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CARBOCAL D 600 mg/400 IU CHEWABLE TABLETS ORANGE FLAVOR

CARBOCAL D 600 mg/400 IU CHEWABLE TABLETS ORANGE FLAVOR

Ask a doctor about a prescription for CARBOCAL D 600 mg/400 IU CHEWABLE TABLETS ORANGE FLAVOR

5.0(2)
Doctor

Lina Travkina

Family medicine13 years of experience

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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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 CARBOCAL D 600 mg/400 IU CHEWABLE TABLETS ORANGE FLAVOR

Introduction

Package Leaflet: Information for the User

CARBOCAL D 600 mg/400 UI Orange-Flavored Chewable Tablets

Calcium/Colecalciferol

Read the entire package leaflet carefully before starting to take the medication.

  • 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 and should not be given to others, even if they have the same symptoms, as it may harm them.
  • If you consider any of the side effects you are experiencing to be serious or if you notice any side effect not mentioned in this package leaflet, inform your doctor or pharmacist.

Contents of the Package Leaflet:

  1. What is Carbocal D and what is it used for.
  2. Before taking Carbocal D.
  3. How to take Carbocal D.
  4. Possible side effects.
  5. Storage of Carbocal D.
  6. Additional information

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

This medication contains two active ingredients: calcium and vitamin D3. Calcium is an important component of bones, and vitamin D3 helps with calcium absorption in the intestine and its deposition in bones.

It is indicated for:

  • Correction of vitamin D and calcium deficiencies in the elderly.
  • In combination with osteoporosis treatments, if calcium and vitamin D levels are too low, or there is a high risk of them being too low.

2. Before taking Carbocal D

Do not take Carbocal D

  • If you are allergic (hypersensitive) to calcium, vitamin D, or any of the other components of Carbocal D (in particular, soybean or peanut oil) (see section 6).
  • If you have abnormally high levels of calcium in the blood (hypercalcemia) and/or excessive loss of calcium in the urine (hypercalciuria).
  • If you have any condition that may lead to hypercalcemia and/or hypercalciuria (e.g., overactive parathyroid glands, bone marrow disease (myeloma), malignant bone tumor (bone metastases)).
  • If you have kidney failure.
  • If you have kidney stones (lithiasis) or calcium deposits in your kidneys (nephrocalcinosis).
  • If you have an excessive intake of vitamin D (hypervitaminosis D).

Be careful with Carbocal D

In the case of long-term treatments with Carbocal D, the amount of calcium in the blood should be regularly monitored (calcemia). This monitoring is particularly important in the elderly and when the treatment is being administered at the same time as cardiac glycosides (e.g., digoxin) or diuretics. Depending on the result, your doctor will decide whether to reduce or interrupt the treatment.

Before taking Carbocal D, consult your doctor or pharmacist:

  • If you have had kidney stones.
  • If you are suffering from any immune disorder (sarcoidosis), for which calcium levels in the blood and urine should be monitored.
  • If you are immobile and have a reduction in bone mass (osteoporosis). This may cause an excessive increase in calcium levels in the blood, which can cause side effects.
  • If you are taking other medications that contain vitamin D3 or calcium. This may cause an excessive increase in calcium levels in the blood, which can cause side effects.

Use of other medications

Inform your doctor or pharmacist if you are using or have recently used other medications, including those purchased without a prescription.

In particular:

  • Thiazide diuretics (medications used to treat high blood pressure), as they may increase the amount of calcium in the blood.
  • Oral steroids, as they may reduce the amount of calcium in the blood.
  • Orlistat (a medication used to treat obesity), cholestyramine, or laxatives such as paraffin oil, as they may reduce the absorption of vitamin D3.
  • Phenytoin (a medication for epilepsy) and barbiturates (medications that help with sleep), as they may make vitamin D3 less effective.
  • Cardiac glycosides (medications used to treat heart problems), as they may cause more side effects if too much calcium is taken.
  • Tetracycline antibiotics, as they may reduce the amount absorbed. In this case, it is recommended to take them at least 2 hours before or 4-6 hours after taking Carbocal D.
  • Estramustine (a medication used in chemotherapy), thyroid hormones, or medications that contain iron, zinc, or strontium, as they may reduce the amount absorbed. They should be administered at least 2 hours before or after Carbocal D.
  • Bisphosphonates (a treatment for certain bone conditions), fluoride, or fluoroquinolones (a type of antibiotic), as they may reduce the amount absorbed. These medications should be taken at least 3 hours before or after Carbocal D.
  • Other medications that contain calcium or vitamin D while taking Carbocal D. This may cause an excessive increase in calcium levels in the blood.

Taking Carbocal D with food and drinks

In the two hours prior to taking Carbocal D, you should avoid eating foods that contain oxalates (e.g., spinach and rhubarb) or phytic acid (e.g., whole grains), which may reduce calcium absorption.

Pregnancy and Breastfeeding

Consult your doctor or pharmacist before using any medication.

This medication can be used during pregnancy; however, the daily intake of calcium should not exceed 1500 mg, and the daily intake of vitamin D should not exceed 600 UI. Therefore, in the case of pregnancy, the daily dose of Carbocal D should not exceed one tablet per day. Higher amounts may have negative effects on the baby.

During breastfeeding, you can take Carbocal D. Since calcium and vitamin D3 pass into breast milk, you should consult your doctor first if your child is receiving any other product that contains vitamin D3.

Driving and using machines

No effects on the ability to drive and use machines are known.

Important information about some of the components of Carbocal D

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

This medication may be harmful to people with phenylketonuria because it contains aspartame, which is a source of phenylalanine.

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

Carbocal D also contains partially hydrogenated soybean oil. It should not be used in case of peanut or soy allergy.

3. How to take Carbocal D

Follow the administration instructions of Carbocal D indicated by your doctor exactly. Consult your doctor if you have any doubts.

The normal dose is 1 tablet twice a day for adults and the elderly (e.g., one tablet in the morning and one tablet at night). Pregnant women should take only one tablet per day.

Chew the Carbocal D tablets and then drink water if desired.

If you take more Carbocal D than you should

If you take more Carbocal D than you should and experience any symptoms of overdose, stop taking Carbocal D and contact your doctor immediately.

Symptoms of overdose may include: anorexia, excessive thirst, nausea, vomiting, constipation, abdominal pain, muscle weakness, fatigue, mental health problems, increased urine production, bone pain, kidney stones.

In the case of prolonged overdose, calcium deposits may appear in blood vessels or other body tissues.

In the case of severe overdose, cardiac arrest may occur.

In case of overdose or accidental ingestion, call the Toxicology Information Service, phone: 91 562 04 20, indicating the medication and the amount ingested.

If you forget to take Carbocal D

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

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

4. Possible side effects

Like all medications, Carbocal D can cause side effects, although not everyone experiences them.

Uncommon side effects (affects 1 to 10 patients per 1000): excess calcium levels in the blood or urine.

Rare side effects (affects 1 to 10 patients per 10,000): constipation, flatulence, nausea, abdominal pain, diarrhea, itching, rash, and hives.

If you consider any of the side effects you are experiencing to be serious or if you notice any side effect not mentioned in this package leaflet, inform your doctor or pharmacist.

5. Storage of Carbocal D

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

Do not store at a temperature above 30°C.

Keep the bottle tightly closed to protect it from moisture.

Do not use this medication after the expiration date shown on the packaging and on the bottle 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 packaging and any unused medications in the pharmacy's SIGRE point. If in doubt, ask your pharmacist how to dispose of the packaging and medications you no longer need. This will help protect the environment.

6. Additional information

Composition of Carbocal D

  • The active ingredients are calcium carbonate and colecalciferol (vitamin D3).

