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Calcium D3 Sandoz is a combination of calcium (in the form of calcium carbonate) and vitamin D3 (cholecalciferol) available as instant powder and chewable tablets. Calcium D3 Sandoz is indicated as a calcium and vitamin D supplement in elderly people with calcium and vitamin D deficiency or at high risk of a deficiency (e.g. insufficient consumption of dairy products, insufficient exposure to the sun) and to support targeted Osteoporosis treatment in patients with proven or high risk of simultaneous calcium and vitamin D deficiency.
Swissmedic-approved patient information
Calcium D3 Sandoz®Sandoz Pharmaceuticals AGCalcium D3 Sandoz is a combination of calcium (in the form of calcium carbonate) and vitamin D3 (cholecalciferol) available as instant powder and chewable tablets. Calcium D3 Sandoz is indicated as a calcium and vitamin D supplement in elderly people with calcium and vitamin D deficiency or at high risk of a deficiency (e.g. insufficient consumption of dairy products, insufficient exposure to the sun) and to support targeted Osteoporosis treatment in patients with proven or high risk of simultaneous calcium and vitamin D deficiency.
Calcium D3 Sandoz is suitable for diabetics.
One chewable tablet contains 0.48 g digestible carbohydrates.
Depending on the dosage strength, the powder bags contain 0.36 g (500/440) or 0.72 g (1000/880) usable carbohydrates.
Calcium D3 Sandoz must not be taken at
The chewable tablets may be taken by patients and patients with phenylketonuria should not be used because of the component aspartame.
Since Calcium D3 Sandoz already contains vitamin D, any additional Vitamin D administration should only be done under medical supervision to avoid overdose. In the case of prolonged treatment and/or mild renal insufficiency, it is recommended to have the amount of calcium excreted in the urine (calciuria) checked regularly. Depending on the result, your doctor may reduce or even stop treatment.
In the case of treatment with digitalis preparations or thiazide diuretics, administration of calcium in combination with vitamin D requires regular monitoring. It is imperative that you consult your doctor or your cardiologist. In the case of treatment with a bisphosphonate, sodium fluoride, quinolones, L-thyroxine, estramustine, orlistat, cholestyramine, iron preparations, preparations containing zinc or strontium or paraffin, an interval of at least 2 hours should be observed before taking Calcium D3 Sandoz. In the case of oral treatment with tetracyclines (certain antibiotics), an interval of at least 3 hours should be observed before taking Calcium D3 Sandoz.
Calcium D3 Sandoz should not be taken at the same time as foods containing oxalic acid, phosphate or phytin, e.g. spinach, rhubarb, bran or soy products. They can hinder the absorption of calcium.
If you suffer from a certain lung disease (sarcoidosis), you may only take Calcium D3 Sandoz after consulting your doctor. Your doctor will monitor the levels of calcium in your blood and urine.
If you suffer from immobilisation osteoporosis, there is an increased risk of developing hypercalcaemia (excessively high levels of calcium in the blood).
Long-term intake of large amounts of calcium or high doses of vitamin D from food or medicines and at the same time easy-to-absorb basic substances (alkalines, e.g. bicarbonates, which are contained in medicines to bind gastric acid) can lead to milk-alkaline syndrome ( Calcium metabolism disorder) come with the risk of kidney damage. Concomitant use should be avoided at all costs.
Patients on a low-sodium diet should note that Calcium D3 Sandoz 500/440 and Calcium D3 Sandoz 1000/880 instant powder contain 5 mg and 10 mg sodium respectively.
Calcium D3 Sandoz 500/440 chewable tablets do not contain sodium.
Inform your doctor, pharmacist or druggist if you suffer from other illnesses, have allergies or are taking other medicines (even those you bought yourself!) or using them externally.
Calcium D3 Sandoz may be used during pregnancy and/or should only be taken while breastfeeding if prescribed by a doctor. The dosage must be determined by the doctor.
Dissolve the contents of the sachet in a glass of water, then drink the solution immediately. Suck or chew the chewable tablets.
Calcium D3 Sandoz 500/440 instant powder/chewable tablets: 1 sachet or 1 chewable tablet once or twice a day.
Calcium D3 Sandoz 1000/880 instant powder: 1 sachet once a day.
The duration of treatment and the dosage depend on the severity and type of disease to be treated, and are therefore determined by the doctor.
Calcium D3 Sandoz is not intended for use in children and adolescents under 18 years of age.
If you have forgotten one or more doses of Calcium D3 Sandoz, do not double the following doses. If you take an overdose of Calcium D3 Sandoz, the following symptoms may occur: nausea, vomiting, severe thirst, constipation, abdominal pain, muscle weakness and tiredness. If you experience such symptoms, inform your doctor immediately, who will initiate the necessary measures.
Stick to the dosage given in the package leaflet or as prescribed by your doctor.
If you think the medicine is too weak or too strong, talk to your doctor, pharmacist or druggist.
Constipation, flatulence, nausea, vomiting and with the chewable tablets because of the mannitol content in Calcium D3 Sandoz 500/440 or the sorbitol and xylitol content in Calcium D3 Sandoz 1000/880 also cause stomach problems or diarrhea. Furthermore, skin rash, hives, itching, hypersensitivity reactions, severe hypersensitivity reactions with swelling of the face, mouth, limbs (up to drop in blood pressure and shock), swelling of the face, lips or tongue, among other things, can occur. If you experience such symptoms, tell your doctor or health care professional.
In the case of an overdose in connection with the intake of alkaline substances (e.g. agents to bind gastric acid), a milk-alkaline syndrome can develop (see under "When is caution required when taking it?")
If you notice side effects that are not described here, you should inform your doctor, pharmacist or druggist.
Store Calcium D3 Sandoz out of the reach of children.
Instant powder: Store in the original packaging, below 30°C.
Chewable tablets: Store in the original packaging at room temperature (15-25°C).
The medicinal product may only be used up to the date marked «EXP» on the package.
Your doctor, pharmacist or druggist can provide you with further information. These people have the detailed information for specialists.
1 sachet of Calcium D3 Sandoz 500/440 contains:
Active ingredients: 1250 mg calcium carbonate (equivalent to 500 mg calcium), cholecalciferol 440 IU (vitamin D3)
Excipients: Sodium saccharin, sodium cyclamate, flavorings (lemon aroma: contains vanillin) and other excipients.
1 chewable tablet Calcium D3 Sandoz 500/440 contains:
Active ingredients: 1250 mg calcium carbonate (equivalent to 500 mg calcium), cholecalciferol 440 IU (vitamin D3)
Excipients: mannitol, aspartame, flavorings (orange aroma: contains vanillin or apricot aroma: contains vanillin and bergamot oil) and other excipients.
1 sachet of Calcium D3 Sandoz 1000/880 contains:
Active ingredients: 2500 mg calcium carbonate (equivalent to 1000 mg calcium), 880 IU cholecalciferol (vitamin D3)
Excipients: Sodium saccharin, sodium cyclamate, a flavoring (lemon flavor: contains vanillin) and other excipients.
53628, 55760 (Swissmedic)
In pharmacies and drugstores, without a doctor's prescription.
Packs of 30 sachets. Large pack of 3 boxes of 30 sachets. lemon flavor.
Packs of 20, 60 and 120 chewable tablets in apricot and orange flavors.
Packs of 30 sachets. Large pack of 3 boxes of 30 sachets. lemon flavor.
Sandoz Pharmaceuticals AG, Risch; Domicile: Red Cross
This leaflet was last checked by the Medicines Agency (Swissmedic) in July 2017.