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IDEOS 500 mg/400 IU CHEWABLE TABLETS

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About the medicine

How to use IDEOS 500 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

Ideos 500 mg/400 UI Chewable Tablets

Calcium / Vitamin D3

Read this package leaflet carefully before you start taking this medicine, because it contains important information for you.

  • Keep this package leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
  • If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this package leaflet. See section 4.

Contents of the Package Leaflet

  1. What is Ideos and what is it used for
  2. What you need to know before you take Ideos
  3. How to take Ideos
  4. Possible side effects
  5. Storage of Ideos
  6. Contents of the pack and further information

1. What is Ideos and what is it used for

Ideos is a calcium and vitamin D supplement.

This medicine is indicated for:

  • Correcting combined calcium and vitamin D deficiency in elderly patients
  • In combination with other treatments for osteoporosis, when there is a combined deficiency of calcium and vitamin D or a high risk of osteoporosis
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2. What you need to know before you take Ideos

Do not take Ideos

  • if you are allergic to the active substances (calcium carbonate or vitamin D) or to any of the other ingredients of this medicine (listed in section 6).
  • if you are allergic to peanuts or soy.
  • if you have any disease that increases calcium levels in the blood or urine, such as bone metastases, hyperthyroidism, or prolonged immobilization.
  • if you have calcium stones or calcium deposits in the kidney.
  • if you have taken too much vitamin D.
  • if you have severe kidney problems.

Warnings and precautions

Talk to your doctor or pharmacist before taking Ideos, especially if:

  • If you are on long-term treatment, especially if you are an elderly patient taking other heart medications, thiazide diuretics, or if you have a tendency to develop kidney stones.
  • If you have kidney disease.
  • If you have a lung inflammatory disease called sarcoidosis.
  • If you have osteoporosis and are immobilized.
  • If you are prescribed calcium carbonate, you should monitor your calcium intake and alkaline substances from other sources (food, fortified foods, or other medications). When high doses of calcium are given with alkaline substances such as carbonate, there is a risk of milk-alkali syndrome. When high doses of calcium carbonate are administered, serum calcium levels should be monitored.

Children and adolescents

This medicine is not intended for use in children or adolescents under 18 years of age.

Taking Ideos with other medicines

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.

Ideos may interact (i.e., its effects may be altered) with the following medicines:

  • Heart medications, including digoxin (a medication for heart failure) and other heart medications, as it may increase the risk of arrhythmias
  • The absorption of osteoporosis medications such as bisphosphonates and other medications like sodium fluoride may decrease if taken at the same time as Ideos. Ideos should be taken two hours after these medications.
  • The absorption of some antibiotics (tetracyclines) may decrease if taken at the same time as Ideos. Ideos should be taken two hours after these medications.
  • Medications for high blood pressure and to reduce fluid in the body, such as thiazide diuretics, as they may reduce calcium elimination in the urine.
  • Corticosteroids may decrease the effect of vitamin D.
  • Calcium salts may decrease the absorption of iron, zinc, and strontium ranelate. Therefore, iron, zinc, and strontium ranelate preparations should be taken at least two hours before or after calcium/colecalciferol.
  • If you are being treated with colestyramine (a medication to reduce cholesterol) or laxatives, you should leave as much time as possible between taking these medications, as it may affect the absorption of vitamin D
  • Phenytoin (for epilepsy) or barbiturates (sedatives) may interfere with vitamin D absorption.
  • Calcium and/or vitamin D supplements should only be taken under medical supervision
  • Calcium may reduce the effect of levothyroxine (used to treat hypothyroidism), and doses should be separated by at least 4 hours.
  • Quinolone antibiotics should not be taken at the same time as calcium, as it may reduce their effect. Take the antibiotic 2 hours before or 6 hours after calcium.

Taking Ideos with food, drinks, or alcohol

You can take the medication at any time, with or without food

You should be aware that oxalic acid (found in spinach or rhubarb) and phytic acid (found in whole grains) may reduce the amount of calcium absorbed in the intestine. In the 2 hours before or after eating foods high in oxalic acid or phytic acid, patients should not take medications containing calcium.

Pregnancy and Breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

You should only take this medicine if you have a calcium or vitamin D deficiency and always under medical supervision. High doses of vitamin D and calcium can be harmful to the fetus.

Vitamin D passes into breast milk, so caution is advised due to the possible appearance of high calcium levels in the newborn.

Driving and Using Machines

There is not enough information available on the possible effects on the ability to drive or use machines. However, the influence appears to be unlikely.

