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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
TRICAL HD TABLET is used to treat low blood calcium levels. It effectively treats various conditions caused by low calcium levels in the body, such as osteoporosis (weak and brittle bones), osteomalacia/rickets (weak bones), hypoparathyroidism (low levels of parathyroid hormone) and latent tetany (a muscle disease with low blood calcium levels). It can also be given to pregnant, nursing, and postmenopausal women to ensure that they are getting enough calcium. It contains Calcium carbonate and Cholecalciferol, which provides essential nutrients to maintain bone formation and maintenance. Also, it is used in the absorption of calcium in the blood. It may cause side effects such as constipation or stomach upset, nausea, vomiting, loss of appetite, mood changes, weakness, tiredness, fast or pounding heartbeat, bone/muscle pain, and headache.
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Manufacturer/Marketer :

Svizera Healthcare

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About TRICAL HD TABLET

TRICAL HD TABLET is used to treat low blood calcium levels. TRICAL HD TABLET effectively treats various conditions caused by low calcium levels in the body, such as osteoporosis (weak and brittle bones), osteomalacia/rickets (weak bones), hypoparathyroidism (low levels of parathyroid hormone) and latent tetany (a muscle disease with low blood calcium levels). TRICAL HD TABLET can also be given to pregnant, nursing, and postmenopausal women to ensure that they are getting enough calcium. 

TRICAL HD TABLET consists of two medicines, namely: Calcium carbonate(mineral) and  Cholecalciferol(Vitamin D3). Calcium carbonate is a mineral that is used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation and maintenance. Cholecalciferol(Vitamin D3) is used in the absorption of calcium in the blood. Which helps in the processing of essential minerals in the body like Calcium and Phosphorus. Lack of Vitamin D3 results in bone weakening, bone pain, and skin diseases. 

Take TRICAL HD TABLET as prescribed by your doctor. You are advised to take TRICAL HD TABLET as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, TRICAL HD TABLET can cause side effects like constipation or stomach upset, nausea, vomiting, loss of appetite, mood changes, weakness, tiredness, fast or pounding heartbeat, bone/muscle pain, and headache. Most of these side effects of TRICAL HD TABLET do not require medical attention and gradually resolve over time. However, if these side effects persist longer, please consult your doctor.

If you are known to be allergic to TRICAL HD TABLET or its inactive components, please inform your doctor. Pregnant or breastfeeding women should consult their doctor before taking TRICAL HD TABLET. Higher doses of Vitamin D than the recommended daily dose should be used in pregnant women only when advised by the doctor. TRICAL HD TABLET may pass into the breast milk. Hence, breastfeeding mothers need to seek medical advice before starting TRICAL HD TABLET. Do not take TRICAL HD TABLET if you have hypercalcemia (high calcium levels), hypervitaminosis D (high vitamin D levels), and malabsorption syndrome (difficulty absorbing nutrition from food). 

Uses of TRICAL HD TABLET

Treatment of Osteoporosis, Postmenopausal osteoporosis Osteomalacia, Rickets, Calcium deficiency, Hypoparathyroidism.

Directions for Use

• Recommended to take TRICAL HD TABLET with food to enhance its absorption.• Follow your doctor's instructions on the dosage and timing of this medication, to ensure the safety.• Swallow the medicine as a whole with glass of water.• Do not crush, break, or chew it.

Medicinal Benefits

TRICAL HD TABLET is a combination of three drugs, Calcium carbonate(mineral) and cholecalciferol (Vitamin D3) used to treat low blood calcium levels and various associated conditions caused by low calcium levels in the body, such as osteoporosis (weak and brittle bones), osteomalacia/rickets (weak bones), hypoparathyroidism (low levels of parathyroid hormone) and tetany (a muscle disease with low blood calcium levels). Calcium carbonate is a mineral and prevents or treats calcium deficiency. It helps to maintain bone and teeth health. Cholecalciferol(Vitamin D3) treats calcium deficiency with hypoparathyroidism (the parathyroid glands' decreased activity) and metabolic bone diseases in people with chronic kidney failure. 

