational purposes only and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Do not disregard professional medical advice or delay in seeking it because of something you have read on this website.

Shelcal OS 500mg Tablet 15'S

Shelcal OS 500mg Tablet 15'S Mkt: Torrent Pharmaceuticals Ltd

M.R.P.: Rs.283.50
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