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MASTICAL 500 mg CHEWABLE TABLETS

Prescription review online

Prescription review online

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

Talk to a doctor about this medicine

Talk to a doctor about this medicine

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.

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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;
  • chest discomfort, palpitations, dizziness, fatigue, and blood pressure concerns;
  • 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
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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
  • cough, sore throat, nasal congestion, breathing discomfort
  • 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:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
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

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

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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