• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or pharmacist.
• This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
• If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

1. What Adcal-D3 Caplets are and what they are used for
2. What you need to know before you take Adcal-D3 Caplets
3. How to take Adcal-D3 Caplets
4. Possible side effects
5. How to store Adcal-D3 Caplets
6. Contents of the pack and other information

• if you are allergic to calcium carbonate, vitamin D3 or any of the other ingredients of this medicine (listed in section 6).
• if you have higher than normal levels of calcium in your blood (hypercalcaemia). Your doctor will be able to tell you if you do.
• If you have severe kidney failure

Talk to your doctor or pharmacist before taking Adcal-D3 Caplets.

Tell your doctor or pharmacist if you:

• Have osteoporosis (thinning of the bones) due to long periods of inactivity, such as long-term bed rest.
• Have problems with your kidneys, for example kidney stones.
• Have higher than normal levels of calcium in your urine (hypercalciuria). If you are unsure your doctor will advise you.
• Have sarcoidosis (inflammation that produces lumps of cells in various organs in the body). Your doctor will be able to tell you if you do.
• Have previously been told by your doctor that you have an intolerance to some sugars.
• Are taking any other medication, even those you may have bought for yourself without prescription.

Tell your doctor if you are taking calcium supplements or antacids for indigestion, digitalis drugs (e.g. Lanoxin), diuretics or corticosteroids.

If you are taking thyroxine, bisphosphonates, iron or fluoride medicines, tetracycline or quinolone antibiotics make sure your doctor knows this. When taking these medicines leave a period of about 4 hours before taking your Adcal-D3 Caplets. Do not take any of these listed medicines at the same time as your Adcal-D3 Caplets.

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

In pregnancy or when breast feeding, Adcal-D3 Caplets should only be used under medical supervision. Ask your doctor or pharmacist for advice before taking any medicine.

This medicine should not be taken within 2 hours of eating foods rich in oxalic acid (e.g. spinach and rhubarb), phosphate (e.g. bran), or phytic acid (e.g. whole cereals).

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme: Website: www.mhra.gov.uk/yellowcard

By reporting side effects you can help provide more information on the safety of this medicine.

• The active substances are calcium carbonate (750 mg equivalent to 300 mg calcium) and vitamin D3 (200 I.U. equivalent to 5 micrograms of colecalciferol).
• The other ingredients in the tablet core are colloidal silicon dioxide, microcrystalline cellulose, croscarmellose sodium, magnesium stearate, modified food starch, sucrose, sodium ascorbate, medium chain triglycerides, silicon dioxide, DL-alpha-tocopherol and pregelatinized starch.
• The orange film-coat contains hypromellose, polydextrose, acacia, talc, titanium dioxide, iron oxide yellow and iron oxide red.

Adcal-D3 Caplets are orange capsule-shaped film-coated tablets (‘caplets’) provided in bottles of 112 or 224 tablets. Not all pack sizes may be marketed.

Additional information

If you have been prescribed Adcal-D3 Caplets for the treatment or prevention of osteoporosis and would like further information you should speak to your doctor or pharmacist.