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When using this medication, it is important to be aware of potential interactions and precautions. Below are some key points to consider:

• Drug Interactions:

  • This medication may interact with certain drugs such as digoxin and phosphate binders.
  • Calcium in this product can reduce the absorption of several other medications, including tetracycline antibiotics (e.g., doxycycline, minocycline), bisphosphonates (e.g., alendronate), estramustine, levothyroxine, and quinolone antibiotics (e.g., ciprofloxacin, levofloxacin).
  • Some medications can decrease the absorption of vitamin D, including bile acid sequestrants like cholestyramine or colestipol, as well as mineral oil and orlistat.

• Dosing Instructions:

  • It is recommended to space out the administration of this medication and the above-mentioned drugs. Consult your doctor or pharmacist for guidance on the appropriate timing between doses and to establish a compatible dosing schedule.

• Product Content Awareness:

  • Review the labels of all your prescription and over-the-counter medications, including herbal products, for calcium, phosphate, or vitamin D content. Consult with your pharmacist on the safe use of these products.

• Avoiding Similar Medications:

  • Avoid using products that contain calcitriol while taking vitamin D, as they are very similar and their concurrent use is not recommended.

• Laboratory Interference:

  • This medication may affect certain laboratory tests, such as cholesterol screenings, potentially leading to inaccurate results. Ensure that all healthcare professionals and laboratory staff are aware that you are using this medication.

By adhering to these guidelines and consulting healthcare professionals when necessary, you can help manage your treatment safely and effectively.

Common side effects:

• Constipation
• Stomach upset

Less common but important to monitor:

• Nausea
• Vomiting
• Loss of appetite
• Unusual weight loss
• Changes in mood or mental state
• Signs of kidney problems like changes in urination
• Bone or muscle pain
• Headaches
• Increased thirst or urination
• Feelings of weakness
• Fatigue
• Rapid or pounding heartbeat

Serious side effects:

• Very serious allergic reaction
• Rash
• Itching
• 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