Each tablet contains 1500 mg of calcium carbonate (equivalent to 600 mg of calcium) and 400 UI of colecalciferol (equivalent to 10 micrograms of vitamin D3).

  • The other ingredients (excipients) are: DL-alpha-tocopherol, partially hydrogenated soybean oil, gelatin, sucrose, corn starch, pregelatinized corn starch, polysorbate 80, sorbitol, orange flavor (natural flavorings, flavoring substances, maltodextrin, and E-307), sodium croscarmellose, aspartame, magnesium stearate, and xylitol.

Appearance of the product and packaging content

Carbocal D is presented in the form of white, orange-flavored chewable tablets.

Each package contains 60 chewable tablets.

Marketing authorization holder and manufacturer

The holder is: Farmasierra Laboratorios S.L.

Ctra. de Irún 26,200

San Sebastián de los Reyes 28709

Madrid, Spain

The manufacturer is:

Farmasierra Manufacturing S.L.

Carretera de Irún km 26,200

San Sebastián de los Reyes

28709 – Madrid - Spain

This package leaflet was approved in May 2011.

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

About the medicine

How much does CARBOCAL D 600 mg/400 IU CHEWABLE TABLETS ORANGE FLAVOR cost in Spain ( 2026)?

The average price of CARBOCAL D 600 mg/400 IU CHEWABLE TABLETS ORANGE FLAVOR in January, 2026 is around 7.21 EUR. Prices may vary depending on the region, pharmacy, and whether a prescription is required. Always check with a local pharmacy or online source for the most accurate information.

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Online doctors for CARBOCAL D 600 mg/400 IU CHEWABLE TABLETS ORANGE FLAVOR

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for CARBOCAL D 600 mg/400 IU CHEWABLE TABLETS ORANGE FLAVOR – subject to medical assessment and local rules.

5.0(2)
Doctor

Lina Travkina

Family medicine13 years of experience

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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Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic.

His clinical background includes:

  • assessment of sudden or unclear symptoms
  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
  • medical support while abroad
Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association.

Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

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Yevgen Yakovenko

General surgery12 years of experience

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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  • Support for families of addicted individuals, behavioural correction within the family system, guidance for maintaining remission.
  • Mental health: depression, bipolar disorder, obsessive-compulsive disorder (OCD), anxiety disorders, phobias, PTSD, generalised anxiety, emotional trauma, and the psychological impact of loss or emigration.
  • Psychoeducation: explaining complex mental health concepts in simple language, helping patients and their families understand diagnoses and treatment steps.
Therapeutic approach:
  • Client-centred, straightforward, and empathetic – focused on practical outcomes and emotional stabilisation.
  • Prescribes medications when needed, but always aims to minimise unnecessary pharmaceutical use.
  • Certified in multiple evidence-based methods: CBT, NLP (Master Practitioner), Ericksonian hypnosis, symbol drama, art therapy, and systemic therapy.
  • Each consultation results in a clear, structured plan – patients leave knowing exactly what to do next.
Experience and background:
  • Member of the German association Gesundheitpraktikerin and the NGO “Mit dem Sonne in jedem Herzen.”
  • More than 18 publications in international peer-reviewed journals, translated into several languages.
  • Volunteer work with Ukrainian refugees and military personnel at the University Clinic of Regensburg.
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  • Migraines and recurring headaches.
  • Neck, back, lower back, and joint pain.
  • Post-traumatic pain following injury or surgery.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
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  • High blood pressure and metabolic conditions such as diabetes.
  • Preventive care and routine health check-ups.

Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

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Cardiology – Diagnosis and treatment of:

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  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
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  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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Dr Kondratiuk focuses on creating a safe and respectful therapeutic environment where patients feel heard and supported. Her goal is to help each person achieve lasting improvements in their mental well-being.
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Dr. Tabeshadze combines extensive diagnostic experience with personalised care. She helps patients understand their cardiovascular health, navigate symptoms and diagnoses, and create tailored treatment plans to improve quality of life and reduce long-term risks.
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