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MASTICAL 500 mg CHEWABLE TABLETS

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Prescription review online

A doctor will review your case and decide whether a prescription is medically appropriate.

Talk to a doctor about this medicine

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Discuss your symptoms and possible next steps in a quick online consultation.

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 MASTICAL 500 mg 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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Introducción

Prospecto: información para el usuario

Mastical 500 mg comprimidos masticables

Calcio

Lea todo el prospecto detenidamente antes de empezar a tomar este medicamento, porque contiene información importante para usted.

  • Siga exactamente las instrucciones de administración del medicamento contenidas en este prospecto o las indicadas por su médico o farmacéutico.Conserve este prospecto, ya que puede tener que volver a leerlo.
  • Si necesita consejo o más información, consulte a su farmacéutico.
  • Si experimenta efectos adversos, consulte a su médico o farmacéutico, incluso si se trata de efectos adversos que no aparecen en este prospecto. Ver sección 4.

Contenido del prospecto

  1. Qué es Mastical y para qué se utiliza
  2. Qué necesita saber antes de empezar a tomar Mastical
  3. Cómo tomar Mastical
  4. Posibles efectos adversos
  5. Conservación de Mastical
  6. Contenido del envase e información adicional

1. Qué es Mastical y para qué se utiliza

Mastical son comprimidos masticables que contienen calcio, sustancia importante en la formación del hueso.

Mastical se usa para prevenir y tratar la deficiencia de calcio y como suplemento en el tratamiento de la osteoporosis. Mastical se usa también bajo prescripción médica, como aglutinante de fosfato en pacientes con niveles elevados de fosfato en sangre.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. Qué necesita saber antes de empezar a tomar Mastical

No tome Mastical:

-si es alérgico al calcio o a cualquiera de los demás componentes de este medicamento (incluidos en la sección 6).

  • si tiene cantidades elevadas de calcio en la sangre o en la orina.
  • si tiene cálculos en el riñón.

Advertencias y precauciones:

Consulte a su médico o farmacéutico antes de empezar a tomar Mastical:

  • si toma diuréticos (usados en el tratamiento de elevada presión sanguínea o edema) o glucósidos cardiacos (usados para el tratamiento de alteraciones cardiacas).
  • si presenta cantidad excesiva de calcio en la sangre o signos de insuficiencia renal o ha tenido alguna vez cálculos en el riñón.
  • si toma altas dosis de calcio y adicionalmente usa productos que contienen vitamina D.
  • si toma altas dosis de calcio y adicionalmente usa antiácidos.

Uso de Mastical con otros medicamentos

Informe a su médico o farmacéutico si está tomando, ha tomado recientemente o podría tener que tomar cualquier otro medicamento.

El carbonato cálcico puede interferir en la absorción de tetraciclinas si se toman al mismo tiempo. Por esta razón las tetraciclinas se deben tomar al menos 2 horas antes o de 4-6 horas después de la ingesta de Mastical.

Los medicamentos que contienen bifosfonatos se deben tomar al menos una hora antes de la ingesta de Mastical.

El calcio puede disminuir los efectos de levotiroxina. Por esta razon la levotiroxina se debe tomar al menos cuatro horas antes o cuatro horas después de Mastical.

Los efectos de algunos antibióticos (quinolonas) se pueden reducir si se toman al mismo tiempo que el calcio. Por esta razón las quinolonas se deben tomar dos horas antes o seis horas después de la ingesta de Mastical.

Las sales de calcio pueden disminuir la absorción de hierro, zinc y ranelato de estroncio. Por consiguiente, los preparados de hierro, zinc o ranelato de estroncio deben tomarse al menos dos horas antes o después de Mastical.

Otros medicamentos que pueden interaccionar con Mastical son: diuréticos tiazídicos y glicósidos cardiacos.

Si está utilizando alguno de los medicamentos mencionados, su médico le dará más instrucciones.

Toma de Mastical con alimentos y bebidas

Mastical se puede tomar con o sin alimentos y bebidas.

Embarazo, lactancia y fertilidad

Si está embarazada o en periodo de lactancia, cree que podría estar embarazada o tiene intención de quedarse embarazada, consulte a su médico o farmacéutico antes de utilizar este medicamento.