How TRICAL HD TABLET Works

TRICAL HD TABLET consists of two medicines, namely: Calcium carbonate(mineral) and  Cholecalciferol(Vitamin D3). Calcium carbonate is a mineral that is used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation and maintenance. Cholecalciferol(Vitamin D3) is used in the absorption of calcium in the blood. Which helps in the processing of essential minerals in the body like Calcium and Phosphorus. Lack of Vitamin D3 results in bone weakening, bone pain, and skin diseases.

Storage

stored at room temperature below 30°C

What if I have taken an overdose of TRICAL HD TABLET

Do not take more than the prescribed dose of TRICAL HD TABLET as it may cause overdose. The symptoms of overdose include nausea, vomiting, loss of appetite, headache, drowsiness, mental/mood changes tiredness and weakness. If you suspect you have taken overdose or notice signs of overdose, please consult a doctor immediately.

Drug Warnings

If you are known to be allergic to TRICAL HD TABLET or any other medicines, please tell your doctor. If you are pregnant or planning to become pregnant, it is advised to inform your doctor before using TRICAL HD TABLET. Higher doses of Vitamin D than the recommended daily dose should be used in pregnant women only when advised by the doctor. Cholecalciferol in higher doses may harm the foetus. TRICAL HD TABLET may pass into the breast milk, hence consult your doctor before taking TRICAL HD TABLET if you are a breastfeeding mother. TRICAL HD TABLET should be used with caution in children and only if prescribed by a doctor. Cholecalciferol in TRICAL HD TABLET can affect growth in children. Inform your doctor if your child is not growing at a normal rate while using TRICAL HD TABLET. TRICAL HD TABLET is not recommended if you have hypercalcemia (high calcium levels), metastatic calcification (extra deposits of calcium in the body), hypervitaminosis D (high vitamin D levels), and malabsorption syndrome (difficulty absorbing nutrition from food). Inform your doctor before taking TRICAL HD TABLET if you have any heart/kidney/liver/blood vessel diseases, kidney stones, sarcoidosis (growth of inflammatory cells in different parts of the body), Crohn's disease (inflammatory bowel disease), Whipple's disease (bacterial infection affecting joints and digestive system), achlorhydria (little or no stomach acid), low levels of bile, and phosphate imbalance. TRICAL HD TABLET contains sugar or sorbitol; hence caution should be taken to have an intolerance to sugars, diabetes, and phenylketonuria (increased levels of an amino acid called phenylalanine).

Drug-Drug Interactions

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ColecalciferolParicalcitol
Severe
ColecalciferolAluminium hydroxide
Severe

Drug-Drug Interactions

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ColecalciferolParicalcitol
Severe
How does the drug interact with Trical Hd Tablet:
The combined use of cholecalciferol and paricalcitol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects.

How to manage the interaction:
Although there is a possible interaction between Trical Hd Tablet and paricalcitol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - contact a doctor right away. Do not discontinue any medications without consulting a doctor.
ColecalciferolAluminium hydroxide
Severe
How does the drug interact with Trical Hd Tablet:
The combined use of aluminum hydroxide with Trical Hd Tablet may increase the risk of toxicity.

How to manage the interaction:
Co-administration of Trical Hd Tablet with Aluminium hydroxide can possibly result in an interaction, but it can be taken if your doctor has advised it. If you're having any of these symptoms like bone pain, muscle weakness, anemia, seizures, or dementia, it's important to contact your doctor right away. Do not stop using any medications without a doctor's advice.
ColecalciferolDihydrotachysterol
Severe
How does the drug interact with Trical Hd Tablet:
Cholecalciferol and dihydrotachysterol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects.

How to manage the interaction:
Although there is a possible interaction between Trical Hd Tablet and dihydrotachysterol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - contact a doctor right away. Do not discontinue any medications without consulting a doctor.
ColecalciferolErgocalciferol
Severe
How does the drug interact with Trical Hd Tablet:
The combined use of cholecalciferol and ergocalciferol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects.

How to manage the interaction:
Although there is a possible interaction between Trical Hd Tablet and ergocalciferol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - contact a doctor right away. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Trical Hd Tablet:
Taking Cholecalciferol together with Sucralfate may increase the risk or severity of kidney problems.

How to manage the interaction:
There may be a possibility of interaction between Cholecalciferol and Sucralfate, but it can be taken if prescribed by a doctor. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Trical Hd Tablet:
Cholecalciferol and doxercalciferol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects.

