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When using this medication, it's important to be aware of certain safety information and potential risks. Please consider the following points and consult your healthcare provider if you have any concerns or questions.

• High Blood Calcium Levels: This medication can occasionally cause elevated calcium levels in the blood, which may lead to serious health issues such as heart and blood vessel problems or seizures. You are at greater risk if taking it alongside other substances that increase calcium levels, such as calcium supplements, certain diuretics, or vitamin D products. Be vigilant for symptoms of high blood calcium, including fatigue, confusion, decreased appetite, nausea, vomiting, constipation, and muscle weakness. It may be necessary to monitor your blood calcium levels and receive treatment if needed.

• Drug Interactions: Calcium carbonate can interact with a variety of over-the-counter and prescription medications and supplements, including iron, thyroid medications, certain antibiotics, and digoxin. To prevent potential interactions, you may need to space out the timing of your doses. Consult your pharmacist or healthcare provider to determine if your current medications could interact with calcium carbonate and how best to manage this.

If you have any specific questions or require further clarification, please do not hesitate to reach out to your healthcare provider.

When taking this medication, you may experience some common side effects such as constipation, gas, burping, and dry mouth. These effects are usually mild and temporary. However, if they persist or worsen, it is advisable to consult a healthcare provider for guidance.

There are other side effects that, while less common, may occur, including nausea, vomiting, and a reduced appetite. Should you experience any of these symptoms, particularly if they become severe, it is important to reach out to a healthcare provider.

More serious side effects, although rare, require immediate medical attention. These include symptoms of high blood calcium levels, which can manifest as fatigue, unusual weakness, muscle pain, a significant loss of appetite, nausea, vomiting, constipation, bone pain, depression, or confusion. Additionally, severe allergic reactions, such as rash, itching, swelling (especially of the face, tongue, or throat), severe dizziness, and trouble breathing, require urgent medical care.

While many individuals using this medication do not experience serious side effects, it is crucial to remain vigilant and seek medical advice if you notice any unexpected or severe symptoms.

Calcium carbonate may interact with several other medications. It can reduce the absorption of drugs such as tetracycline antibiotics (e.g., doxycycline, minocycline), bisphosphonates (e.g., alendronate), estramustine, iron supplements, levothyroxine, pazopanib, strontium, and quinolone antibiotics (e.g., ciprofloxacin, levofloxacin). To ensure optimal effectiveness, these medications should be taken at different times than calcium carbonate. Consult your doctor or pharmacist for guidance on the appropriate timing between doses.

Additionally, certain products may interact with calcium carbonate, including digoxin, specific phosphate binders like calcium acetate, phosphate supplements like potassium phosphate, and sodium polystyrene sulfonate. Always check the labels of all your prescription, non-prescription, and herbal products, as they might contain calcium. For safe usage, seek advice from your pharmacist regarding these products.