Calcium Antacid 500mg Chw Tablets
Overview
What is this medicine?
How to Use This Medicine
To use this medication correctly, follow your doctor's instructions and read all the information provided. It's essential to follow the instructions carefully. Before swallowing, make sure to chew the medication thoroughly.
Storing and Disposing of Your Medication
Keep your medication at room temperature in a dry location. Avoid storing it in a bathroom. This will help maintain its effectiveness and safety.
Missing a Dose
Since this medication is taken as needed, do not take it more frequently than your doctor advises. If you have any questions or concerns about missed doses, consult your doctor for guidance.
Lifestyle & Tips
- Chew tablets thoroughly before swallowing for best results.
- Drink a full glass of water after taking, if desired.
- Do not take more than the recommended dose.
- Avoid foods and drinks that trigger heartburn (e.g., spicy foods, fatty foods, caffeine, alcohol, carbonated beverages).
- Eat smaller, more frequent meals.
- Avoid lying down immediately after eating.
- Elevate the head of your bed if nighttime heartburn is an issue.
Available Forms & Alternatives
Available Strengths:
- Calcium Carb 1250mg/5ml Susp
- Calcium Chloride 10% Inj, 10ml
- Calcium Oyster Shell 500mg Tablets
- Calcium 500mg Tablets
- Calcium Acetate 667mg Capsules
- Calcium 600+d (400u) Tablets
- Calcium 600mg Tablets
- Calcium 600mg + D Tablets
- Calcium 500 W/vit D3 Tablets
- Calcium Citrate 250mg Tablets
- Calcium Antacid 500mg Chw Tablets
- Calcium Carb 500mg Chewtablets
- Calcium Acetate 667mg Tablets
- Calcium Carb 648mg Tablets
- Calcium 500mg W/ Vit D Chw Tablets
- Calcium Citrate W/ Vit D Tablets
- Calcium/d3 600mg-200iu Tablets
- Calcium 500mg Chewable Tablets
- Calcium Gluconate 10% Inj, 50ml
- Calcium Antacid 750mg Chw Tablets
- Calcium Citrate 200mg Tablets
- Calcium Citrate+d3 Tablets
- Calcium Gluconate 10% Inj, 10ml
- Calcium Glu/nacl 1gm/100ml Soln
- Cal Glu/nacl 2000mg/100ml Inj 100ml
- Cal Glu/nacl 1gm/50ml Inj, 50ml
- Calcium Gluc 100mg/ml Inj, 50ml
- Calcium Gluconate 10% Inj, 100ml
- Calcium Gluc 100mg/ml Inj, 100ml
- Calcium Gluc 100mg/ml Inj, 10ml
Dosing & Administration
Adult Dosing
Condition-Specific Dosing:
Pediatric Dosing
Dose Adjustments
Renal Impairment:
Hepatic Impairment:
Pharmacology
Mechanism of Action
Pharmacokinetics
Absorption:
Distribution:
Elimination:
Pharmacodynamics
Safety & Warnings
Side Effects
Although rare, this medication can cause severe and potentially life-threatening side effects. If you experience any of the following symptoms, contact your doctor or seek medical attention right away:
- Signs of an allergic reaction, such as rash, hives, itching, red, swollen, blistered, or peeling skin (with or without fever), wheezing, tightness in the chest or throat, difficulty breathing, swallowing, or talking, unusual hoarseness, or swelling of the mouth, face, lips, tongue, or throat.
Other Possible Side Effects
Like all medications, this drug can cause side effects. While many people may not experience any side effects or only minor ones, it's essential to discuss any concerns with your doctor. Contact your doctor or seek medical help if you experience:
- Constipation
or any other side effects that bother you or do not go away.
Reporting Side Effects
This list does not include all possible side effects. If you have questions or concerns about side effects, consult your doctor. For medical advice about side effects, contact your doctor. You can also report side effects to the FDA at 1-800-332-1088 or online at https://www.fda.gov/medwatch.
Seek Immediate Medical Attention If You Experience:
- Symptoms worsen or do not improve after 2 weeks of use.
- Severe stomach pain or cramping.
- Black, tarry stools (may indicate gastrointestinal bleeding).
- Signs of hypercalcemia: severe constipation, nausea/vomiting, unusual tiredness, increased thirst/urination, muscle weakness, confusion.
Before Using This Medicine
It is essential to inform your doctor about the following:
Any allergies you have, including allergies to this medication, its components, or other substances, such as foods or drugs. Be sure to describe the symptoms you experienced as a result of the allergy.
If you have elevated calcium levels in your blood.
