SANDOCAL 1000 EFFERVESCENT TABLETS
Active substance: CALCIUM LACTATE GLUCONATE
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Sandocal 1000 Effervescent Tablets
Calcium
Read all of this leaflet carefully because it contains important information for you. This medicine is available without prescription. However, you still need to take Sandocal carefully to get the best results from it. Keep this leaflet. You may need to read it again. Ask your pharmacist if you need more information or advice. If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
Take special care...
If you suffer from a kidney disease, only take Sandocal after consulting your doctor, and especially if you are taking preparations containing aluminium. Do not take vitamin D products together with Sandocal without medical advice.
Taking other medicines
Tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a medical prescription because calcium can interact with certain other medicines if taken at the same time. If you are taking, or have recently taken, cardiac glycosides, thiazide diuretics, or corticosteroids, you must follow your doctors instructions carefully. If you are taking oral bisphosphonates or sodium fluoride, take Sandocal at least 3 hours after these medicines. If you are taking one of a group of antibiotics called tetracyclines, take Sandocal at least 2 hours after or 4-6 hours before the tetracycline.
In this leaflet
1.What Sandocal is and what it is used for 2.Before you take Sandocal 3.How to take Sandocal 4.Possible side effects 5.How to store Sandocal 6.Further information
1. What Sandocal is and what it is used for
Sandocal contains a rich source of calcium which is an essential mineral, necessary for bone formation and maintenance. Sandocal is used in the prevention and treatment of calcium deficiency, and may be used, with other medicines, to prevent and treat a condition called osteoporosis (weakening of the bones). Sandocal is also used, together with vitamin D3, for the treatment of rickets (softening of growing bones in children) and osteomalacia (softening of adults bones). Calcium is absorbed from the intestine and distributed throughout the body in the blood. Calcium plays an important role in several body functions. It is essential for nerve, muscle and heart function as well as for the clotting of blood. In addition, it is necessary for many hormones to work properly in the body. To carry out these various roles, calcium must be available in the appropriate concentration.
Taking Sandocal with food and drink
Sandocal should not be taken within 2 hours of eating foods high in oxalic or phytic acid such as spinach, rhubarb and whole cereals.
Pregnancy or breast-feeding
Ask your doctor or pharmacist before taking Sandocal if you are pregnant or breast-feeding. Sandocal can be used during pregnancy and breast-feeding in case of a calcium deficiency. In general, the adequate daily intake (including food and supplementation) for pregnant and breastfeeding women is 1000 1300 mg calcium. The total daily intake of calcium during pregnancy and breast-feeding should not exceed 1500 mg. Calcium passes into breast-milk but has no negative effect on the baby.
Driving and using machines
There is no known effect on the ability to drive or operate machines caused by taking Sandocal.
2. Before you take Sandocal
Do not take Sandocal...
If you are allergic to calcium and any of the other ingredients of Sandocal (see the list of ingredients in section 6 at the end of the leaflet). If you are suffering from raised levels of blood calcium (hypercalcaemia); If you are suffering from increased calcium in your urine (hypercalciuria); If you are suffering from certain kidney problems including: kidney stones (nephrolithiasis) and calcium deposits in your kidney tissue (nephrocalcinosis).
Important information about some of the ingredients of Sandocal
Sandocal is suitable for diabetics (1 effervescent tablet of 1000 mg contains 0.002 Carbohydrate Units). Patients on a controlled sodium diet should seek advice from health professionals prior to taking Sandocal. Sandocal 1000 mg contains 136.90 mg of sodium per tablet. If you think you have an intolerance to some sugars, contact your doctor before taking this medicinal product.
Sandocal contains aspartame, a source of phenylalanine, and may be harmful for people with phenylketonuria.
3.How to take Sandocal
As with all medicinal products, please follow all of the instructions carefully to ensure that Sandocal works properly. For Sandocal 1000 mg: hildren and adults take one effervescent tablet C (one single dose) once per day. Dissolve Sandocal in a glass of water (approximately 200 ml) and drink immediately. Do not swallow or chew the tablet. Sandocal can be taken with or without food (see the section "Taking Sandocal with food and drink" for further advice).
on the box and on the tube after "EXP". The expiry date refers to the last day of that month. Storage conditions: Store in the original package and keep the tube tightly closed. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
6.Further information
What Sandocal contains
The active substances are calcium lactate gluconate and calcium carbonate. Each tablet of 1000 mg contains 2263 mg of calcium lactate gluconate and 1750 mg of calcium carbonate (equivalent to 1000 mg of calcium). The other ingredients are: citric acid anhydrous, orange flavouring (contains: orange essential oils, maltodextrin, arabic gum, sorbitol (E 420), dextrose), aspartame (E 951), macrogol 6000 and sodium hydrogen carbonate.
How long should you take Sandocal
Take Sandocal at the recommended daily dose for as long as you are advised by your doctor. As Sandocal is used in the prevention and treatment of calcium deficiency and, taken with other medicines, in the prevention and treatment of a condition called osteoporosis (weakening of the bones), it is likely this will be a long term treatment.
What Sandocal looks like and contents of the pack
The effervescent tablet is white and circular with a characteristic orange odour. Sandocal 1000 mg is available in packs of 30 effervescent tablets. Not all pack sizes may be marketed
If you take more Sandocal than you should
Overdose of Sandocal may lead to symptoms such as nausea, vomiting, thirst or constipation. If overdose is suspected, contact your doctor or pharmacist immediately.
If you forget to take Sandocal
Do not take a double dose to make up for a forgotten dose.
This medicinal product is authorized in the Member States of the EEA under the following names:
Mega-Calcium-Brausetabletten CALCIUM-SANDOZ FF 1000mg Mega-Calcium 1g poretabletti Calcium-Sandoz fortissimum 1000mg Greece: Mega-Calcium Sandoz Ireland: Sandocal 1000 Italy: CALCIUM-SANDOZ 1000 mg compresse effervescenti Luxembourg: Calcium-Sandoz fortissimum 1000mg The Netherlands: Sandoz Calcium fortissimum, bruistabletten Slovakia: CALCIUM-SANDOZ FF 1000 mg Sweden: Calcium-Sandoz 1000 mg, brustabletter UK: Sandocal 1000 Marketing authorisation holder/manufacturer: The marketing authorisation holder is: Novartis Consumer Health Horsham, RH12 5AB, UK The manufacturer is: FAMAR ORLEANS 5, Avenue de Concyr F-45071 Orlans La Source Cedex 02 France This leaflet was last approved on 06/2012
GB 304554
4. Possible side effects
Like all medicines, Sandocal can cause side effects although not everybody gets them. Very rare side effects (occur in less than 1 in 10000 people) include: evere allergic reactions such as swelling of s the face, lips, tongue and/or throat, which may cause difficulty in swallowing. If you experience any of the above listed allergic reactions, STOP taking Sandocal and tell your doctor immediately. Rare side effects (occur in less than 1 person out of 1000) include: ausea, diarrhoea, abdominal pain, constipation, n flatulence, vomiting, itching, redness and/or burning of the skin. Uncommon side effects (occur in less than 1 person out of 100) may include: xcessive calcium level in the blood e (hypercalcaemia) or excessive excretion of calcium in the urine (hypercalciuria). If any of the side effects get serious or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
Austria: Czech Republic: Finland: Germany:
5.How to store Sandocal
Keep out of the reach and sight of children. Expiry date: Do not take Sandocal after the expiry date stated
Source: Medicines and Healthcare Products Regulatory Agency
Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

