Natcal DX 600 mg + 400 iu Tablet

Natcal DX 600 mg + 400 iu tablet by Jenphar Bangladesh Ltd. is a calcium and vitamin D supplement available in Bangladesh. It contains Calcium (Coral Calcium) + Vitamin D3 and is mainly used to help prevent or treat calcium and vitamin D deficiency and to support bone health when dietary intake or sunlight exposure is inadequate.

Calcium (Coral Calcium) + Vitamin D3 works by providing calcium for bones, teeth, muscles and nerves, while vitamin D3 helps the body absorb and use calcium. A key caution is that excessive intake can cause high calcium levels, especially in people with kidney disease, kidney stones, or certain disorders, so it should be used as advised by a healthcare professional.

• Prevention and treatment of calcium deficiency.
• Prevention and treatment of vitamin D deficiency when supplementation is needed.
• Adjunctive support in osteoporosis or low bone mineral density, along with other measures or medicines as advised by a doctor.
• Supplementation in people with increased calcium and vitamin D needs or inadequate intake, when recommended by a healthcare professional.

Adults should take calcium with vitamin D3 exactly as directed on the product label or by the prescribing doctor. It is commonly taken with or after food to improve tolerance and absorption. The appropriate dose depends on age, diet, blood calcium or vitamin D status, kidney function, pregnancy or breastfeeding status, and other medicines; do not exceed the recommended daily amount unless a doctor advises it.

• Common: constipation, stomach discomfort, bloating, gas, nausea, or a chalky taste.
• Less common: diarrhoea or vomiting.
• Serious but uncommon: high calcium levels, which may cause unusual thirst, frequent urination, loss of appetite, confusion, weakness, or irregular heartbeat.
• Kidney stones may occur in susceptible people, especially with excessive calcium intake.
• Allergic reactions are rare but require urgent medical help if there is swelling of the face or throat, severe rash, or breathing difficulty.

Use with caution in people with kidney disease, a history of kidney stones, high blood calcium, high urine calcium, sarcoidosis or other granulomatous disease, parathyroid disorders, or heart disease. Avoid taking multiple calcium or vitamin D products together unless advised, because overdose can be harmful. Use under the guidance of a registered doctor or pharmacist, especially for long-term use, children, older adults, pregnancy, breastfeeding, or if other medicines are being taken.

• Calcium can reduce absorption of levothyroxine; separate doses by several hours as advised.
• Calcium can reduce absorption of tetracycline and quinolone antibiotics; separate dosing as directed by a doctor or pharmacist.
• Calcium may reduce absorption of bisphosphonates used for osteoporosis; take bisphosphonates separately according to their instructions.
• Thiazide diuretics may increase the risk of high calcium levels.
• Digoxin or other cardiac glycosides: high calcium levels may increase the risk of heart rhythm problems; medical supervision is needed.
• Orlistat, bile acid sequestrants, and some mineral oils may reduce vitamin D absorption.
• Large amounts of bran, phytates, oxalate-rich foods, or high-salt diets may reduce calcium absorption or increase calcium loss.

• Known allergy or hypersensitivity to any ingredient in the product.
• High blood calcium levels or conditions causing hypercalcaemia.
• High urine calcium levels when calcium supplementation is not appropriate.
• Vitamin D toxicity.
• Severe kidney impairment or kidney stones where calcium/vitamin D supplementation has been restricted by a doctor.

Calcium and vitamin D are important during pregnancy and breastfeeding, but the total daily intake from diet and supplements should stay within recommended limits. Pregnant or breastfeeding women should use this supplement only as advised by a doctor, pharmacist, or antenatal care provider, particularly if they already take prenatal vitamins or have kidney disease, stones, or high calcium levels.

Store in a cool, dry place away from direct sunlight, heat, and moisture. Keep the container tightly closed and out of the reach of children. Do not use after the expiry date or if the tablet appears damaged or contaminated.