Cal Chewable Tablet 250 mg 250 mg Uses, Dosage, Side Effects & Price - কাল চিউয়েবল ট্যাবলেট

Brand Name	Cal
Type	Chewable Tablet
Weight	250 mg
Generic	Calcium Carbonate
Manufacturer	Pacific Pharmaceuticals Ltd.
Price	Unit: ৳ 3.00 (3 x 10: ৳ 90.00) Strip: ৳ 30.00

Brand Name

Cal

Type

Chewable Tablet

Weight

250 mg

Generic

Calcium Carbonate

Manufacturer

Pacific Pharmaceuticals Ltd.

Price

Unit: ৳ 3.00 (3 x 10: ৳ 90.00) Strip: ৳ 30.00

About Cal

Cal Chewable Tablet (Pacific Pharmaceuticals Ltd.) is a brand medicine containing the generic Calcium Carbonate . Current listed price in Bangladesh: Unit: ৳ 3.00 (3 x 10: ৳ 90.00) Strip: ৳ 30.00.

Introduction

Calcium carbonate is an inorganic salt used as an antacid. It is a basic compound that acts by neutralizing hydrochloric acid in gastric secretions. Subsequent increases in pH may inhibit the action of pepsin. An increase in bicarbonate ions and prostaglandins may also confer cytoprotective effects. Calcium carbonate may also be used as a nutritional supplement or to treat hypocalcemia.

Uses

Calcium carbonate is an ionic compound used as a calcium supplement or antacid used for the symptomatic relief of heartburn, acid indigestion, and sour stomach.

For relief of heartburn and acid indigestion. May also be used as a nutritional supplement or to treat hypocalcemia.

Associated Conditions

Acid Reflux
Acid indigestion
Bloating
Calcium Deficiency
Calcium Metabolism Disorders
Calcium and Vitamin D Deficiencies
Colic
Dyspepsia
Gastric Ulcer
Gastroesophageal Reflux
Heartburn
Hemorrhoids
Hot Flushes
Hyperacidity
Hyperphosphataemia
Hypovitaminosis D
Low Bone Density
Osteodystrophy
Osteomalacia
Osteoporosis
Postmenopausal Osteoporosis
Postoperative Gas
Proctitis
Vertebral Fractures
Calcium loss
Gastrointestinal ulceration
Dietary supplementation

Pharmacodynamics

Gastric-peptic disease occurs as a result of an imbalance between protective factors, such as mucus, bicarbonate, and prostaglandin secretion, and aggressive factors, such as hydrochloric acid, pepsin, and Helicobacter pylori (H. pylori). Antacids work by restoring acid-base balance, attenuating the pepsin activity and increasing bicarbonate and prostaglandin secretion. The acid-neutralizing capacity of calcium carbonate is 58 mEq/15 ml. When used as a nutritional supplement, calcium carbonate acts by directly increasing calcium stores within the body.

Mechanism of Action

Calcium carbonate is a basic inorganic salt that acts by neutralizing hydrochloric acid in gastric secretions. It also inhibits the action of pepsin by increasing the pH and via adsorption. Cytoprotective effects may occur through increases in bicarbonate ion (HCO₃^-) and prostaglandins. Neutralization of hydrochloric acid results in the formation of calcium chloride, carbon dioxide and water. Approximately 90% of calcium chloride is converted to insoluble calcium salts (e.g. calcium carbonate and calcium phosphate).

Absorption

Maximal absorption occurs at doses of 500 mg or less taken with food. Oral bioavailability depends on intestinal pH, the presence of food and dosage.

Volume of Distribution

Calcium is rapidly distributed taken up by skeletal tissues following absorption and distribution into extracellular fluids. Bone contains 99% of the body's calcium and the remaining 1% is approximately equally distributed between intracellular and extracellular fluids.

Protein Binding

Calcium acts as a co-factor to numerous enzymes.

Route of Elimination

Excreted mainly in the feces. The majority of renally filtered calcium is reabsorbed in the ascending limb of the loop of Henle and the proximal and distal convoluted tubules. Also secreted by sweat glands.

Food Interactions

Take with or without food. Food increases the absorption of calcium carbonate, which may be advantageous in its use as a calcium supplement.

Frequently Asked Questions About Cal Chewable Tablet 250 mg

1. What is Cal Chewable Tablet 250 mg?

Cal Chewable Tablet 250 mg is a dietary supplement and antacid used to treat calcium deficiency and acid-related conditions.

2. What are the uses of Cal Chewable Tablet 250 mg?

It is used for:

Calcium supplementation
Preventing and treating osteoporosis
Relieving acid indigestion and heartburn
Managing hypocalcemia (low calcium levels)

3. How does Cal Chewable Tablet 250 mg work?

It provides calcium for bone health and neutralizes stomach acid when used as an antacid.

4. What is the recommended dosage for Cal Chewable Tablet 250 mg?

The dosage depends on the condition, but typically:

For calcium supplementation: 500–1,500 mg per day
For acid reflux: 750–2,000 mg per dose

5. Can I take Cal Chewable Tablet 250 mg with food?

Yes, it is best absorbed when taken with food.

6. What are the common side effects of Cal Chewable Tablet 250 mg?

Common side effects include:

Constipation
Bloating
Gas
Nausea

7. Can I take Cal Chewable Tablet 250 mg if I have kidney disease?

Patients with kidney disease should consult a doctor before use, as excess calcium may cause kidney stones.