This medication may interact with other health conditions or medications. To ensure your safety, it is crucial to provide your doctor and pharmacist with a comprehensive list of:
All prescription and over-the-counter (OTC) medications you are currently taking
Any natural products or vitamins you are using
* Your existing health problems
Before starting, stopping, or adjusting the dose of any medication, including this one, consult with your doctor to confirm that it is safe to do so. This will help prevent potential interactions and ensure the safe use of this medication.
Precautions & Cautions
When taking this medication, be aware that it may interfere with the absorption of other oral medications. To minimize potential interactions, your doctor may advise you to take other oral drugs at a different time than this medication. Discuss your medication schedule with your doctor to ensure safe and effective treatment.
If you are pregnant, planning to become pregnant, or are currently breastfeeding, notify your doctor. It is crucial to discuss the potential benefits and risks of this medication to both you and your baby, allowing you to make an informed decision about your treatment.
Overdose Information
Overdose Symptoms:
- Severe constipation
- Nausea
- Vomiting
- Loss of appetite
- Unusual weight loss
- Muscle pain
- Bone pain
- Increased thirst
- Increased urination
- Mental/mood changes (e.g., confusion, lethargy)
- Fatigue
- Headache
- Kidney stones (with chronic overdose)
What to Do:
If overdose is suspected, contact a poison control center immediately. In the US, call 1-800-222-1222. Seek emergency medical attention if symptoms are severe.
Drug Interactions
Contraindicated Interactions
- Thiazide diuretics (increased risk of hypercalcemia)
- Digoxin (hypercalcemia can potentiate digoxin toxicity)
Major Interactions
- Tetracyclines (e.g., doxycycline, minocycline): Decreased absorption of tetracyclines.
- Fluoroquinolones (e.g., ciprofloxacin, levofloxacin): Decreased absorption of fluoroquinolones.
- Iron supplements (e.g., ferrous sulfate): Decreased absorption of iron.
- Thyroid hormones (e.g., levothyroxine): Decreased absorption of thyroid hormones.
- Bisphosphonates (e.g., alendronate): Decreased absorption of bisphosphonates.
Moderate Interactions
- Phenytoin: Decreased absorption of phenytoin.
- Ketoconazole, Itraconazole (pH-dependent absorption): Decreased absorption due to increased gastric pH.
- Mycophenolate mofetil: Decreased absorption.
- Sodium polystyrene sulfonate (Kayexalate): Risk of metabolic alkalosis and intestinal necrosis.
Minor Interactions
- Non-steroidal anti-inflammatory drugs (NSAIDs): May reduce NSAID-induced gastric irritation, but no direct interaction.
Monitoring
Routine Monitoring
Frequency: As needed
Target: Relief of symptoms
Action Threshold: If symptoms persist or worsen after 2 weeks of use, consult a doctor.
Symptom Monitoring
- Constipation
- Nausea
- Stomach upset
- Loss of appetite
- Unusual weight loss
- Muscle pain
- Bone pain
- Increased thirst
- Increased urination
- Mental/mood changes (e.g., confusion, lethargy)
- Fatigue
- Headache
Special Patient Groups
Pregnancy
Generally considered safe for use as an antacid during pregnancy when used as directed. It is also a common source of calcium supplementation during pregnancy. Consult a healthcare provider before use.
Trimester-Specific Risks:
Lactation
Considered safe for use during breastfeeding. Calcium is a natural component of breast milk, and calcium carbonate is unlikely to cause adverse effects in the infant.
Pediatric Use
Use in children under 12 years should be under the guidance of a healthcare professional. Dosing is age and weight-dependent. Risk of milk-alkali syndrome with excessive intake.
Geriatric Use
Use with caution in elderly patients, especially those with pre-existing renal impairment, as they may be more susceptible to hypercalcemia and milk-alkali syndrome. Consider potential drug interactions due to polypharmacy.
Clinical Information
Clinical Pearls
- Chew tablets thoroughly for optimal antacid effect.
- Separate administration of calcium carbonate from other medications by at least 2 hours before or 4-6 hours after to minimize drug interactions, especially with antibiotics (tetracyclines, fluoroquinolones), thyroid hormones, and bisphosphonates.
- While effective for immediate relief, calcium carbonate's antacid effect is relatively short-lived compared to H2 blockers or PPIs.
- Chronic high doses can lead to hypercalcemia and milk-alkali syndrome, especially in individuals with renal impairment.
- Can cause constipation; increasing fluid and fiber intake may help.
Alternative Therapies
- Magnesium hydroxide (Milk of Magnesia)
- Aluminum hydroxide (e.g., Amphojel)
- Sodium bicarbonate (e.g., Alka-Seltzer)
- H2 receptor blockers (e.g., famotidine, ranitidine)
- Proton pump inhibitors (e.g., omeprazole, lansoprazole)