How to manage the interaction:
Although there is a possible interaction between Trical Hd Tablet and doxercalciferol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - make sure to call a doctor right away. Do not discontinue any medications without consulting a doctor.
ColecalciferolCalcifediol
Severe
How does the drug interact with Trical Hd Tablet:
The combined use of calcifediol with cholecalciferol can increase the risk of side effects.

How to manage the interaction:
Although there is a possible interaction between Trical Hd Tablet and calcifediol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - contact a doctor right away. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Trical Hd Tablet:
Co-administration of Cholecalciferol and Calcitriol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects.

How to manage the interaction:
Although there is a possible interaction between Trical Hd Tablet and calcitriol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - contact a doctor right away. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Trical Hd Tablet:
Co-administration of Trical Hd Tablet with Ketoconazole may decrease the effects of Ketoconazole.

How to manage the interaction:
Although there is an interaction, Trical Hd Tablet can be taken with Ketoconazole if prescribed by the doctor. However, maintain a gap of 2 or more hours between both medicines. Do not discontinue the medication without consulting a doctor.
Calcium carbonatePatiromer calcium
Severe
How does the drug interact with Trical Hd Tablet:
Co-administration of Trical Hd Tablet may lower the effectiveness of Patiromer calcium in binding potassium.

How to manage the interaction:
Although there is an interaction, Trical Hd Tablet can be taken with Patiromer calcium if prescribed by the doctor. Consult the prescriber if you experience symptoms such as metabolic alkalosis like nausea, vomiting, tremor, muscle twitching, lightheadedness, numbness or tingling, prolonged muscle spasms, slowed breathing, irregular heartbeat, and confusion. Do not discontinue the medication without a doctor's advice.

Drug-Food Interactions

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CALCIUM CARBONATE-1250MG+CHOLECALCIFEROL-500IUFiber rich foods
Moderate

Drug-Food Interactions

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CALCIUM CARBONATE-1250MG+CHOLECALCIFEROL-500IUFiber rich foods
Moderate
Common Foods to Avoid:
Spinach

How to manage the interaction:
Taking Calcium carbonate and Colecalciferol with food containing oxalic acid (e.g., spinach) or phytic acid (e.g., whole grains) can decrease the absorption of Calcium carbonate and Colecalciferol. It is advised to take Calcium carbonate and Colecalciferol 2 hours after or before consumption of food containing oxalic acid or phytic acid.

Diet & Lifestyle Advise

  • Include dairy products like milk, yoghurt, cheese, or milk-based custard in your diet.
  • Eat daily a serving of broccoli, cabbage, bok choy, spinach, and other green leafy vegetables.
  • Snack on calcium-rich nuts like Brazil nuts or almonds.
  • Sprinkle sesame seeds over your food, vegetables, and salads. Sesame seeds are high in calcium.
  • Avoid or reduce the intake of caffeine, soft drinks, and alcohol that inhibit calcium absorption.
  • Replace the meat with tofu for extra calcium in your food.

Habit Forming

No

Therapeutic Class

MULTIMINERALS
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Alcohol

Caution

Drinking alcohol can affect calcium absorption; hence it is advised to limit the alcohol intake while using TRICAL HD TABLET.

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Pregnancy

Caution

During pregnancy, use higher doses of TRICAL HD TABLET than the daily dietary allowance only when advised by the doctor. Calcitriol in higher doses may harm the foetus. Your doctor will weigh the potential risks and benefits before prescribing TRICAL HD TABLET.

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Breast Feeding

Caution

Consult your doctor before taking TRICAL HD TABLET if you are breastfeeding. TRICAL HD TABLET can pass into the breast milk. If TRICAL HD TABLET is used during breastfeeding, please monitor the mother and the infant's serum calcium levels.

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Driving

Caution

No interaction found/established

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Liver

Caution

Let your doctor know if you have any history of liver diseases before taking TRICAL HD TABLET. Hepatic impairment/liver disease can alter the metabolic and therapeutic activity of certain Vitamin D forms.

