Adcal-D3 Dissolve 1500mg/400IU Effervescent Tablets

• 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 Dissolve is and what it is used for
2. What you need to know before you take Adcal-D₃ Dissolve
3. How to take Adcal-D₃ Dissolve
4. Possible side effects
5. How to store Adcal-D₃ Dissolve
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).

Talk to your doctor or pharmacist before taking Adcal-D₃ Dissolve

Tell your doctor or pharmacist if you:

• Have high levels of calcium in your blood (hypercalcaemia) or high levels of calcium in your urine (hypercalciuria). If you are unsure your doctor will advise you
• Have problems with your kidneys, for example kidney stones
• Have sarcoidosis (inflammation that produces lumps of cells in various organs in the body). If you are unsure your doctor will advise you
• 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 (eg. 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 Dissolve tablets. Do not take them at the same time.

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 Dissolve 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).

• The tablets contain a small amount of sugar and may be harmful to the teeth if used for a prolonged periodIf you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine
• This medicine contains 42.03 mg of sodium (main component of cooking/table salt) in each tablet. This is equivalent to 2.1% of the recommended maximum daily dietary intake of sodium for an adult.

2 tablets daily, ideally one taken in the morning and one tablet in the evening. Dissolve one tablet in a glass of water (approximately 200 ml) and drink immediately, do not chew or swallow the tablets whole.

Adcal-D₃ Dissolve must not be given to children under 12 years.

You should only take what your doctor recommends. If you take too many Adcal-D₃ Dissolve tablets contact your doctor or pharmacist if you can do so. If not, go to the nearest hospital casualty department immediately, taking the Adcal-D₃ Dissolve pack and remaining tablets with you.

If you forget to take your tablet, take it as soon as possible and continue to take the tablets as normal. Do not take a double dose to make up for a forgotten tablet.

Always talk to your doctor or pharmacist before stopping Adcal-D₃ Dissolve.

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 theYellow Card Scheme: Website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.

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

• The active substances are 1500 mg calcium carbonate (equivalent to 600 mg calcium) and 400 IU vitamin D3 (equivalent to 10 μg).
• The other ingredients are citric acid anhydrous, malic acid, sodium hydrogen carbonate (E500), sodium cyclamate (E953), lemon flavour (containing lemon oil, lime flavouring, sorbitol (E420), mannitol (E421), gluconolactone, maltodextrin, and acacia), sodium carbonate (E500), maltodextrin, and saccharin sodium (E954).
• The vitamin D3 compound contains modified starch, sucrose, sodium ascorbate, medium chain triglycerides, colloidal anhydrous silica and all-rac-alpha-tocopherol.

• The tablets are white, round and lemon flavoured
  Adcal-D3 Dissolve is provided in tubes containing 14 effervescent tablets and supplied in cartons of 4 tubes (total of 56 effervescent tablets).

Other sources of information

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