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CALCIUM 500MG CHEWABLE TABLETS

Active substance(s): CALCIUM CARBONATE

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PATIENT INFORMATION LEAFLET

CALCICHEW® 500mg CHEWABLE TABLETS
(calcium carbonate)
equivalent to 500mg 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 Calcichew 500mg Chewable Tablets 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.
You must contact a doctor if your symptoms worsen or do not
improve after two weeks.
If any of the side effects become serious or if you notice any side
effect(s) not listed in this leaflet, please talk to your doctor or
pharmacist.
The name of your medicine is CALCICHEW ® 500mg CHEWABLE
TABLETS, but it will be referred to as Calcichew throughout this leaflet.
In this leaflet:
1. What Calcichew is and what it is used for
2. Before you take Calcichew
3. How to take Calcichew
4. Possible side effects
5. How to store Calcichew
6. Further information
1. WHAT CALCICHEW IS AND WHAT IT IS UESD FOR
Calcichew is orange flavoured chewable tablet. It contains the active
ingredient:
Calcium (1250mg calcium carbonate: equivalent to 500mg calcium)

In particular, the following medicines may interact with Calcichew:
diuretics (water tablets); your serum calcium levels should be
monitored regularly.
heart medicines (cardiac glycosides); you should be monitored by
electrocardiogram and your serum calcium levels measured.
corticosteroids (e.g. prednisolone, dexamethasone); your dose of
Calcichew may need to be increased.
tetracycline antibiotics; these should be taken at least two hours
before, or four to six hours afterwards.
hormones (levothyroxine); these should be taken at least four
hours before, or afterwards.
anti-infectives (Quinolones: Ciprofloxacin, lomefloxacin,
norfloxacin, sparfloxacin): please speak with your doctor.
fluoride, or bisphosphonates; Calcichew should be taken at least
three hours afterwards.
Taking Calcichew with food and drink
Calcichew should not be taken within 2 hours of eating foods rich in
oxalic acid (found in spinach and rhubarb) or phytic acid (found in whole
cereals).
Pregnancy and breast-feeding
Ask your doctor or pharmacist for advice if you are pregnant or breastfeeding before taking Calcichew.
Driving and using machines
Calcichew has no known effect on your ability to drive or use machines.
Important information about some of the ingredients of Calcichew
The following are ingredients in this product:
Sorbitol and isomalt: if you have been told by your doctor that you
have an intolerance to some sugars, talk to your doctor before taking
this medicine.
Aspartame contains a source of phenylalanine and may be harmful
for people with phenylketonuria (a deficiency in the enzyme which
breaks down phenylalanine).
3. HOW TO TAKE CALCICHEW

Calcium is found in the diet.
Calcichew may be prescribed by doctors or recommended by
pharmacists to treat and prevent calcium deficiency, or when the diet or
lifestyle does not provide enough, or when body requirements are
increased. This medicine may also be prescribed or recommended for
certain bone conditions, for example osteoporosis, or in pregnancy. It
may also be given to patients receiving kidney dialysis to remove the
phosphate from food that cannot be removed by dialysis.
2. BEFORE YOU TAKE CALCICHEW
Do not take Calcichew if you:
are allergic (hypersensitive) to any of the ingredients (see end of
Section 2 and Section 6)
have a condition causing high levels of calcium in your blood or urine
(hypercalcaemia or hypercalciuria) e.g.
o severe kidney failure in people not on dialysis – you should not
take this medicine unless advised by your doctor
o cancer which has affected your bones
have kidney stones
Take special care with Calcichew:
If any of the following applies to you, please tell your doctor:
phenylketonuria (a deficiency in the enzyme which breaks down
phenylalanine) as these tablets contain aspartame, a source of
phenylalanine
brittle bones (osteoporosis) as a result of being immobile
taking medicines for your heart, or diuretics
a high tendency to kidney stone (calculus) formation
cancer or any other conditions that may have affected your bones
Your serum calcium or phosphate levels, or urinary calcium
excretion must be monitored if you have any of the following
conditions.
kidney problems
you are on long-term treatment with Calcichew
you are already taking additional doses of calcium
If you have increased calcium levels in the blood or develop signs of
kidney problems, the dose of Calcichew should be reduced or the
treatment discontinued.
Taking other medicines
Please inform your doctor or pharmacist if you are taking or have recently
taken any other medicines, including medicines obtained without a
prescription.

