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CARBOCAL D 600 mg/400 IU CHEWABLE TABLETS ORANGE FLAVOR

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About the medicine

How to use CARBOCAL D 600 mg/400 IU CHEWABLE TABLETS ORANGE FLAVOR

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 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.
Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

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.

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, 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/

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

Discuss questions about CARBOCAL D 600 mg/400 IU CHEWABLE TABLETS ORANGE FLAVOR, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Chikeluo Okeke

General medicine 4 years exp.

Dr Chikeluo Okeke is an internal medicine doctor with extensive international clinical experience. Originally from Nigeria, he has worked across multiple European healthcare systems and currently practises in Sweden. This professional path has given him a strong understanding of different medical approaches and the ability to work effectively with patients from diverse cultural and linguistic backgrounds.

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Andreea Mateescu

Paediatrics 8 years exp.

Dr Andreea Mateescu is a board-certified paediatrician with 7 years of clinical experience. She graduated from Carol Davila University of Medicine and Pharmacy in Bucharest, Romania, and completed her paediatric residency at INSMC Alessandrescu-Rusescu. She also holds additional training in general ultrasound diagnostics.

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Dr Mateescu works with patience, empathy, and professionalism, ensuring that each child receives attentive, individualised care. Her goal is to support healthy, balanced development while helping parents feel confident and well-informed at every stage of their child’s care.
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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.
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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.

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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:

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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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Doctor

Anastasiia Hladkykh

Psychiatry 15 years exp.

Dr Anastasiia Hladkykh is a physician-psychotherapist and psychologist with over 14 years of experience working with individuals struggling with various types of addictions and their families. She provides online consultations for adults, combining medical knowledge with deep psychological support and practical tools.

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Frequently Asked Questions

Is a prescription required for CARBOCAL D 600 mg/400 IU CHEWABLE TABLETS ORANGE FLAVOR?
CARBOCAL D 600 mg/400 IU CHEWABLE TABLETS ORANGE FLAVOR requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
How much does CARBOCAL D 600 mg/400 IU CHEWABLE TABLETS ORANGE FLAVOR cost in pharmacies?
The average pharmacy price for CARBOCAL D 600 mg/400 IU CHEWABLE TABLETS ORANGE FLAVOR is around 7.21 EUR. Prices may vary depending on the manufacturer and dosage form.
Who manufactures CARBOCAL D 600 mg/400 IU CHEWABLE TABLETS ORANGE FLAVOR?
CARBOCAL D 600 mg/400 IU CHEWABLE TABLETS ORANGE FLAVOR is manufactured by Farmasierra Laboratorios S.L.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of CARBOCAL D 600 mg/400 IU CHEWABLE TABLETS ORANGE FLAVOR 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 CARBOCAL D 600 mg/400 IU CHEWABLE TABLETS ORANGE FLAVOR 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 CARBOCAL D 600 mg/400 IU CHEWABLE TABLETS ORANGE FLAVOR?
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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