GEMCAL CAPSULE

• Gemcal capsule is used to treat calcium, vitamin D, and zinc deficiency.
• As an adjuvant for the treatment and prevention of osteoporosis and bone disorders.
• As a supplement, when the body's calcium requirement is increased, such as in older adults, after surgery, and during pregnancy and lactation.
• Supplies calcium together with calcitriol, the active form of vitamin D, and zinc, to support bone formation, bone strength and normal muscle and nerve function.
• Used where the body cannot activate ordinary vitamin D properly, such as in reduced kidney function, because calcitriol is already in its active form and does not require conversion by the kidney.
• Management of low blood calcium and of bone disease associated with long-standing kidney disease or an underactive parathyroid gland, under specialist supervision.
• Adjuvant supplementation in postmenopausal and steroid-related osteoporosis alongside prescribed bone-specific treatment.
• Helps relieve bone pain, muscle cramps, tingling and muscle weakness associated with low calcium or inadequate vitamin D activity.
• The zinc in Gemcal capsule contributes to bone mineralisation and to normal wound healing and repair.

Other General Warnings

• You are allergic to calcium and zinc supplements.
• You have any existing medical condition like diabetes, hypertension, kidney or liver problem.
• You are on other medications, supplements or following any complementary or integrative health approaches.
• You should not take the Gemcal capsule if you are allergic to any of its components.
• You have any planned surgery or operation.
• Dietary supplements are intended to supplement the diets of some people and should not be a substitute for a well-balanced, varied diet and a healthy lifestyle.

• Gemcal capsule should be taken as adviced by your doctor.
• Gemcal capsule is a prescription product containing calcitriol. Take only the amount your doctor prescribes and never increase it on your own.
• Swallow the capsule whole with a glass of water.
• Take Gemcal capsule with or just after a meal, as calcium carbonate needs stomach acid to be absorbed well.
• Avoid taking it with high-fibre foods, bran, or large quantities of spinach, as these bind calcium and reduce its absorption.
• Keep a gap of at least two hours between Gemcal capsule and iron supplements or antibiotics such as tetracycline, doxycycline, ciprofloxacin or levofloxacin, and at least four hours from levothyroxine.
• Do not take other calcium, vitamin D or calcitriol products, or calcium-containing antacids, alongside Gemcal capsule unless your doctor has approved it.
• Drink enough fluid through the day while taking Gemcal capsule.
• Keep your blood test appointments. While you are on calcitriol your doctor will monitor your blood calcium, and may also check phosphate and kidney function.
• You should not consume calcium supplements more than the stated recommended daily dose.

• Gemcal capsule should be stored in a clean and dry place.
• Keep it out of the reach of children.

• Take this medication exactly as prescribed by your doctor, in the exact dose and duration. Do not exceed the recommended dose.
• Before beginning this medication, tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding, as well as your complete medical history.
• Also, tell the doctor about any other medications or supplements you use.
• Talk to your doctor if you are allergic to calcium and zinc supplements.
• Inform your doctor if you have any existing medical conditions like diabetes, hypertension, kidney, or liver problems.
• Gemcal capsule contains calcitriol, the active form of vitamin D, which is far more potent than ordinary cholecalciferol. Never take an extra capsule to make up for a missed one.
• Tell your doctor straight away if you develop persistent nausea, vomiting, constipation, unusual thirst, frequent urination, confusion, bone pain or unusual tiredness, as these can be signs of a high blood calcium level.
• Tell your doctor before starting if you have had kidney stones, kidney disease, a high blood calcium level or sarcoidosis.
• Tell your doctor if you take a water tablet (diuretic), as some diuretics raise blood calcium when combined with calcium and vitamin D.
• If you take digoxin for your heart, report any dizziness, unusual weakness or palpitations, because a rising calcium level can increase the effects of digoxin.
• Constipation is common with calcium supplements. More water, more fibre and regular activity usually help.
• Combine Gemcal capsule with weight-bearing exercise, adequate protein, and dietary calcium from milk, curd, paneer, ragi and sesame seeds.

• Gemcal Capsule contains calcium, calcitriol (Vitamin D) & zinc.
• Calcium: It is one of the most abundant minerals in the body, which is essential for building and maintaining healthy bones and teeth. It is very important for maintaining the balance between bone breakdown and bone building, which supports flexible movements and the mobility of muscles and bones.
• Vitamin D or Calcitriol: It plays a very crucial role in the absorption of calcium and phosphorus from the intestine, which is critical for the formation, growth, and regeneration of bones. It supports healthy bones and teeth. It also plays an important role in cell growth, neuromuscular and immune function, and the reduction of inflammation.
• Zinc: It plays an important role in bone formation and mineralisation. It is an essential factor for bone healing and repair.

Interactions with other drugs

Interactions with food items