Durante el embarazo, la ingesta diaria de calcio no debe exceder de 2500 mg (incluyendo alimentos y suplementos). Mastical se puede utilizar durante el embarazo en caso de una deficiencia de calcio.

Mastical se puede utilizar durante la lactancia. El calcio pasa a través de la leche materna

Conducción y uso de máquinas

Mastical no tiene influencia conocida sobre la capacidad para conducir y utilizar máquinas.

Mastical contiene isomalta

Mastical contiene isomalta (E953). Si su médico le ha indicado que padece una intolerancia a ciertos azúcares, consulte con él antes de tomar este medicamento.

3. Cómo tomar Mastical

Siga exactamente las instrucciones de administración de este medicamento indicadas por su médico o farmacéutico. En caso de duda, consulte de nuevo a su médico o farmacéutico.

Dosis:

La dosis recomendada en adultos es de 500 – 1500 mg de calcio al día.

Uso en niños

La dosis recomendada en niños es de 500 – 1000 mg de calcio al día.

Los comprimidos se pueden masticar o chupar.

Si toma más Mastical del que debe:

Si ha tomado más Mastical de lo que debe, consulte inmediatamente a su médico o farmacéutico.

Si olvidó tomar Mastical:

No tome una dosis doble para compensar las dosis olvidadas.

Si tiene cualquier otra duda sobre el uso de este medicamento, pregunte a su médico o farmacéutico.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Posibles efectos adversos

Al igual que todos los medicamentos, este medicamento puede producir efectos adversos, aunque no todas las personas los sufran.

La dispepsia se ha producido con una frecuencia no conocida (no puede estimarse a partir de los datos disponibles).

Efectos adversos poco frecuentes (pueden afectar hasta 1 de cada 100 personas)

Elevadas cantidades de calcio en sangre o en orina.

Efectos adversos raros (pueden afectar hasta 1 de cada 1.000 personas)

Estreñimiento, gases, nauseas, dolor abdominal, diarrea

Efectos adversos muy raros (pueden afectar hasta 1 de cada 10.000 personas)

Picor y urticaria. El síndrome de leche y alcalinos se suele mostrar solo cuando se han ingerido elevadas cantidades de calcio, los síntomas son frecuente sensación de urgencia para orinar, dolor de cabeza, pérdida del apetito, náuseas o vómitos, cansancio y debilidad inusuales, elevados niveles de calcio en sangre y alteraciones renales.

Comunicación de efectos adversos

Si experimenta cualquier tipo de efecto adverso, consulte a su médico o farmacéutico, incluso si se trata de posibles efectos adversos que no aparecen en este prospecto. También puede comunicarlos directamente a través del Sistema Español de Farmacovigilancia de Medicamentos de Uso Humano: www.notificaRAM.es. Mediante la comunicación de efectos adversos usted puede contribuir a proporcionar más información sobre la seguridad de este medicamento

5. Conservación de Mastical

Mantener fuera de la vista y del alcance de los niños.

No utilice este medicamento después de la fecha de caducidad que aparece en el envase. La fecha de caducidad es el último día del mes que se indica.

Frasco de plástico: No conservar a temperatura superior a 30ºC. Mantener el envase perfectamente cerrado para protegerlo de la humedad.

Periodo de validez después de la apertura: 6 meses

Blister: No conservar a temperatura superior a 25ºC. Conservar en el embalaje original para protegerlo de la humedad.

Los medicamentos no se deben tirar por los desagües ni a la basura. Deposite los envases y los medicamentos que no necesita en el Punto SIGRE de la farmacia. En caso de duda pregunte a su farmacéutico cómo deshacerse de los envases y de los medicamentos que no necesita. De esta forma ayudará a proteger el medio ambiente.

6. Contenido del envase e i nformación adicional

Composición de Mastical 500 mg

El principio activo es 1250 mg de carbonato cálcico (equivalente a 500 mg de calcio)

Los demás componentes son:

Xilitol (E967), povidona, isomalta (E953), potenciador del sabor (naranja), estearato magnésico, sucralosa (E955), mono y diglicéridos de ácidos grasos.

