Generic Name Calcium Carbonate
Bangla Name ক্যালসিয়াম কার্বোনেট
Available brands 99
Language

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 Calcium Carbonate

1. What is Calcium Carbonate?

Calcium Carbonate is a dietary supplement and antacid used to treat calcium deficiency and acid-related conditions.

2. What are the uses of Calcium Carbonate?

It is used for:

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

3. How does Calcium Carbonate work?

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

4. What is the recommended dosage for Calcium Carbonate?

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 Calcium Carbonate with food?

Yes, it is best absorbed when taken with food.

6. What are the common side effects of Calcium Carbonate?

Common side effects include:

  • Constipation
  • Bloating
  • Gas
  • Nausea

7. Can I take Calcium Carbonate if I have kidney disease?

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

8. Does Calcium Carbonate 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 Calcium Carbonate be taken during pregnancy?

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

10. Is Calcium Carbonate safe for children?

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

11. Can I take Calcium Carbonate with milk?

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

12. Can Calcium Carbonate help with osteoporosis?

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

13. How long does it take for Calcium Carbonate to work?

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

14. Can I take Calcium Carbonate every day?

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

15. What happens if I take too much Calcium Carbonate?

Overdose symptoms include:

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

16. Can Calcium Carbonate cause kidney stones?

Excessive intake may increase the risk of kidney stones.

17. Is Calcium Carbonate 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 Calcium Carbonate if I have acid reflux?

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

19. Does Calcium Carbonate help with muscle cramps?

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

20. Can I take Calcium Carbonate and Vitamin D together?

Yes, Vitamin D helps improve calcium absorption.

21. Can Calcium Carbonate cause diarrhea?

It usually causes constipation rather than diarrhea.

22. Is Calcium Carbonate vegan?

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

23. Can I crush Calcium Carbonate tablets?

Yes, unless they are extended-release tablets.

24. Does Calcium Carbonate expire?

Yes, always check the expiration date before use.

25. Can I take Calcium Carbonate before surgery?

Inform your doctor before taking any supplement before surgery.

26. Can Calcium Carbonate be taken at night?

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

27. Does Calcium Carbonate affect blood pressure?

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

28. Can Calcium Carbonate prevent osteoporosis?

Yes, it helps maintain strong bones and prevent osteoporosis.

29. Can Calcium Carbonate cause weight gain?

No, it does not cause weight gain.

30. Is Calcium Carbonate used in food?

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

31. Can Calcium Carbonate improve dental health?

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

32. Can Calcium Carbonate cause drowsiness?

No, it does not cause drowsiness.

33. Can I take Calcium Carbonate with caffeine?

Caffeine may reduce calcium absorption, so limit intake.

34. Does Calcium Carbonate improve nail health?

Yes, calcium deficiency can lead to brittle nails.

35. Can Calcium Carbonate be taken with aspirin?

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

36. Does Calcium Carbonate support heart health?

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

37. Can I take Calcium Carbonate if I have lactose intolerance?

Yes, it can provide calcium without consuming dairy.

38. Does Calcium Carbonate help with acid indigestion?

Yes, it neutralizes stomach acid and relieves indigestion.

39. Can Calcium Carbonate be used for leg cramps?

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

40. Is Calcium Carbonate good for hair growth?

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

41. Can I take Calcium Carbonate if I have anemia?

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

42. Does Calcium Carbonate help with nerve function?

Yes, calcium is essential for nerve signal transmission.

43. Can I take Calcium Carbonate with warfarin?

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

44. Can I use Calcium Carbonate for bone fractures?

Yes, it helps in bone healing.

45. Can Calcium Carbonate be used for gastric ulcers?

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

46. Does Calcium Carbonate improve immune function?

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

47. Can I take Calcium Carbonate with magnesium?

Yes, they are often combined for better absorption.

48. Does Calcium Carbonate expire?

Yes, always check the expiration date before use.

49. Can Calcium Carbonate be taken with protein shakes?

Yes, but calcium absorption may be affected by high protein intake.

50. Can I take Calcium Carbonate with zinc?

Yes, but take them at different times for better absorption.

Medical review

Last reviewed: 24 Jul 2026

Medically reviewed by:

This is general information, not personal medical advice. Consult a doctor before taking any medicine.

Taking medicines without doctor's advice can cause long-term problems.
Brand medicines containing Calcium Carbonate