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compositionComposition:ALENDRONIC ACID-70MG+CHOLECALCIFEROL-5600IU
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Prescription Medicine
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Tescal-AD Tablet 4's is a combination medicine used in the treatment of osteoporosis in postmenopausal women. This medicine strengthens bones and promotes bone integrity by regulating bone turnover and preventing bone cell destruction, thus lowers the risk of hip and spine fractures in post-menopausal women. Common side effects include muscle or joint pain, nausea, indigestion, gas and headache.

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Written By Dr. Lakshmithulasi Yarragunta , PharmD (PB)
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

ALENDRONIC ACID-70MG+CHOLECALCIFEROL-5600IU

Manufacturer/Marketer :

Rydan Pharmaceuticals Pvt Ltd

Consume Type :

Oral

Expires on or after :

Jan-28

Return Policy :

Not Returnable

About Tescal-AD Tablet 4's

Tescal-AD Tablet 4's is a prescription medication primarily used to treat and prevent osteoporosis in postmenopausal women and in men at high risk of fractures. It helps rebuild bone density, making your bones stronger and less likely to break over time. By targeting bone-weakening processes, this treatment plays a key role in managing bone-thinning conditions.

This medication is typically taken once a week, and it is crucial to take it consistently on the same day each week to get the full benefits. You must take this tablet first thing in the morning on an empty stomach with a full glass of plain water. Combining this treatment with regular weight-bearing exercise and a calcium-rich diet can significantly improve your overall bone strength.

While taking Tescal-AD Tablet 4's, some people may experience mild stomach upset, heartburn, or temporary muscle pain. However, you should contact your doctor immediately if you develop severe jaw pain, difficulty or pain with swallowing, or a dull ache in your hip or thigh.

Before starting this medicine, talk to your doctor if you have kidney problems, low blood calcium, or trouble swallowing. Do not take this if you cannot sit or stand upright for at least 30 minutes, or if you have severe oesophageal disorders.

This medicine can interact with calcium supplements, antacids, and pain relievers like aspirin, which can stop it from working or cause stomach irritation. If you are pregnant, breastfeeding, or an older adult, consult your doctor or pharmacist to ensure this treatment is safe and appropriate for your specific needs.

Uses of Tescal-AD Tablet 4's

Tescal-AD Tablet 4's is used in the treatment of osteoporosis. The detailed uses of Tescal-AD Tablet 4's are as follows:

  • Postmenopausal osteoporosis: Tescal-AD Tablet 4's helps increase bone thickness and reduces the risk of spine and hip fractures in women after menopause.
  • Osteoporosis in men: It strengthens weak, brittle bones in men who have a high risk of bone fractures.
  • Steroid-induced bone loss: It prevents bone thinning in people who must take corticosteroid medications for long periods.

Key Benefits

Tescal-AD Tablet 4's helps strengthen bones and reduce the risk of fractures in people with osteoporosis. The following are the benefits of this medication:

  • Helps increase bone strength by slowing bone breakdown and preserving bone density.
  • Reduces the risk of fractures in people with osteoporosis.
  • Improves calcium absorption with the help of cholecalciferol (vitamin D3), promoting better bone health.
  • Helps maintain mobility and independence by protecting bones from becoming weak and fragile.
  • Combines a bone-protecting agent with vitamin D3 in a convenient once-weekly dose, making treatment easier to follow.
Side effects of Tescal-AD Tablet
  • Muscle cramps can be treated with regular exercise or yoga, which includes mild stretching, which helps strengthen the lower body.
  • Warm baths and gentle massage of the affected parts can help relieve cramps.
  • Avoid strenuous activity and take frequent breaks, as rest is critical.
  • Intake of nutritious food can help strengthen body and mind. A trained nutritionist can help design a balanced diet for strengthening muscles.
  • Speak to your doctor if the pain lasts an extended period. Medical help can be practical in finding a cure for cramps.
  • Eat protein-rich foods like fish, poultry, eggs, and legumes.
  • Include foods with minerals and vitamins essential for hair health.
  • Join a support group to connect with others experiencing hair loss.
  • Openly discuss your feelings about hair loss.
  • Consider covering up with wigs, hats, or scarves.
  • Be patient and avoid seeking miracle cures.
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
Here are the few steps for dealing with itching caused by drug use:
  • Report the itching to your doctor immediately; they may need to change your medication or dosage.
  • Use a cool, damp cloth on the itchy area to help soothe and calm the skin, reducing itching and inflammation.
  • Keep your skin hydrated and healthy with gentle, fragrance-free moisturizers.
  • Try not to scratch, as this can worsen the itching and irritate your skin.
  • If your doctor prescribes, you can take oral medications or apply topical creams or ointments to help relieve itching.
  • Track your itching symptoms and follow your doctor's guidance to adjust your treatment plan if needed. If the itching persists, consult your doctor for further advice.

