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Calcium Carbonate Dosage

Applies to the following strength(s): 650 mg ; 600 mg ; 1250 mg/5 mL ; 1250 mg ; 1000 mg ; 500 mg ; 400 mg ; base 500 mg ; 750 mg ; 900 mg ; 648 mg ; 420 mg ; 250 mg ; 550 mg ; 1177 mg ; 850 mg ; 400 mg/5 mL ; 350 mg ; 1.5 g ; 1 g ; 300 mg ; 450 mg

The information at Drugs.com is not a substitute for medical advice. Always consult your doctor or pharmacist.

Usual Adult Dose for:

Usual Pediatric Dose for:

Additional dosage information:

Usual Adult Dose for Hypocalcemia

Recommended dose: 1250 mg orally 2 to 3 times a day with meals

Use: Prevention of calcium deficiency

Usual Adult Dose for Dyspepsia

Chewable Tablets:
-Recommended dose: 1000 to 3531 mg orally up to 4 times a day as needed
-Maximum dose: 6750 to 7500 mg/day
-Duration of therapy: Up to 2 weeks

Gum:
Recommended dose: 500 mg (1 piece) orally every 2 to 4 hours as needed
Maximum dose: 6000 mg/day (12 pieces/day)
Duration of therapy: Up to 2 weeks

Liquid:
Recommended dose: 1250 mg orally as needed for symptoms
Maximum dose: 7500 mg/day
Duration of therapy: Up to 2 weeks

Powder Packets:
Recommended dose: 1000 mg (1 packet) orally as needed for symptoms
Maximum dose: 8000 mg/day (8 packets/day)
Duration of therapy: Up to 2 week

Comment:
-This drug should only be used for 2 weeks except under the supervision of a healthcare provider.

Use: Relief of upset stomach due to heartburn, acid indigestion, and/or sour stomach

Usual Pediatric Dose for Dyspepsia

Chewable Tablets:
2 to 5 years OR 24 to 47 pounds:
-Recommended dose: 400 mg orally up to 3 times a day as needed
-Maximum dose: 1200 mg/day
-Duration of therapy: Up to 2 weeks

6 to 11 years OR 48 to 95 pounds:
-Recommended dose: 800 mg orally up to 3 times a day as needed
-Maximum dose: 2400 mg/day
-Duration of therapy: Up to 2 weeks

12 years and older:
-Recommended dose: 1000 to 2000 mg orally up to 3 times a day as needed
-Maximum dose: 7500 mg/day
-Duration of therapy: Up to 2 weeks

Granule Formulations:
2 to 5 years OR 24 to 47 pounds:
-Recommended dose: 375 mg orally up to 2 times a day as needed

6 to 11 years OR 48 to 95 pounds:
-Recommended dose :750 mg orally once a day as needed
-Duration of therapy: Up to 2 weeks

Gum:
12 years and older:
-Recommended dose: 500 mg (1 piece) orally every 2 to 4 hours as needed
-Maximum dose: 6000 mg/day (12 pieces/day)
-Duration of therapy: Up to 2 weeks

Comments:
-Weight-based dosing is preferred for pediatric patients.
-This drug should only be used for 2 weeks except under the supervision of a healthcare provider.
-Once opened, granule packets should be used within 2 weeks.

Use: Relief of upset stomach due to heartburn, acid indigestion, sour stomach, and/or overindulgence in food/drink

Renal Dose Adjustments

Data not available

Liver Dose Adjustments

Data not available

Dose Adjustments

Pregnant patients:
Dyspepsia:
-Maximum daily dose: 4500 to 5000 mg/day

Precautions

Safety and efficacy have not been established in patients younger than 2 years.

Consult WARNINGS section for additional precautions.

Dialysis

Data not available

Other Comments

Administration advice:
-Chewable tablets: Patients should thoroughly chew or suck on the tablet before swallowing.
-Effervescent tablets: Patients should completely dissolve the tablet in water before drinking the solution.
-Granule packets: Once the correct dose is determined, the powder should be poured into a cup with 0.51 oz (approximately 15 mL) of water, stirred, and consumed.
-Liquid formulations: Shake well before use.
-Powder packets: Once the packet is opened, the powder should be placed on the tongue and swallowed, with or without water.

Storage requirements:
-The manufacturer product information should be consulted.

General:
-Effervescent tablets contain insoluble calcium carbonate; when the tablet is added to water, it is converted into absorbable calcium carbonate.

Monitoring:
-Periodic plasma calcium levels and urine calcium excretion tests, especially in patients with mild to moderate renal dysfunction, on prolonged treatment, or those with mild hypercalciuria and/or with a history of kidney stones
-Serum creatinine and other renal function tests, especially with long-term treatment and/or those on treatment with cardiac glycosides or diuretics

Patient advice:
-Patients should be advised to report any signs/symptoms of milk-alkali syndrome (e.g., frequent urination, continuous headache, loss of appetite, nausea, vomiting, unusual tiredness/weakness, hypercalcemia, alkalosis, renal impairment).

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