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Supracal ISO Tablet is used to treat and prevent osteoporosis in postmenopausal women. It may also be used to relieve other menopausal symptoms. It contains Calcitriol, Calcium citrate, and Soy isoflavones to treat postmenopausal osteoporosis. Calcitriol is a man-made form of Vitamin D3 and treats calcium deficiency. It raises Vitamin D levels and thereby increases calcium levels in the blood. This helps in improving the absorption rate of calcium from the stomach. Calcium citrate is a mineral used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation. Soy isoflavones prevent postmenopausal osteoporosis and improve bone strength.

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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

CALCITRIOL-0.25MCG+CALCIUM CITRATE-500MG+SOY ISOFLAVONES-100MG

Manufacturer/Marketer :

Pharmed Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Supracal ISO Tablet

Supracal ISO Tablet is a medication primarily used to prevent and treat bone loss, such as osteoporosis and osteopenia, particularly in postmenopausal women. It helps maintain bone mass, reduces the risk of fractures, and supports overall skeletal health when bone density starts to decline. Your doctor may prescribe this to help keep your bones strong and resilient.

For the best results, you should take this medicine consistently at the same time every day as directed by your doctor. It is typically taken with food to improve absorption and minimise any potential stomach upset. Combining this medicine with a diet rich in calcium and regular weight-bearing exercise will help maximise its benefits for your bones.

While taking this medicine, some people may experience mild side effects like constipation or an upset stomach. However, you should contact your doctor immediately if you develop serious symptoms, such as extreme fatigue, muscle weakness, or constant thirst, which may indicate high calcium levels in your body.

Do not take this if you have high calcium levels in your blood or urine, or if you have a history of kidney stones. It is important to talk to your doctor before starting this medicine if you have kidney disease or any other chronic health conditions.

This medicine can interact with certain other products, such as thyroid medications, some antibiotics, and heavy alcohol use, which can reduce its effectiveness. If you are pregnant, breastfeeding, or an older adult, talk to your doctor or pharmacist to ensure this treatment is safe and appropriate for you.

Uses of Supracal ISO Tablet

Your doctor may prescribe Supracal ISO Tablet to help manage the following conditions:

  • Osteoporosis: It helps slow down bone thinning and stimulates bone maintenance, reducing the risk of painful bone fractures.
  • Osteopenia: This medicine helps manage early-stage bone loss, preventing it from progressing to severe osteoporosis.
  • Postmenopausal bone loss: It addresses the rapid decline in bone density that often occurs in women due to falling oestrogen levels after menopause.

Key Benefits

Supracal ISO Tablet provides calcium and active vitamin D to support bone mineralisation, while soy isoflavones may provide additional support for bone health, particularly after menopause.