Directions for Use

  • It is recommended to take Tescal-AD Tablet 4's on an empty stomach for better absorption, preferably 30 minutes before food, or as advised by the doctor.
  • Follow your doctor's instructions regarding dosage and timing to ensure optimal effectiveness.
  • Swallow Tescal-AD Tablet 4's as a whole with a glass of water. Do not crush, chew, or break it.
  • Sit upright or stand while taking Tescal-AD Tablet 4's. Do not lie down for at least 30 minutes after taking Tescal-AD Tablet 4's.

How Tescal-AD Tablet 4's Works

Tescal-AD Tablet 4's contains two active components that work together to protect and strengthen your bones. Alendronic acid: It is a bone-protecting agent that slows down the natural process of bone breakdown, allowing your body to rebuild stronger bone tissue. Cholecalciferol: It is a form of vitamin D, which plays a vital role in helping your digestive system absorb calcium from your food. Together, these two components ensure your bones receive the essential minerals they need to remain dense, strong, and fracture-resistant.
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Alcohol

Caution

Caution is advised while taking alcohol with Tescal-AD Tablet 4's as it may cause increased dizziness. Please consult your doctor if you have any concerns.

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Pregnancy

Unsafe

Tescal-AD Tablet 4's is recommended for use only in postmenopausal women. Tescal-AD Tablet 4's is not indicated in pregnancy. Please consult your doctor if you have any concerns.

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Breast Feeding

Unsafe

Tescal-AD Tablet 4's is recommended for use only in postmenopausal women. Tescal-AD Tablet 4's is not indicated in breastfeeding women. Please consult your doctor if you have any concerns.

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Driving

Caution

Tescal-AD Tablet 4's may cause dizziness. Drive or operate machinery only if you are alert.

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Liver

Caution

Exercise caution before using Tescal-AD Tablet 4's in case of established liver disease. Please consult your doctor to address any concerns.

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Kidney

Caution

Exercise caution before using Tescal-AD Tablet 4's in case of established kidney disease. Please consult your doctor to address any concerns.

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Children

Unsafe

Tescal-AD Tablet 4's is not recommended for use in children below 12 years of age. Please consult your doctor if you have any concerns.

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Heart

Consult your doctor

Let your doctor know if you have any history of heart problems. Your doctor will weigh the benefits and potential risks before prescribing Tescal-AD Tablet 4's.

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Geriatrics

Safe if prescribed

Tescal-AD Tablet 4's is generally safe for elderly patients when given at the prescribed dose. Seek medical advice if you have any concerns.

What if I have taken an overdose of Tescal-AD Tablet 4's

If you take more than your prescribed dose, drink a full glass of milk immediately to help bind the medicine and seek emergency medical attention right away. Do not try to make yourself throw up, and do not lie down.

Diet & Lifestyle Advise

  • Eat calcium-rich foods: Include foods such as milk, yoghurt, cheese, leafy green vegetables, and calcium-fortified products in your daily diet, as recommended by your doctor, to support bone health.
  • Stay physically active: Perform regular low-impact weight-bearing exercises, such as walking, light jogging, or resistance band workouts, to help maintain and strengthen your bones.
  • Avoid smoking and alcohol: Do not smoke and limit alcohol intake, as both can increase bone loss and reduce bone strength over time.
  • Prevent falls at home: Improve home safety by securing loose rugs, installing handrails where needed, and keeping walkways well-lit to reduce the risk of falls and fractures.
health query

Have a query?

How Soon It Starts Working

The time required for Tescal-AD Tablet 4's to start to work: The time required for Tescal-AD Tablet 4's to show its action is unknown. The time for which the effects of Tescal-AD Tablet 4's last: The duration of action for Tescal-AD Tablet 4's is clinically unknown.

What if you forget to take Tescal-AD Tablet 4's

If you forget to take your tablet on your usual day, take it the following morning after you remember. Do not take two tablets on the same day to make up for a missed dose. Continue with your regular weekly schedule on your next scheduled day.

Storage

• Store Tescal-AD Tablet 4's at room temperature, ideally between 15°C and 30°C (59°F to 86°F).

Drug Warnings

  • Stay upright after taking the tablet: Do not lie down for at least 30 minutes after taking this medicine. Staying upright helps prevent irritation or damage to your food pipe (oesophagus).
  • Take with plain water only: Swallow the tablet only with plain tap water. Avoid mineral water, sparkling water, juice, tea, or coffee, as they can reduce how well the medicine is absorbed.
  • Inform your dentist: Tell your dentist that you are taking this medicine before having procedures such as tooth extractions or dental implants. This helps your dentist plan your treatment safely.
  • Maintain good oral hygiene: Brush your teeth twice a day, floss regularly, and visit your dentist for routine check-ups. Good oral care may help reduce the risk of jaw-related problems.
  • Report unusual bone pain: Contact your doctor immediately if you develop persistent or unusual pain in your groin, hip, or thigh. This could be a sign of a rare but serious bone problem.