Always take Calcichew exactly as your doctor has told you. You should
check with your doctor or pharmacist if you are not sure.
For use as additional osteoporosis therapy:
Adults and the elderly: Chew or suck one tablet 2 or 3 times a day.
For calcium deficiency:
Adults, the elderly and children: Chew or suck one tablet 2 or 3 times a
day.
For osteomalacia (a softening of the bones):
Adults and the elderly: Chew or suck two to six chewable tablets a day.
As a phosphate binder (for kidney failure patients on dialysis):
When Calcichew is given to patients on kidney dialysis, the dose will be
different for each patient. Your doctor will decide how many Calcichew
you need.
The tablets should be taken just before, during or just after each meal to
make sure that the calcium binds to the phosphate in the stomach.
If you take more than you should
If you accidentally take more Calcichew than you should, you may have
an increase in your blood calcium levels.
Symptoms of this are: excessive thirst, nausea, vomiting, constipation,
abdominal pain, muscle weakness, tiredness, mental disturbances, lack
of appetite, bone pain, having to pass more water than usual, kidney
problems and, in severe cases, irregular heart beat.
Very rarely in addition: irritability, continuing headache, lightheadedness,
muscle spasms, twitches and tingling sensation.
Do not take any more Calcichew and contact your doctor or
emergency department as soon as possible. Take the packet and any
remaining tablets with you.
If you forget to take Calcichew
If you forget to take a dose, leave out that dose completely. Take your
next dose when it is due. Do not take a double dose to make up for a
forgotten dose.
4. POSSIBLE SIDE EFFECTS
Like all medicines, Calcichew can cause side effects, although not
everybody gets them.
Side effects with Calcichew may include:
Uncommon side effects (affecting less than 1 in 100 people):
too much calcium in your blood (hypercalcaemia) – the symptoms
include nausea, vomiting, lack of appetite, constipation, stomach
ache, bone pain, extreme thirst, a need to pass more water than
usual, muscle weakness, drowsiness and confusion.
too much calcium in your urine (hypercalciuria)

Rare side effects (affecting less than 1 in 1,000 people):
nausea
stomach ache
constipation
diarrhoea

wind (flatulence)
rash
hives
itching

Very rare side effects (affecting less than 1 in 10,000 people):
Milk alkali syndrome –(usually only seen in overdose see ‘if you take
more than you should’)
If you are taking Calcichew because you are having kidney dialysis, tell
your doctor if you notice any white deposits on your skin.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This
includes any possible side effects not listed in this leaflet. You can also
report side effects directly via the Yellow Card Scheme at:
www.mhra.gov.uk/yellowcard
By reporting side effects, you can help provide more information on the
safety of this medicine.
5. HOW TO STORE CALCICHEW
Keep out of the sight and reach of children.
Store in the original package to protect from moisture. Do not store above
30°C.
Do not take Calcichew after the expiry date which is stated on the label
after ‘Exp’. The expiry date refers to the last day of the month.
If your tablets become discoloured or show any signs of deterioration,
seek the advice of your pharmacist.
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. FUTHER INFORMATION
7.
What Calcichew contain
The active ingredients in each tablet are:
1250mg calcium carbonate (equivalent to 500mg calcium)
The other ingredients are: sorbitol (E420), povidone, isomalt (E953),
fatty acid mono- and di-glycerides, magnesium stearate, orange flavour,
and aspartame (E951) (see also end of Section 2 ‘Important information
about some of the ingredients of Calcichew’).
This product is gluten and lactose free.
What Calcichew look like and contents of the pack
The tablets are round, white, uncoated biconvex and orange flavoured;
they may have small specks.
The tablets are packed in white, plastic bottles of 60 and 90 tablets.
Manufactured by:
For Pack Size 60: NYCOMED PHARMA AS, Norway.
For Pack Size 90: Takeda Nycomed AS, Norway.
Procured from within the EU and repackaged by the Product
Licence holder: B&S Healthcare, Unit 4, Bradfield Road, Ruislip,
Middlesex, HA4 0NU, UK.
CALCICHEW ® 500mg CHEWABLE TABLETS; PL 18799/1967
Leaflet date: 08.10.2015

POM

Calcichew® is a registered trademark of Nycomed Pharma
Additional Information
Calcichew contains calcium designed to keep bones healthy. Calcium is
an essential component of bones.
Requirements for calcium increase with age and, although many people
obtain enough calcium from their diet, some people may require a
supplement in order that their body has all the calcium it needs to
maintain healthy bones.
People with diets and lifestyles that mean they will obtain less than the
recommended intake of calcium are at risk of weakened bones.
Prolonged lack of adequate calcium intake can lead to the development
of osteoporosis, a condition where bones become weak to a level that
minimal trauma (for example, a fall) can result in a fracture, most typically
at the hip, spine or wrist.
Calcichew have been designed to give people, whose intake of calcium is
low, a boost to the recommended amounts.
Maintaining healthy bones and helping to avoid osteoporosis is an
important issue for many people. There are many ways that people can
help themselves: regular exercise, a balanced diet with an adequate
intake of calcium and, for some people, advice on how to prevent falls
which may lead to fracture.

The National Osteoporosis Society (NOS) in the UK is national charity
dedicated to improving the diagnosis, prevention and treatment of
osteoporosis. The NOS and IOS offer support to people with
osteoporosis and raise awareness of the importance of healthy bones.
If you are concerned about osteoporosis, please contact the National
Osteoporosis Society, Camerton, Bath BA2 0PJ. Tel: 01761 471 771,
Fax: 01761 471 104 or email: info@nos.org.uk.

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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 combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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