  • Supports bone strength: Calcium citrate supplies calcium needed to maintain the structure and strength of bones.
  • Improves calcium use: Calcitriol helps the body absorb calcium from the intestine, making calcium available for normal bone mineralisation.
  • Supports bone maintenance after menopause: Soy isoflavones are plant compounds with mild oestrogen-like activity and may help support bone maintenance as oestrogen levels decline after menopause.
  • Helps correct nutritional gaps: When calcium or active vitamin D supplementation is clinically needed, this medicine can help maintain adequate levels required for healthy bones.
Side effects of Supracal ISO Tablet
  • Stay hydrated by drinking plenty of water.
  • Avoid dairy product such as cheese, milk, yogurt and ice cream.
  • Maintain healthy weight and exercise daily.
  • Following a low-calcium diet can help reduce hypercalcemia symptoms.
  • Reduce sodium intake to minimize calcium excretion in urine.
  • Limit animal protein consumption to decrease urinary calcium levels.
  • Increase fluid intake by drinking plenty of water to dilute urine.
  • Moderate calcium intake based on individual needs, avoiding drastic restriction.
  • Limit oxalate-rich foods like spinach and chocolate to minimize kidney stone formation.
  • Stay hydrated by drinking plenty of water.
  • Consider reducing vitamin D supplementation if excessive intake is contributing to hypercalciuria.
  • Regularly monitor urine calcium levels through 24-hour urine tests.
  • Always seek guidance from a healthcare expert prior to implementing substantial changes to your diet or lifestyle routine.
Managing Medication-Triggered UTIs: A Comprehensive Approach:
  • Inform your doctor about the medication you're taking and the UTI symptoms you're experiencing.
  • Your doctor may adjust your medication regimen or consider alternative medications or dosages that may reduce the risk of UTIs.
  • Drink plenty of water (at least 8-10 glasses a day) to help flush out bacteria. Avoid sugary drinks and caffeine, which can exacerbate UTI symptoms.
  • Urinate when you feel the need rather than holding it in. This can help prevent bacterial growth and reduce the risk of UTIs.
  • Consider cranberry supplements: Cranberry supplements may help prevent UTIs by preventing bacterial adhesion.
  • Monitor UTI symptoms and report any changes to your doctor.
  • If antibiotics are prescribed, take them as directed and complete the full course.
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.
  • 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.
  • Skin rash caused by allergies is due to irritants or allergens. Therefore, avoid contact with such irritants.
  • Consult your doctor for proper medication and apply an anti-itch medication. Follow the schedule and use the medication whenever needed.
  • Protect your skin from extreme heat and try to apply wet compresses.
  • Soak in the cool bath, which gives a soothing impact to the affected area.

Directions for Use

  • Supracal ISO Tablet can be taken with or without food as advised by the doctor.
  • Follow your doctor’s instructions on the dosage and timing of this medication to ensure safety.
  • Swallow Supracal ISO Tablet as a whole with a glass of water.
  • Do not chew, crush, or break it.

How Supracal ISO Tablet Works

Supracal ISO Tablet contains calcitriol, calcium citrate, and soy isoflavones. These ingredients support bone health in different ways. Calcium citrate provides calcium, an essential mineral used to build and maintain bones and teeth. It is a form of calcium that can be absorbed without requiring high levels of stomach acid. Calcitriol is the active form of vitamin D. It increases calcium absorption from the intestine and helps regulate calcium levels in the body, supporting normal bone mineralisation. Soy isoflavones are plant compounds with mild oestrogen-like effects. Because lower oestrogen levels after menopause are linked with increased bone loss, soy isoflavones may provide some additional support for bone maintenance. However, their effect on preventing osteoporosis or fractures is not as well established as standard osteoporosis treatments. Together, these ingredients provide calcium and help the body absorb it effectively, while offering additional nutritional support for maintaining bone health.
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Alcohol

Caution

No interaction was found. However, it is advisable not to take or limit alcohol as a precautionary measure.

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Pregnancy

Caution

Supracal ISO Tablet is advised for pregnant women only if your doctor thinks the benefits outweigh the risks. Please consult a doctor if you are pregnant.

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Breast Feeding

Caution

Please consult a doctor if you are breastfeeding. However, if you are taking Supracal ISO Tablet while breastfeeding, the serum calcium levels of the mother and infant will be monitored.

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Driving

Caution

Supracal ISO Tablet usually does not affect your ability to drive or operate machinery.

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Liver

Caution

Limited information was available about using Supracal ISO Tablet in patients with liver disease. If you have liver conditions, inform your doctor before taking this medicine.

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Kidney

Caution

Limited information was available about using Supracal ISO Tablet in patients with kidney disease. If you have kidney problems, inform your doctor before taking this medicine.

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Children

Unsafe

Supracal ISO Tablet is not recommended for children.

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Heart

Caution

Let your doctor know if you have any history of heart diseases. Your doctor will weigh the benefits and potential risks before prescribing Supracal ISO Tablet .

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Geriatrics

Consult your doctor

Please consult a doctor if you have any concerns regarding the use of Supracal ISO Tablet in elderly patients.

What if I have taken an overdose of Supracal ISO Tablet

If you accidentally take too much of this medicine, seek immediate medical attention. Symptoms of an overdose may include severe nausea, vomiting, loss of appetite, extreme thirst, and muscle weakness.