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Kidney

Caution

It is advised to seek doctor advice before starting TRICAL HD TABLET if you have kidney diseases like kidney stones or undergoing dialysis. Calcitriol in TRICAL HD TABLET increases inorganic phosphate levels in serum; hence caution should be taken in patients undergoing dialysis to maintain adequate phosphorus levels and avoid ectopic calcification (calcium deposition).

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Children

Caution

TRICAL HD TABLET should be used with caution in children and only if prescribed by a doctor.

Have a query?

FAQs

TRICAL HD TABLET used to treat low blood calcium levels. TRICAL HD TABLET effectively treats various conditions caused by low calcium levels in the body, such as osteoporosis (weak and brittle bones), osteomalacia/rickets (weak bones), hypoparathyroidism (low levels of parathyroid hormone) and latent tetany (a muscle disease with low blood calcium levels). TRICAL HD TABLET can also be given to pregnant, nursing, and postmenopausal women to ensure that they are getting enough calcium.

TRICAL HD TABLET is a nutritional supplement that can be taken by people who have low levels of calcium in their blood and it keep the bones healthy and strong and is even effective in Chronic arthritis and Osteoporosis.

TRICAL HD TABLET is used to increase low levels of calcium in the body. Hence it is not advised to use TRICAL HD TABLET during hypercalcemia, since it causes the overdose of calcium leading to kidney stones and other effects.

Do not use TRICAL HD TABLET if you are allergic to TRICAL HD TABLET or any other ingredients in it. TRICAL HD TABLET is not recommended in hypercalcemia (high calcium levels), metastatic calcification (extra deposits of calcium in the body), hypervitaminosis D (high vitamin D levels), and malabsorption syndrome (difficulty absorbing nutrition from food).

Individual factors, including health needs, diet, and lifestyle, influence the optimal timing for taking TRICAL HD TABLET. Furthermore, the timing may require adjustment to prevent interactions if you're taking other medications. Consulting a healthcare professional is crucial for personalized guidance tailored to your unique needs and circumstances.

TRICAL HD TABLET offers numerous benefits, including supporting bone health, essential for bone mineralization, and potentially reducing the risk of osteoporosis. Adequate calcium and vitamin D intake helps maintain strong bones and teeth while supporting muscle function and nerve transmission. Overall, TRICAL HD TABLET plays a vital role in maintaining overall health and well-being, particularly bone health.

Swallow the whole TRICAL HD TABLET with a glass of water, taking care not to crush, chew, or break it.

Do not take TRICAL HD TABLET if you have kidney disease, high levels of calcium in your blood (hypercalcemia), or a history of kidney stones, as it may worsen these conditions. It is crucial to inform your doctor about your medical history, underlying health conditions, and all medications you're currently taking to avoid potential interactions or adverse effects. Failure to do so may result in serious health complications. Consult your doctor or healthcare professional for personalized advice and careful monitoring.

Taking TRICAL HD TABLET more than the recommended dose leads to overdose, which might cause nausea/vomiting, loss of appetite, mental/mood changes, headache, drowsiness, weakness, and tiredness. If you suspect an overdose or unusual symptoms, seek medical attention right away.

The recommended daily intake of vitamin D varies based on factors such as age, sex, health status, diet, and lifestyle. It's best to consult your healthcare provider to determine the optimal dosage for your needs. They will consider your health status, medications, dietary habits, lifestyle, and other factors to recommend a suitable dose.

Low vitamin D levels can lead to various health issues, including weakened bones, increased risk of fractures, fatigue, mood changes, impaired immune function, infections, autoimmune diseases, cardiovascular disease, cognitive impairment, and neurodegenerative diseases. Severe deficiency can cause rickets in children and osteomalacia in adults. It is essential to maintain adequate vitamin D levels through sun exposure, diet, and supplements (if necessary). Consult a healthcare professional for personalized advice.

The common side effects of TRICAL HD TABLET, which may occur in some individuals, include constipation or stomach upset, nausea, vomiting, loss of appetite, mood changes, weakness, tiredness, fast or pounding heartbeat, bone/muscle pain, and headache. Most of these side effects of TRICAL HD TABLET do not require medical attention and gradually resolve over time. However, if these side effects persist longer, please consult your doctor.

Country of origin

India

Manufacturer/Marketer address

29-33, Ancillary Industrial Plots Govandi Mumbai MH 400043 INDIA
Other Info - TRI0855

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