Drug-Drug Interactions

verifiedApollotooltip
  • Calcium and iron supplements (e.g., calcium carbonate, ferrous sulfate): These supplements can bind to Tescal-AD Tablet 4's and completely stop it from absorbing. Take them at least 30 minutes after your dose.
  • Antacids (e.g., magnesium hydroxide, aluminum hydroxide): Medicines used for heartburn can interfere with how well Tescal-AD Tablet 4's is absorbed by your body.
  • Pain-relieving and anti-inflammatory medicines (e.g., aspirin, ibuprofen): Taking these alongside Tescal-AD Tablet 4's can significantly increase your risk of stomach irritation and ulcers.
No Drug - Drug interactions found in our data. We may lack specific data on this medicine and are actively working to update our database. Consult your doctor for personalized advice

Drug-Drug Interactions

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Drug-Food Interactions

verifiedApollotooltip
  • Food and beverages: Any food, milk, coffee, tea, or juice taken at the same time as Tescal-AD Tablet 4's will stop the medication from working. Always take it on an empty stomach.
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[BONE ENHANCERS]

FAQs

Tescal-AD Tablet 4's is used to prevent and treat osteoporosis in post-menopausal women.
Tescal-AD Tablet 4's works by maintaining bone density. Tescal-AD Tablet 4's helps in supporting bones and joints by decreasing bone destruction and inhibiting bone-destroying cells from being overactive.
Please see an orthopaedic doctor if you have had a fracture. Tescal-AD Tablet 4's is used in the case of osteoporosis and has limited use in the direct treatment of fractures as a fracture is more of surgical concern.
It usually takes one month for Tescal-AD Tablet 4's to start working. However, full benefits may take six months to one year to show.
No. You must take Tescal-AD Tablet 4's only with plain water. Other drinks like tea, coffee, juice, or mineral water will prevent your body from absorbing the medicine. Talk to your doctor or pharmacist if you have trouble swallowing tablets with plain water.
Staying upright (sitting, standing, or walking) prevents the tablet from backing up into your food pipe (oesophagus). Lying down too soon can cause severe irritation, heartburn, or ulcers in your throat. Talk to your doctor if you cannot remain upright for 30 minutes.
In rare cases, Tescal-AD Tablet 4's may cause osteonecrosis (damage) of the jawbone, particularly after dental procedures. If you develop jaw pain, swelling, loose teeth, or delayed healing after dental work, contact your doctor and dentist promptly. Maintain good oral hygiene, have regular dental check-ups, and inform your dentist that you are taking Tescal-AD Tablet 4's before undergoing any dental procedure.
Yes, you can take other prescribed medicines with Tescal-AD Tablet 4's, but not at the same time. Take Tescal-AD Tablet 4's first with plain water on an empty stomach, then wait at least 30 minutes before taking calcium supplements, antacids, vitamins, or other medicines. Follow your doctor's instructions if a different schedule is recommended.
No, this medication is generally not recommended for use during pregnancy or while breastfeeding. If you plan to become pregnant or are currently breastfeeding, talk to your doctor to find a safer alternative.
The length of your treatment depends on your bone density and your overall risk of bone fractures. Your doctor will review your bone health regularly to decide if you still need it. Talk to your doctor for personalised advice.
Take the tablet the following morning after you remember. Do not take two tablets on the same day. Resume your regular weekly schedule on your chosen day. Talk to your doctor or pharmacist if you are confused about your dosing schedule.
Some patients experience mild joint, bone, or muscle pain when they start taking this medicine. However, if you experience severe, persistent, or unusual pain in your hip, thigh, groin, or joints, contact your healthcare provider immediately. Talk to your doctor to evaluate these symptoms.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Reference

  1. Electronic Medicines Compendium (EMC). Pil.110 Patient Information Leaflet (PIL). Cheshire, UK: Datapharm; 2025. [Accessed on 02 Jun. 2026]Check here
  2. WebMD Medical Reference Review Board. Details Drug and Treatment Monograph. Atlanta, GA: WebMD; 2026. [Accessed on 02 Jun. 2026]Check here
  3. Electronic Medicines Compendium (EMC). Pil.5697 Patient Information Leaflet (PIL). Cheshire, UK: Datapharm; 2025. [Accessed on 02 Jun. 2026]Check here
  4. U.S. Food and Drug Administration (FDA). 021575S017Lbl [FDA Prescribing Information]. Silver Spring, MD: FDA; 2024. [Accessed on 02 Jun. 2026]Check here
  5. National Health Service (NHS). Alendronic Acid - NHS Medicines Reference Guide. London, UK: NHS; 2025. [Accessed on 02 Jun. 2026]Check here
  6. National Center for Biotechnology Information (NCBI). Pmc15105 Scientific Research Publication. Bethesda, MD: NLM; 2025. [Accessed on 02 Jun. 2026]Check here
  7. Osteoporosis. [Accessed on 02 Jun. 2026]Check here

Country of origin

India

Manufacturer/Marketer address

A-702, Plot No. 38, Sec-27, Sai Yashvasin, Ranjanpada, Navi Mumbai, Maharashtra - 410210
Other Info - TES0143
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