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When taking this medication, it's essential to be aware of its potential interactions and precautions to ensure safe and effective use. Here are some important points to consider:

• Drug Interactions: This medication may interact with certain drugs, including digoxin and phosphate binders. Calcium can reduce the absorption of other medications such as tetracycline antibiotics (e.g., doxycycline, minocycline), bisphosphonates (e.g., alendronate), estramustine, levothyroxine, and quinolone antibiotics (e.g., ciprofloxacin, levofloxacin). Additionally, some medications might decrease the absorption of vitamin D, such as bile acid sequestrants (e.g., cholestyramine, colestipol), mineral oil, and orlistat. It's advisable to space out doses of these medications from your calcium/vitamin D intake. Consult your healthcare provider for a suitable dosing schedule that accommodates all your medications.

• Product Labels: Carefully check the labels of all prescription, non-prescription, and herbal products you use (e.g., antacids, laxatives, vitamins) as they might contain calcium, phosphate, or vitamin D. Seek guidance from your pharmacist to use these products safely.

• Vitamin D and Calcitriol: Avoid using any medications that contain calcitriol while taking vitamin D, as these are very similar.

• Laboratory Interference: This product may affect certain laboratory tests, such as cholesterol tests, potentially leading to inaccurate results. Ensure that all healthcare providers and laboratory personnel are informed that you are using this product.

Following these guidelines will help manage the use of this medication safely and effectively. If you have any questions or concerns, consult your healthcare provider.

Common side effects:

• Constipation
• Upset stomach

Serious side effects:

• Nausea
• Vomiting
• Loss of appetite
• Unusual weight loss
• Changes in mood or mental state
• Signs of kidney issues like altered urine output
• Bone or muscle pain
• Headaches
• Increased thirst
• Excessive urination
• Weakness
• Fatigue
• Rapid or pounding heartbeat
• Severe allergic reaction
• Rash
• Itching or swelling, particularly of the face, tongue, or throat
• Severe dizziness
• Difficulty breathing

Interactions with high risk of serious adverse effects and should be avoided:

• Digoxin
• Calcitriol

Interactions with moderate risk that may require dose adjustment, closer monitoring, or timing changes:

• phosphate binders
• tetracycline antibiotics (e.g., doxycycline, Minocycline)
• bisphosphonates (e.g., Alendronate)
• estramustine
• Levothyroxine
• quinolone antibiotics (e.g., Ciprofloxacin, Levofloxacin)
• bile acid sequestrants (e.g., Cholestyramine, Colestipol)
• Mineral Oil
• Orlistat