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CARBOCAL D 600 MG/400 IU CHEWABLE TABLETS

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About the medicine

How to use CARBOCAL D 600 MG/400 IU CHEWABLE TABLETS

Translated with AI

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

Carbocal D 600 mg/400 UI Chewable Tablets

Calcium / Colecalciferol (Vitamin D3)

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

  • Keep this package leaflet, as you may need to read it again.
  • If you have any questions, consult your doctor or pharmacist.
  • This medication has been prescribed to you only, and you should not give it to others, even if they have the same symptoms as you, as it may harm them.
  • If you experience side effects, consult your doctor or pharmacist, even if they are not listed in this package leaflet. See section 4.

Package Leaflet Contents

  1. What is Carbocal D and what is it used for
  2. What you need to know before taking Carbocal D
  3. How to take Carbocal D
  4. Possible side effects
  5. Storage of Carbocal D
  6. Package Contents and Additional Information

1. What is Carbocal D and what is it used for

Carbocal D is a calcium and vitamin D supplement.

Carbocal D is indicated for the treatment of calcium and vitamin D deficiency states. It can also be used as a supplement in the treatment of osteoporosis in patients with manifest calcium and vitamin D deficiency or at high risk of developing it.

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2. What you need to know before taking Carbocal D

Do not take Carbocal D:

  • If you are allergic to calcium carbonate, vitamin D3, or any of the other components of this medication (listed in section 6).
  • If you have kidney stones.
  • If you have severe kidney failure.
  • If you have high levels of calcium in the blood or urine.

Warnings and Precautions

Consult your doctor or pharmacist before starting to take Carbocal D.

  • If you suffer from any of the following diseases, remember to inform your doctor before taking this medication:
  • If you are taking other products that contain vitamin D, you should inform your doctor, as you should stop taking them.
  • If you have sarcoidosis (a granulomatous disease that affects various organs, including the skin, and can be associated with elevated calcium levels in the blood).
  • If you have kidney failure or a tendency to form kidney stones.
  • If you have any heart disease.

Consult your doctor, even if any of the above circumstances have occurred to you in the past.

Children

The safety and efficacy of Carbocal D have not been established in children, so its use is not recommended in this age group.

Other Medications and Carbocal D

Taking Carbocal D with other medications.

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

Carbocal D may interact with the following medications:

  • Cardiac glycosides, such as digoxin.
  • The following antibiotics: tetracyclines, penicillin, neomycin, chloramphenicol
  • Certain diuretics: loop diuretics (furosemide, ethacrynic acid) and thiazide diuretics (hydrochlorothiazide)
  • Antacids that contain aluminum salts
  • Thyroid hormones
  • Colestyramine
  • Corticosteroids
  • Mineral oils
  • Phenytoin
  • Barbiturates
  • Bisphosphonate
  • Sodium fluoride

Taking Carbocal D with Food, Beverages, and Alcohol

If you take Carbocal D chewable tablets with foods that contain oxalates (beets, spinach, chocolate), phosphates (red meat), or phytic acid (whole wheat bread, cereals), interactions may occur, so it is recommended not to take Carbocal D with meals.

During treatment with Carbocal D, you should not take foods that may be "fortified" with vitamin D.

Pregnancy, Breastfeeding, and Fertility

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

Consult your doctor or pharmacist before taking any medication.

Your doctor will assess the suitability of the treatment for you.

The use of Carbocal D is not recommended during pregnancy or breastfeeding.

Driving and Using Machines

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

Important Information about Some Components of Carbocal D

This medication contains 5 mg of aspartame in each tablet.

Aspartame contains a source of phenylalanine, which may be harmful in cases of phenylketonuria (PKU), a rare genetic disease in which phenylalanine accumulates due to the body's inability to eliminate it properly.

This medication contains lactose. If your doctor has told you that you have an intolerance to certain sugars, consult with them before taking this medication.

This medication contains 600 mg of sorbitol in each tablet. Sorbitol is a source of fructose. If your doctor has told you that you (or your child) have an intolerance to certain sugars, or have been diagnosed with hereditary fructose intolerance (HFI), a rare genetic disease in which the patient cannot break down fructose, consult with your doctor before taking this medication.

3. How to Take Carbocal D

Follow the administration instructions for this medication exactly as indicated by your doctor or pharmacist. If in doubt, consult your doctor or pharmacist again.

Remember to take your medication.

Adults and Elderly Patients

The recommended dose is 1 to 2 tablets per day.

Your doctor will indicate the duration of your treatment with Carbocal D. Do not stop treatment before; otherwise, the desired effect will not be achieved.

Method of Administration:

Carbocal D chewable tablets are for oral use. Chew the tablets, then drink a little water if desired.

