Gemcal

•  Heart: Slow heart rate, cardiac arrest, abnormal heart rhythm.

•  Gastrointestinal: Constipation, loss of appetite, flatulence, nausea, abdominal pain and diarrhea.

•  Genitourinary: Kidney stone, kidney failure.

•  Metabolic: Increased calcium level, muscle weakness, headache, coma.

•  Allergic reactions: Itching, rash and hives.

Oral- 1 to 3 chewable tablets containing 500 mg calcium carbonate per day, or as directed by your physician. Maximum dose is 16 tablets/day. For pregnant woman maximum dose is 7 tabs/day.

It comes as a tablet, liquid to take by mouth, after meals.

Contraindicated to patients with increased calcium level in blood and/or increased calcium in urine, kidney stone, increased level of vitamin D, and phosphate in blood.

• Impaired calcium absorption in achlorhydria, which is common in elderly.

• Increased risk of increased calcium level in blood and/or increased calcium in urine in hypo parathyroid patients receiving high doses of vitamin D.

• Caution needed when using in patients with history of kidney stones, kidney impairment.

• Frequent monitoring of serum calcium and phosphorus is recommended.

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Do not take in larger or smaller quantity or for longer than recommended.

Oral: Store below 25°C. Store it at room temperature and in airtight container.

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