Diet & Lifestyle Advise

  • Eat calcium-rich foods: Support your treatment by incorporating dairy products, leafy greens, and calcium-fortified foods into your daily diet.
  • Stay active: Engage in regular, low-impact weight-bearing exercises like walking, jogging, or climbing stairs to help stimulate bone growth and maintain strength.
  • Limit caffeine and sodas: High intake of caffeine and carbonated beverages can interfere with how your body absorbs calcium.
  • Avoid smoking and limit alcohol: Smoking and excessive alcohol consumption speed up bone loss and decrease the effectiveness of your bone health treatment.
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Have a query?

How Soon It Starts Working

The time required for Supracal ISO Tablet to start to work: The time required for Supracal ISO Tablet to show its action is unknown. The time for which the effects of Supracal ISO Tablet last: The duration of action for Supracal ISO Tablet is unknown.

Storage

•Store Supracal ISO Tablet at room temperature, between 15°C and 30°C (59°F to 86°F). •Keep the medication in its original packaging to protect it from direct light and moisture. Do not store it in the bathroom cabinet or near a kitchen sink where humidity is high.

What if you forget to take Supracal ISO Tablet

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and resume your regular schedule. Do not take a double dose to make up for a missed one.

Drug Warnings

  • Avoid extra calcium and vitamin D: Supracal ISO Tablet already contains calcium and calcitriol (the active form of vitamin D). Taking additional calcium, vitamin D, or calcium-containing antacids without medical advice may cause calcium levels in your blood to become too high.
  • Separate interacting medicines: Calcium can reduce the absorption of levothyroxine and certain antibiotics, including tetracyclines and quinolones. Your doctor or pharmacist can advise the appropriate time gap based on the medicine you take.
  • Attend recommended blood tests: Your doctor may check your calcium levels and kidney function during treatment. Urine calcium or other tests may also be needed, particularly during long-term treatment or after a dose change.
  • Watch for high calcium levels: Persistent nausea, vomiting, constipation, unusual thirst, frequent urination, muscle weakness, or confusion may be signs of high calcium levels. Tell your doctor promptly if these symptoms develop.
  • Discuss kidney problems: Tell your doctor if you have kidney disease or a history of kidney stones. Calcium and calcitriol can affect calcium balance, so closer monitoring or changes to treatment may be needed.
  • Review all medicines and supplements: Tell your doctor about all prescription medicines, over-the-counter products, vitamins, and supplements you use. Medicines such as thiazide diuretics (water tablets) can further increase calcium levels when taken with calcitriol.
  • Follow the prescribed dose: Do not take more this medicine than recommended. Calcitriol is an active form of vitamin D, so excessive doses can cause high calcium levels and related complications.

Drug-Drug Interactions

verifiedApollotooltip
  • Thyroid medications (like levothyroxine): Taking these alongside this medicine can reduce their absorption and make them less effective. Space them out by several hours.
  • Antibiotics (such as ciprofloxacin or doxycycline): Calcium can bind to these drugs, stopping your body from absorbing them properly.
  • Thiazide diuretics (water pills): Taking these with this medicine may increase the risk of developing dangerously high calcium levels in your blood.
Calcitriol + Calcium citrateDoxercalciferol
Severe
Calcitriol + Calcium citrateBurosumab
Severe

Drug-Drug Interactions

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Calcitriol + Calcium citrateDoxercalciferol
Severe
How does the drug interact with Supracal ISO Tablet:
Co-administration of Doxercalciferol and Calcitriol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects related to increased calcium levels in the blood and urine.