They can also be dispersed in half a glass of water and taken afterwards.

If you think the effect of Carbocal D is too strong or too weak, inform your doctor or pharmacist.

If You Take More Carbocal D Than You Should

If you have taken more Carbocal D than you should, consult your doctor or pharmacist immediately.

In case of overdose, you may experience a sensation of thirst, nausea, vomiting, dehydration, increased frequency of urination, and constipation.

In case of overdose or accidental ingestion, consult the Toxicology Information Service: Telephone 91 562 04 20.

If You Forget to Take Carbocal D

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

If you forget to take a dose, take the next one as soon as possible and continue as before.

If You Interrupt Treatment with Carbocal D

If you have any other questions about the use of this medication, ask your doctor or pharmacist.

Medicine questions

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4. Possible Side Effects

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

The following side effects have been observed:

Rare (may affect up to 1 in 1,000 people): constipation, flatulence, nausea, abdominal pain, and diarrhea.

In cases of prolonged administration at high doses, elevated calcium levels in the blood and urine may appear, with symptoms such as loss of appetite, vomiting, nausea, headache, weakness, apathy, and somnolence. Other more serious symptoms are thirst, dehydration, increased frequency of urination, abdominal pain, and irregular heartbeat.

If you observe any other reaction not described in this package leaflet, consult your doctor or pharmacist.

Reporting Side Effects

If you experience any type of side effect, consult your doctor or pharmacist, even if it is a possible side effect that does not appear in this package leaflet. You can also report them directly through the Spanish Medication Surveillance System for Human Use, www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medication.

5. Storage of Carbocal D

Do not store above 30°C. Keep in the original package.

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.

Medications should not be disposed of through wastewater or household waste. Deposit the packages and medications you no longer need at the SIGRE point in the pharmacy. Ask your pharmacist how to dispose of packages and medications you no longer need. This will help protect the environment.

6. Package Contents and Additional Information

Composition of Carbocal D

  • The active ingredients are calcium (carbonate) and colecalciferol (vitamin D3). Each chewable tablet contains 600 mg of calcium and 400 UI of colecalciferol.
  • The other components are: sodium saccharin, sorbitol (E-420), pregelatinized corn starch, magnesium stearate (E-572), sodium croscarmellose, aspartame (E-951), anhydrous lactose, anise flavor, mint flavor, and milk flavor.

Appearance of the Product and Package Contents

Carbocal D are white, anise-menthol flavored chewable tablets.

They come in polyethylene bottles containing 60 chewable tablets.

Marketing Authorization Holder

Farmasierra Laboratorios SL

Ctra de Irún km 26,200 San Sebastián de los Reyes

28709 Madrid, Spain

Manufacturer

Farmasierra Manufacturing SL

Ctra de Irún km 26,200 San Sebastián de los Reyes

28709 Madrid, Spain

Date of the Last Revision of this Package Leaflet:July 2018

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

Online doctors for CARBOCAL D 600 MG/400 IU CHEWABLE TABLETS

Discuss questions about CARBOCAL D 600 MG/400 IU CHEWABLE TABLETS, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Hocine Lokchiri

General medicine 21 years exp.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

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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.

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Lina Travkina

Family medicine 13 years exp.

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

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If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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Doctor

Alina Tsurkan

Family medicine 13 years exp.

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

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Doctor

Yevgen Yakovenko

General surgery 12 years exp.

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

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Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
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Frequently Asked Questions

Is a prescription required for CARBOCAL D 600 MG/400 IU CHEWABLE TABLETS?
CARBOCAL D 600 MG/400 IU CHEWABLE TABLETS requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
How much does CARBOCAL D 600 MG/400 IU CHEWABLE TABLETS cost in pharmacies?
The average pharmacy price for CARBOCAL D 600 MG/400 IU CHEWABLE TABLETS is around 7.21 EUR. Prices may vary depending on the manufacturer and dosage form.
Who manufactures CARBOCAL D 600 MG/400 IU CHEWABLE TABLETS?
CARBOCAL D 600 MG/400 IU CHEWABLE TABLETS is manufactured by Farmasierra Laboratorios S.L.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of CARBOCAL D 600 MG/400 IU CHEWABLE TABLETS 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 CARBOCAL D 600 MG/400 IU CHEWABLE TABLETS 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 CARBOCAL D 600 MG/400 IU CHEWABLE TABLETS?
Other medicines with the same active substance () include ADIAVAL 1000 mg/880 IU CHEWABLE TABLETS, BONESIL D FLAS 1500 mg/400 IU ORALLY DISINTEGRATING TABLETS, CADELIUS D 600 MG/2000 IU ORALLY DISINTEGRATING 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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