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When taking this medication, you might experience common side effects such as constipation or stomach upset. These effects are usually mild and tend to improve on their own. However, if they persist or worsen, it's important to inform your healthcare provider.

While serious side effects are less common, it's crucial to be aware of them. Notify your healthcare provider immediately if you experience nausea, vomiting, loss of appetite, unusual weight loss, changes in mood or mental state, signs of kidney problems like changes in urination frequency, bone or muscle pain, headaches, increased thirst or urination, general weakness, fatigue, or a fast and pounding heartbeat.

Although a severe allergic reaction to this medication is rare, seek emergency medical help if you notice symptoms such as a rash, swelling especially of the face, tongue, or throat, severe dizziness, or difficulty breathing. Being aware of these potential side effects is important for your safety. If you encounter any other unexpected effects, reach out to your healthcare provider for guidance.

Some medications could interact with this drug, including Digoxin and phosphate binders. Calcium may reduce the absorption of other medications like tetracycline antibiotics (such as doxycycline, Minocycline), bisphosphonates (like Alendronate), estramustine, Levothyroxine, and quinolone antibiotics (such as Ciprofloxacin, Levofloxacin). Additionally, some drugs can decrease the absorption of Vitamin D, including bile acid sequestrants (like Cholestyramine/Colestipol), Mineral Oil, and Orlistat. To prevent interactions, it is important to separate the timing of doses for these medications from your calcium/vitamin D intake. Consult your doctor or pharmacist to determine the appropriate interval between doses and to create a schedule that accommodates all your medications.

Be sure to check the labels of all prescription and over-the-counter products, including herbal supplements, as they may contain calcium, phosphate, or vitamin D. If you have any questions about using these products safely, consult your pharmacist. Also, avoid using any medications containing Calcitriol while taking vitamin D, as they are very similar.

This product may also affect certain laboratory tests, like cholesterol tests, potentially leading to inaccurate results. Inform the lab staff and all your healthcare providers that you are using this product.