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CALCIO-20 ORAL EMULSION

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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use CALCIO-20 ORAL EMULSION

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Package Leaflet: Information for the Patient

CALCIO-20 Oral Emulsion

Tricalcium Phosphate

Read the package leaflet carefully before starting to take this medication, as it contains important information for you.

Follow the administration instructions of the medication contained in this package leaflet or as indicated by your doctor or pharmacist.

  • Keep this package leaflet, as you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If you experience side effects, consult your doctor or pharmacist, even if they are not listed in this package leaflet. See section 4.
  • You should consult your doctor if your condition worsens or does not improve after 3 days.

Contents of the Package Leaflet

  1. What is Calcio-20 and what is it used for
  2. What you need to know before taking Calcio-20
  3. How to take Calcio-20
  4. Possible side effects
  5. Storage of Calcio-20
  6. Package contents and additional information

1. What is Calcio-20 and what is it used for

Calcio-20 is a calcium supplement. It is indicated in: calcium deficiency states and situations where supplemental amounts of this mineral are required. You should consult your doctor if your condition worsens or does not improve after 3 days.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before starting to take Calcio-20

Do not take Calcio-20

  • If you are allergic to tricalcium phosphate or any of the other components of this medication (listed in section 6).
  • If you have kidney stones.
  • If you have high levels of calcium in the blood or urine.

Warnings and precautions

Consult your doctor or pharmacist before starting to take Calcio-20:

If you have kidney problems or a tendency to form kidney stones, remember to inform your doctor before taking this medication.

Other medications and Calcio-20

Tell your doctor or pharmacist if you are taking, have recently taken, or may need to take any other medication.

Especially if you are using any of the following medications:

  • Cardiac glycosides (heart medications)
  • Tetracyclines (antibiotics)
  • Thiazide diuretics (medications that increase urine elimination)
  • Systemic corticosteroids (anti-inflammatory medications derived from the steroid group)
  • Bisphosphonate (medications for the treatment and prevention of osteoporosis: fragile and brittle bones)
  • Sodium fluoride (bone growth stimulant in patients with osteoporosis)

Taking Calcio-20 with food and beverages

If you take Calcio-20 with foods that contain oxalic acid (found in spinach and rhubarb) or phytic acid (found in whole wheat bread and whole grain cereals), interactions may occur, so it is recommended not to take Calcio-20 during the two hours following the consumption of foods with high oxalic acid and phytic acid content.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medication.

Calcio-20 can be used during pregnancy in case of a calcium deficiency.

Driving and using machines

No effects have been observed on the ability to drive and use machines.

Calcio-20 containsmethyl parahydroxybenzoate, sodium salt (E-219).

This medication may cause allergic reactions (possibly delayed) because it contains methyl parahydroxybenzoate, sodium salt (E-219).

Calcio-20 containssodium benzoate.

This medication contains 1.15 mg of sodium benzoate (E-211) per ml. Sodium benzoate may increase the risk of jaundice (yellowing of the skin and eyes) in newborns (up to 4 weeks old).

3. How to take Calcio-20

Follow the administration instructions of the medication contained in this package leaflet or as indicated by your doctor or pharmacist. In case of doubt, ask your doctor or pharmacist.

The recommended dose is:

Adults: 1 tablespoon (15 ml) at the 3 main meals of the day

Children: 2 teaspoons (10 ml) at the 3 main meals of the day

1 tablespoon = 15 ml = 125 mg of elemental calcium.

2 teaspoons = 10 ml = 83.3 mg of elemental calcium.

Shake the bottle before each intake

If you take more Calcio-20 than you should

If you have taken more Calcio-20 than you should, consult your doctor, pharmacist, or call the Toxicology Information Service, phone 91-562-04-20, indicating the medication and the amount taken.

In case of overdose, you may experience thirst, nausea, vomiting, constipation, loss of appetite, abdominal pain, muscle weakness, fatigue, mental changes, polydipsia (excessive thirst), polyuria (increased frequency of urination), bone pain, nephrocalcinosis (high levels of calcium in the kidneys), kidney stones, and in severe cases, cardiac arrhythmias (abnormal heart rate).