How to manage the interaction:
Taking Doxercalciferol with Calcitriol can lead to an interaction, it can be taken if advised by a doctor. Consult the prescriber if you experience symptoms of vitamin D intoxication such as weakness, fatigue, headache, vertigo, drowsiness, ringing in the ears, loss of appetite, nausea, vomiting, constipation, dry mouth, metallic taste, muscle pain, bone pain, muscle incoordination, and low muscle tone. Do not discontinue the medication without consulting a doctor.
Calcitriol + Calcium citrateBurosumab
Severe
How does the drug interact with Supracal ISO Tablet:
Co-administration of Calcitriol and Burosumab may cause increases in phosphorus and vitamin D levels in the blood, which may lead to an increased risk of kidney stones.

How to manage the interaction:
There may be a possibility of interaction between Calcitriol and Burosumab, but it can be taken if prescribed by a doctor. If you have any of these symptoms like kidney stones, it's important to contact a doctor right away. Do not stop using any medications without a doctor's advice. Do not discontinue the medication without consulting a doctor.
Calcitriol + Calcium citrateDolutegravir
Severe
How does the drug interact with Supracal ISO Tablet:
Co-administration of Dolutegravir with Calcium citrate can reduce the effectiveness of dolutegravir.

How to manage the interaction:
Although there is an interaction, Calcium citrate can be used with Dolutegravir if prescribed by the doctor. However, take dolutegravir at least two hours before or six hours after calcium citrate. Do not discontinue the medication without consulting a doctor.
Calcitriol + Calcium citrateOrlistat
Severe
How does the drug interact with Supracal ISO Tablet:
Co-administration of Orlistat with Calcitriol may reduce the levels of Calcitriol which can lead to low treatment outcomes.

How to manage the interaction:
Although there is an interaction, calcitriol can be taken with orlistat when prescribed by the doctor. Take calcitriol at least 2 hours before or 2 hours after orlistat. Do not discontinue any medications without consulting a doctor.
Calcitriol + Calcium citrateDigitoxin
Severe
How does the drug interact with Supracal ISO Tablet:
Co-administration of Calcitriol with Digitoxin may increase the risk or severity of digitoxin toxicity and irregular heart rhythm.

How to manage the interaction:
Although there is an interaction, Calcitriol can be taken with Digitoxin if prescribed by the doctor. Consult the prescriber if you experience symptoms that could indicate high blood calcium, such as weakness, fatigue, headache, dizziness, drowsiness, ringing in the ears, loss of appetite, nausea, vomiting, constipation, dry mouth, a metallic taste in the mouth, bone or muscle pain, incoordination, frequent urination, and weight loss. Also, seek medical attention if you experience symptoms of digitoxin toxicity, such as blurred vision, slow pulse, or irregular heartbeats. Do not discontinue the medication without consulting a doctor.
Calcitriol + Calcium citrateParicalcitol
Severe
How does the drug interact with Supracal ISO Tablet:
Co-administration of Paricalcitol and Calcitriol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects related to excessive calcium levels in the blood and urine.

How to manage the interaction:
Concomitant use of Paricalcitol with Calcitriol can lead to an interaction, it can be taken if advised by a doctor. Consult the prescriber if you experience symptoms of vitamin D intoxication such as weakness, fatigue, headache, vertigo, drowsiness, ringing in the ears, loss of appetite, nausea, vomiting, constipation, dry mouth, metallic taste, muscle pain, bone pain, muscle incoordination, and low muscle tone. Do not discontinue the medication without consulting a doctor.
Calcitriol + Calcium citrateAluminium hydroxide
Severe
How does the drug interact with Supracal ISO Tablet:
Co-administration of Calcium citrate with Aluminum hydroxide may increase the effects of aluminum hydroxide, which could result in too high aluminum blood levels.

How to manage the interaction:
Although there is an interaction, calcium citrate can be used with aluminum hydroxide if prescribed by the doctor. However, maintain a gap of 2-3 hours between both medicines. Do not discontinue the medication without a doctor's advice.
Calcitriol + Calcium citrateCalcifediol
Severe
How does the drug interact with Supracal ISO Tablet:
Co-administration of Calcifediol and Calcitriol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects related to increased calcium levels in the blood and urine.