Ideos contains Sorbitol (E420)

This medicine contains 475 mg of sorbitol in each chewable tablet. Sorbitol is a source of fructose. If your doctor has told you that you have an intolerance to some sugars, or you have been diagnosed with hereditary fructose intolerance (HFI), a rare genetic disorder in which the patient cannot break down fructose, consult your doctor before taking this medicine.

Ideos contains sucrose. If your doctor has told you that you have an intolerance to some sugars, consult with them before taking this medicine. It may cause tooth decay.

Ideos contains soybean oil. Do not use if you are allergic to peanuts or soy. (See "Do not take Ideos").

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3. How to take Ideos

Take this medicine exactly as your doctor has told you. If you are not sure, check with your doctor or pharmacist.

Your doctor will tell you how long to take Ideos. Do not stop treatment before.

This medicine is for oral use. The tablets can be dissolved in the mouth without water or can be chewed.

The recommended dose is 1 chewable tablet twice a day.

If you take more Ideos than you should

In case of overdose or accidental ingestion, inform your doctor or pharmacist immediately. The symptoms that may appear are nausea, vomiting, intense thirst, and constipation.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone: 91 562 04 20, indicating the medicine and the amount taken.

If you forget to take Ideos

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

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Uncommon side effects (may affect up to 1 in 100 people):

  • Increased calcium in blood and urine.

Rare side effects (may affect up to 1 in 1,000 people):

  • Gastrointestinal disorders such as constipation, flatulence, nausea, vomiting, abdominal pain, diarrhea
  • Skin disorders such as itching, rash, or irritation.

Frequency not known (cannot be estimated from the available data):

  • Hypersensitivity reactions such as angioedema and laryngeal edema (swelling of the face, tongue, lips, throat with difficulty breathing).
  • Milk-alkali syndrome (renal failure due to excess calcium in the blood).

In patients with renal insufficiency, there is a potential risk of hyperphosphatemia, nephrolithiasis, and nephrocalcinosis.

Reporting of side effects

If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this package leaflet. You can also report side effects directly through the Spanish Pharmacovigilance System for Human Use Medicines: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Ideos

Keep this medicine out of the sight and reach of children.

Store below 25°C.

Do not use this medicine after the expiry date which is stated on the packaging after EXP. The expiry date is the last day of the month stated.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help protect the environment.

6. Contents of the pack and further information

Composition of Ideos

The active substances are calcium carbonate and colecalciferol (vitamin D).

Each tablet contains 1250 mg of calcium carbonate (corresponding to 500 mg of elemental calcium) and 400 UI of colecalciferol, equivalent to 4 mg of colecalciferol concentrate in powder form.

The other ingredients (excipients) are: Xylitol, sorbitol (E420), povidone, lemon flavor (containing flavoring preparations, natural flavoring substances, maltodextrin, acacia, sodium citrate, citric acid, butylated hydroxyanisole) and magnesium stearate.

Excipients of colecalciferol concentrate in powder form: all-rac-α-tocopherol, hydrogenated soybean oil, gelatin, sucrose, anhydrous colloidal silica, corn starch.

Appearance of the product and contents of the pack

Each pack of Ideos contains 30 or 60 chewable tablets. The tablets are square, white-gray in color.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder

Theramex Ireland Limited

Kilmore House,

Park Lane, Spencer Dock,

Dublin 1

D01 YE64

Ireland

Manufacturer

Innothera Chouzy

Rue René Chantereau.

Chouzy-sur-Cisse

41150

Valloire-sur-Cisse

France

Local Representative

Theramex Healthcare Spain, S.L.

Calle Martínez Villergas 52, Edificio C, planta 2ª izquierda.

28027 Madrid

Spain

Date of last revision of this package leaflet: July 2024

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

Online doctors for IDEOS 500 mg/400 IU CHEWABLE TABLETS

Discuss questions about IDEOS 500 mg/400 IU CHEWABLE TABLETS, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Doctor

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.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
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  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

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He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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€58
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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:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • 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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€80
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Doctor

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:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

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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€70
5.0 (760)
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.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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€55
5.0 (140)
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.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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€50

Frequently Asked Questions

Is a prescription required for IDEOS 500 mg/400 IU CHEWABLE TABLETS?
IDEOS 500 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 IDEOS 500 mg/400 IU CHEWABLE TABLETS cost in pharmacies?
The average pharmacy price for IDEOS 500 mg/400 IU CHEWABLE TABLETS is around 3.61 EUR. Prices may vary depending on the manufacturer and dosage form.
Who manufactures IDEOS 500 mg/400 IU CHEWABLE TABLETS?
IDEOS 500 mg/400 IU CHEWABLE TABLETS is manufactured by Theramex Ireland Limited. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of IDEOS 500 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 IDEOS 500 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 IDEOS 500 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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