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CALCIO-20 ORAL EMULSION

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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.

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Doctor

Dmytro Horobets

Family medicine 7 years exp.

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

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Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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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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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

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.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
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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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Doctor

Svetlana Kolomeeva

Cardiology 18 years exp.

Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

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  • Chronic conditions: diabetes, thyroid disorders.
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Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

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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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