8. Does Cal Chewable Tablet 250 mg interact with other medications?

Yes, it can interact with:

Iron supplements
Thyroid medications
Certain antibiotics (e.g., tetracyclines, fluoroquinolones)
Bisphosphonates (used for osteoporosis)

9. Can Cal Chewable Tablet 250 mg be taken during pregnancy?

Yes, it is generally safe during pregnancy but should be taken as per a doctor's recommendation.

10. Is Cal Chewable Tablet 250 mg safe for children?

Yes, but the dosage should be determined by a pediatrician.

11. Can I take Cal Chewable Tablet 250 mg with milk?

Yes, but excessive calcium intake from supplements and dairy may lead to hypercalcemia.

12. Can Cal Chewable Tablet 250 mg help with osteoporosis?

Yes, it helps maintain bone density and reduces the risk of osteoporosis.

13. How long does it take for Cal Chewable Tablet 250 mg to work?

As an antacid, it works within minutes. For calcium supplementation, benefits develop over weeks to months.

14. Can I take Cal Chewable Tablet 250 mg every day?

Yes, but do not exceed the recommended dose to avoid excess calcium buildup.

15. What happens if I take too much Cal Chewable Tablet 250 mg?

Overdose symptoms include:

Hypercalcemia (high calcium levels)
Kidney stones
Nausea and vomiting
Confusion

16. Can Cal Chewable Tablet 250 mg cause kidney stones?

Excessive intake may increase the risk of kidney stones.

17. Is Cal Chewable Tablet 250 mg the same as calcium citrate?

No, calcium citrate is absorbed better without food, while calcium carbonate requires food for optimal absorption.

18. Can I take Cal Chewable Tablet 250 mg if I have acid reflux?

Yes, it works as an antacid to relieve heartburn and acid reflux.

19. Does Cal Chewable Tablet 250 mg help with muscle cramps?

Yes, calcium deficiency can cause muscle cramps, so supplementation may help.

20. Can I take Cal Chewable Tablet 250 mg and Vitamin D together?

Yes, Vitamin D helps improve calcium absorption.

21. Can Cal Chewable Tablet 250 mg cause diarrhea?

It usually causes constipation rather than diarrhea.

22. Is Cal Chewable Tablet 250 mg vegan?

It depends on the source. Some formulations come from animal sources (e.g., oyster shells), while others are synthetic.

23. Can I crush Cal Chewable Tablet 250 mg tablets?

Yes, unless they are extended-release tablets.

24. Does Cal Chewable Tablet 250 mg expire?

Yes, always check the expiration date before use.

25. Can I take Cal Chewable Tablet 250 mg before surgery?

Inform your doctor before taking any supplement before surgery.

26. Can Cal Chewable Tablet 250 mg be taken at night?

Yes, but for better absorption, take it with a meal.

27. Does Cal Chewable Tablet 250 mg affect blood pressure?

It may help regulate blood pressure but should be used under medical supervision.

28. Can Cal Chewable Tablet 250 mg prevent osteoporosis?

Yes, it helps maintain strong bones and prevent osteoporosis.

29. Can Cal Chewable Tablet 250 mg cause weight gain?

No, it does not cause weight gain.

30. Is Cal Chewable Tablet 250 mg used in food?

Yes, it is used as a food additive and preservative.

31. Can Cal Chewable Tablet 250 mg improve dental health?

Yes, it supports strong teeth and helps prevent enamel erosion.

32. Can Cal Chewable Tablet 250 mg cause drowsiness?

No, it does not cause drowsiness.

33. Can I take Cal Chewable Tablet 250 mg with caffeine?

Caffeine may reduce calcium absorption, so limit intake.

34. Does Cal Chewable Tablet 250 mg improve nail health?

Yes, calcium deficiency can lead to brittle nails.

35. Can Cal Chewable Tablet 250 mg be taken with aspirin?

Consult a doctor, as calcium may interfere with aspirin absorption.

36. Does Cal Chewable Tablet 250 mg support heart health?

It may support heart function, but excessive intake can cause issues.

37. Can I take Cal Chewable Tablet 250 mg if I have lactose intolerance?

Yes, it can provide calcium without consuming dairy.

38. Does Cal Chewable Tablet 250 mg help with acid indigestion?

Yes, it neutralizes stomach acid and relieves indigestion.

39. Can Cal Chewable Tablet 250 mg be used for leg cramps?

It may help if the cramps are due to calcium deficiency.

40. Is Cal Chewable Tablet 250 mg good for hair growth?

It supports overall health, but there is limited evidence linking it directly to hair growth.

41. Can I take Cal Chewable Tablet 250 mg if I have anemia?

Yes, but avoid taking it with iron supplements, as it may reduce iron absorption.

42. Does Cal Chewable Tablet 250 mg help with nerve function?

Yes, calcium is essential for nerve signal transmission.

43. Can I take Cal Chewable Tablet 250 mg with warfarin?

Consult your doctor, as calcium may interact with blood thinners.

44. Can I use Cal Chewable Tablet 250 mg for bone fractures?

Yes, it helps in bone healing.

45. Can Cal Chewable Tablet 250 mg be used for gastric ulcers?

It may provide temporary relief but is not a primary treatment.

46. Does Cal Chewable Tablet 250 mg improve immune function?

It supports general health but is not directly linked to immunity.

47. Can I take Cal Chewable Tablet 250 mg with magnesium?

Yes, they are often combined for better absorption.

48. Does Cal Chewable Tablet 250 mg expire?