Aspecto del producto y contenido del envase

Mastical son comprimidos redondos y de color blanco,

Tamaños de Envase:

Frasco de plástico: 20, 30, 50, 60, 90, 100, 120 y 180 comprimidos de 500mg.

30, 60, 90, 100, comprimidos de 1000 mg

Blister: 50 x 1 comprimidos (monodosis)

Puede que no se comercialicen todos los tamaños de envase.

Titular de la autorización de comercialización y responsable de fabricación

Titular de la Autorización de Comercialización:

CHEPLAPHARM Arzneimittel GmbH

Ziegelhof 24

17489 Greifswald

Alemania

Fabricantes:

Asker Contract Manufacturing AS

Drammensveien 852

NO-1383 Asker, Noruega

o

Tjoapack Netherlands B.V.

Nieuwe Donk 9,

4879 AC Etten-Leur, Holanda

Representante local:

Laboratorios Rubió, S.A.

Industria, 29 - Pol. Ind. Comte de Sert

08755 Castellbisbal (Barcelona)

España

Este medicamento está autorizado en los Estados Miembros del Espacio Económico Europeo con los siguientes nombres:

500 mg:

Bélgica: Calci - Chew

Finlandia: Calcichew appelsiini 500 mg purutabletti

Grecia: Calcioral

Luxemburgo: Calcichew

Holanda: Caci - Chew 500 mg

España: Mastical

Suecia: Calcitugg 500 mg

Este prospecto ha sido aprobado en Febrero 2023

Online doctors for MASTICAL 500 mg CHEWABLE TABLETS

Discuss questions about MASTICAL 500 mg CHEWABLE TABLETS, 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
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
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  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • 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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€59
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Doctor

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
  • questions about existing treatment and whether adjustments are needed
  • renewal of prescriptions when clinically appropriate
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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€50
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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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Doctor

Daniel Cichi

Family medicine 24 years exp.

Dr Daniel Cichi is a family medicine doctor with over 20 years of clinical experience. He provides online consultations for adults, supporting patients with acute symptoms, chronic conditions, and everyday health concerns that require timely medical guidance.

His background includes work in emergency care, ambulance services, and family medicine, which allows him to assess symptoms quickly, identify warning signs, and help patients choose the safest next steps – whether that means home care, treatment adjustment, or in-person evaluation.

Patients commonly consult Dr Daniel Cichi for:

  • acute symptoms: fever, infections, flu-like illness, cough, sore throat, shortness of breath;
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  • digestive problems: abdominal pain, nausea, diarrhoea, constipation, reflux;
  • muscle, joint, and back pain, minor injuries, post-traumatic symptoms;
  • chronic conditions: hypertension, diabetes, high cholesterol, thyroid disorders;
  • review and interpretation of lab tests, imaging reports, and medical documents;
  • medication review and treatment adjustment;
  • medical advice while travelling or living abroad;
  • second opinions and guidance on whether in-person care is needed.
Dr Cichi’s consultations are structured and practical. He focuses on clear explanations, risk assessment, and actionable recommendations, helping patients understand their symptoms and make informed decisions about their health.
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€55

Frequently Asked Questions

Is a prescription required for MASTICAL 500 mg CHEWABLE TABLETS?
MASTICAL 500 mg CHEWABLE TABLETS 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 MASTICAL 500 mg CHEWABLE TABLETS?
The active ingredient in MASTICAL 500 mg CHEWABLE TABLETS is calcium carbonate. This information helps identify medicines with the same composition but different brand names.
How much does MASTICAL 500 mg CHEWABLE TABLETS cost in pharmacies?
The average pharmacy price for MASTICAL 500 mg CHEWABLE TABLETS is around 2.75 EUR. Prices may vary depending on the manufacturer and dosage form.
Who manufactures MASTICAL 500 mg CHEWABLE TABLETS?
MASTICAL 500 mg CHEWABLE TABLETS is manufactured by Cheplapharm Arzneimittel Gmbh. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of MASTICAL 500 mg 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 MASTICAL 500 mg 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 MASTICAL 500 mg CHEWABLE TABLETS?
Other medicines with the same active substance (calcium carbonate) include CAOSINA 1000 mg ORAL SUSPENSION POWDER, CARBOCAL 600 MG TABLETS, NATECAL 600 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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