If you forget to take Calcio-20

Do not take a double dose to make up for forgotten doses.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medications, this medication can cause side effects, although not everyone experiences them.

Uncommon side effects, may affect 1 in 100 people:

  • Hypercalcemia (high levels of calcium in the blood) and hypercalciuria (high levels of calcium in the urine)

Rare side effects, may affect 1 in 1000 people:

  • Constipation, gas, nausea, abdominal pain, and diarrhea.
  • Itching, exanthema (skin rash), and urticaria (hives)

If you experience side effects, consult your doctor or pharmacist, even if they are not listed in this package leaflet.

Reporting side effects

If you experience any side effects, consult your doctor or pharmacist, even if they are not listed in this package leaflet. You can also report them directly through the Spanish Medication Surveillance System: www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medication.

5. Storage of Calcio-20

Keep this medication out of the sight and reach of children

Do not use this medication after the expiration date stated on the package after CAD. The expiration date is the last day of the month indicated.

No special storage conditions are required.

Medications should not be disposed of through wastewater or household waste. Deposit the packaging and any unused medication in the pharmacy's SIGRE collection point. Ask your pharmacist how to dispose of the packaging and any unused medication. This will help protect the environment.

6. Package contents and additional information

Composition of Calcio-20

The active ingredient is tricalcium phosphate. Each ml of oral emulsion contains 20.88 mg tricalcium phosphate (equivalent to 8.12 mg of calcium).

The other components (excipients) are: liquid paraffin, sodium carboxymethylcellulose, sodium benzoate, potassium sorbate, methyl parahydroxybenzoate (sodium salt), sodium cyclamate, sodium saccharin, curaçao essence, lemon essence, pineapple essence, and purified water.

Appearance of the product and package contents

Calcio-20 is presented in a transparent PET bottle containing 300 ml of white-colored emulsion.

Marketing authorization holder

Farmasierra Laboratorios, S.L.

Ctra. de Irún, km 26,200

San Sebastián de los Reyes. 28709 (Madrid)

Manufacturer

Farmasierra Manufacturing, S.L.

Ctra. de Irún, km 26,200

San Sebastián de los Reyes. 28709 (Madrid)

Date of the last revision of this package leaflet: March 2021

Detailed and updated information on this medication is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.es

Online doctors for CALCIO-20 ORAL EMULSION

Discuss questions about CALCIO-20 ORAL EMULSION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

5.0 (69)
Doctor

Tarek Agami

General medicine 11 years exp.

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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Doctor

Nuno Tavares Lopes

Family medicine 18 years exp.

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
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  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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Anastasiia Shalko

Family medicine 13 years exp.

Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.

Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
  • viral illnesses such as colds and seasonal infections
  • gastrointestinal complaints (nausea, diarrhoea, abdominal pain, gastroenteritis)
  • sudden changes in how a child or adult feels
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Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.

She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.

With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

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Doctor

Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

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  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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Frequently Asked Questions

Is a prescription required for CALCIO-20 ORAL EMULSION?
CALCIO-20 ORAL EMULSION does not require a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in CALCIO-20 ORAL EMULSION?
The active ingredient in CALCIO-20 ORAL EMULSION is calcium phosphate. This information helps identify medicines with the same composition but different brand names.
How much does CALCIO-20 ORAL EMULSION cost in pharmacies?
The average pharmacy price for CALCIO-20 ORAL EMULSION is around 4.12 EUR. Prices may vary depending on the manufacturer and dosage form.
Who manufactures CALCIO-20 ORAL EMULSION?
CALCIO-20 ORAL EMULSION is manufactured by Farmasierra Laboratorios S.L.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of CALCIO-20 ORAL EMULSION online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether CALCIO-20 ORAL EMULSION is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to CALCIO-20 ORAL EMULSION?
Other medicines with the same active substance (calcium phosphate) include CAOSINA 1000 mg ORAL SUSPENSION POWDER, CARBOCAL 600 MG TABLETS, MASTICAL 500 mg CHEWABLE TABLETS. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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