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When considering the use of this medication, it is important to be aware of potential interactions and precautions to ensure safety and efficacy. Here are some critical points to consider:

• Drug Interactions:

  • This medication may interact with drugs such as digoxin and phosphate binders.
  • Calcium in this product can reduce the absorption of certain drugs, including tetracycline antibiotics (e.g., doxycycline, minocycline), bisphosphonates (e.g., alendronate), estramustine, levothyroxine, and quinolone antibiotics (e.g., ciprofloxacin, levofloxacin).
  • Some medications may decrease the absorption of vitamin D, such as bile acid sequestrants (e.g., cholestyramine, colestipol), mineral oil, and orlistat.
  • To minimize interaction risks, separate the intake of these medications from your doses of calcium/vitamin D. Consult your healthcare provider for guidance on timing and a suitable dosing schedule.

• Product Label Checks:

  • Examine the labels of all your prescription, over-the-counter, and herbal products, as they may contain calcium, phosphate, or vitamin D. Discuss with your pharmacist how to safely use these products together.

• Similar Medications:

  • Avoid using medications that contain calcitriol while taking vitamin D, as they are very similar and may lead to excessive intake.

• Laboratory Interference:

  • This product may interfere with certain laboratory tests, such as cholesterol tests, and potentially cause false results. Inform all healthcare professionals and lab personnel that you are using this medication.

By keeping these points in mind and consulting with healthcare professionals, you can use this medication safely and effectively.

Common side effects:

• Constipation
• Stomach upset

Less common but important to monitor:

• Headaches
• Increased thirst or urination
• Weakness
• Fatigue
• Rapid or pounding heartbeat

Serious side effects:

• Persistent nausea or vomiting
• Loss of appetite
• Unusual weight loss
• Changes in mood or mental state
• Signs of kidney issues such as altered urine output
• Bone or muscle pain
• Severe allergic reaction (rash, swelling of the face, tongue, or throat, severe dizziness, or 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)
• Orlistat

Interactions with low risk that usually do not require a change in therapy:

• Mineral Oil