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This medication carries important safety warnings that should be carefully reviewed. Consult your healthcare provider if you have any questions or concerns regarding its use. Below are key considerations to keep in mind:

• High Blood Calcium Levels: Taking calcium carbonate can sometimes increase calcium levels in your blood, which may lead to serious health issues, including heart and vascular problems, and seizures. The risk is heightened if taken with other calcium-raising substances like calcium supplements, certain diuretics, or vitamin D products. Be alert for symptoms such as fatigue, confusion, loss of appetite, nausea, vomiting, constipation, and muscle weakness. Regular monitoring of your blood calcium levels might be necessary, and treatment could be required if high levels are detected. It's crucial to inform your healthcare provider about any conditions or medications that could elevate calcium levels, including lithium, theophylline, vitamin D, calcium supplements, and thiazide diuretics.

• Interactions with Other Medications: Calcium carbonate can interact with a range of medications, both over-the-counter and prescription, including iron supplements, thyroid medications, some antibiotics, and digoxin (Lanoxin). To avoid interactions, you may need to schedule doses of these medications a few hours apart from calcium carbonate. Consult with your pharmacist or healthcare provider to determine any potential interactions and the appropriate steps to take.

By following these precautions and consulting with healthcare professionals, you can help ensure the safe use of this medication.

Common side effects:

• Constipation
• Upset stomach
• Passing gas
• Dry mouth

Less common but important to monitor:

• Nausea
• Vomiting
• Decrease in appetite

Serious side effects:

• High blood calcium levels
• Fatigue
• Muscle weakness
• Nausea
• Vomiting
• Constipation
• Bone pain
• Depression
• Confusion
• Allergic reaction (rash, itching or swelling, severe dizziness, difficulty breathing)

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

• Digoxin
• cellulose sodium phosphate
• Calcium Acetate

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

• bisphosphonates (e.g., Alendronate)
• tetracycline antibiotics (e.g., doxycycline, Minocycline)
• estramustine
• Levothyroxine
• quinolone antibiotics (e.g., Ciprofloxacin, Levofloxacin)