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The safety information provided below outlines the potential risks and necessary precautions associated with the use of this medication. It is crucial for both patients and healthcare professionals to understand these warnings to ensure safe usage.

• Elevated Blood Calcium Levels: The use of calcium acetate can lead to elevated blood calcium levels, known as hypercalcemia. Symptoms may include nausea, vomiting, constipation, and loss of appetite. In severe cases, it can result in serious complications such as heart rhythm disturbances and seizures. Individuals taking calcium supplements, other calcium-containing medications like antacids, or consuming a calcium-rich diet should exercise caution.

• Drug Interaction with Digoxin: Calcium acetate may increase blood calcium levels, which could heighten the risk of digoxin toxicity. This is particularly relevant for individuals taking digoxin (Lanoxin), as elevated calcium levels can exacerbate toxicity symptoms like nausea, visual disturbances, headaches, confusion, and heart rhythm problems.

• Contraindications: This medication should not be used by individuals with pre-existing high blood calcium levels (hypercalcemia). It is important to consult your healthcare provider if this condition applies to you before starting the medication.

For any concerns or questions regarding these warnings, please discuss them with your healthcare provider.

When taking this medication, you may experience some side effects, though many are mild and should not cause alarm. Common side effects include stomach upset, nausea, and vomiting. If these symptoms persist or worsen, it's important to consult your healthcare provider. High levels of calcium in the blood are also reported by some individuals, which might present as tiredness, muscle weakness, constipation, or bone pain. If you notice any of these, reach out to your healthcare provider.

In some cases, more serious side effects can occur. These include significant stomach or abdominal pain, loss of appetite, confusion, dry mouth, and increased thirst or urination. While these are less common, it is crucial to seek medical advice if they appear. Additionally, though rare, severe allergic reactions can happen. Be vigilant for symptoms such as rash, itching or swelling, severe dizziness, or trouble breathing, and seek immediate medical help if these occur.

Remember, this is not an exhaustive list of side effects. If you notice any other unusual symptoms, contacting your healthcare provider is advised. Your health and safety are paramount, and professional guidance can help manage any potential concerns effectively.

Calcium Acetate can interact with various medications and supplements, so it's important to inform your healthcare provider about everything you're taking, including prescription drugs, over-the-counter medications, vitamins, and herbal supplements. Some interactions may decrease the absorption of other medications, while others can increase the risk of side effects.

Medications that may interact and require careful scheduling include:

1. Decreased Absorption: Calcium acetate can reduce the effectiveness of certain drugs if taken together. These include:

   • Bisphosphonates: Alendronate.
   • Phenytoin.
   • Quinolone Antibiotics: Ciprofloxacin, Levofloxacin.
   • Thyroid Medications: Levothyroxine.
   • Tetracycline Antibiotics: Doxycycline, Minocycline.

2. Increased Risk of Side Effects: Some medications may increase side effects when used with calcium acetate, yet using them together might be necessary. These include:

   • Chlorothiazide.
   • Various Antibiotics: Doxycycline, Ciprofloxacin, Levofloxacin, and others.
   • Thyroid and Mineral Supplements: Levothyroxine, Strontium Ranelate, and phosphate supplements.

In some cases, using calcium acetate with other medications like Baloxavir Marboxil, Bictegravir, or Digoxin may not be recommended unless advised by your doctor. Your healthcare provider might adjust dosages and timing to minimize interactions. Always follow their guidance on how to schedule your medications effectively.