How to manage the interaction:
Co-administration of Calcitriol with Calcifediol can possibly result in an interaction, but it can be taken if a doctor has advised it. If you have any of these symptoms, such as irregular heart rhythm, seizures, it's important to call a doctor right away. Do not discontinue any medications without consulting a doctor.
Calcitriol + Calcium citrateDihydroxialumini sodium carbonate
Severe
How does the drug interact with Supracal ISO Tablet:
Co-administration of Calcium citrate with Dihydroxyaluminum sodium carbonate may increase the effects of Dihydroxyaluminum sodium carbonate, which could result in too high aluminum blood levels.

How to manage the interaction:
Although there is an interaction, Calcium citrate can be used with Dihydroxyaluminum sodium carbonate if prescribed by the doctor. However, maintain a gap of 2-3 hours between both medicines. Do not discontinue the medication without consulting a doctor.
Calcitriol + Calcium citrateMetolazone
Severe
How does the drug interact with Supracal ISO Tablet:
Co-administration of Metolazone with Calcitriol can cause blood calcium levels to become too high.

How to manage the interaction:
Although there is an interaction, calcitriol can be taken with metolazone if prescribed by the doctor. Consult the doctor if you experience symptoms such as dizziness, drowsiness, weakness, lethargy, headache, nausea, vomiting, or seizures. Do not discontinue the medication without consulting a doctor.

Drug-Food Interactions

verifiedApollotooltip
  • High-fibre foods and spinach: Foods rich in fibre or oxalic acid can slightly lower how much calcium your body absorbs.
  • Alcohol: Regular or heavy alcohol consumption reduces your body's ability to absorb calcium and build new bone.
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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Habit Forming

No

Therapeutic Class

[BONE ENHANCERS]

FAQs

Supracal ISO Tablet is used for the treatment of Postmenopausal osteoporosis.
Supracal ISO Tablet contains Calcium citrate and Soy isoflavones. Calcitriol is a man-made form of Vitamin D3 that treats calcium deficiency. It raises Vitamin D levels and thereby increases calcium levels in the blood, helping to improve the absorption rate of calcium from the stomach. Calcium citrate is a mineral used to prevent or treat calcium deficiency. It provides essential nutrients to maintain bone formation. Soy isoflavones prevent postmenopausal osteoporosis and improve bone strength.
You are not recommended to take Supracal ISO Tablet if you have hypercalcemia (high levels of calcium in the blood) as it may worsen the condition. However, calcium and vitamin D levels may be checked before starting treatment with Supracal ISO Tablet .
If used in large doses, Supracal ISO Tablet may cause hypercalciuria (excess calcium in the urine). Therefore, to prevent such conditions, take Supracal ISO Tablet in doses and for the duration as advised by a doctor.
Supracal ISO Tablet is not recommended for patients having kidney stones as it may worsen the condition. Therefore, inform your doctor if you have kidney stones or other kidney problems before taking Supracal ISO Tablet .
Yes, you can take it with or without food. However, taking it with a meal is generally recommended to reduce the chance of stomach upset and help your body absorb the active ingredients more efficiently. Talk to your doctor or pharmacist if you experience stomach discomfort.
Constipation is a common side effect of calcium-containing products. You can manage this by drinking plenty of water throughout the day and increasing your intake of dietary fibre. If the constipation is severe or persistent, talk to your doctor or pharmacist before taking laxatives.
You should only take this medicine during pregnancy or breastfeeding if your doctor has specifically prescribed it. They will weigh the benefits against any risks to ensure safety. Talk to your doctor for personalised advice.
You should check with your pharmacist or doctor before combining this medicine with other supplements. Many multivitamins contain calcium and vitamin D, and taking them together could lead to an accidental overdose of these nutrients. Talk to your doctor or pharmacist first.
Yes, calcium can significantly decrease the absorption of thyroid medications like levothyroxine. To prevent this, you should separate the times you take these two medications by at least 4 hours. Talk to your doctor or pharmacist for a safe dosing schedule.
Yes, this medicine is commonly prescribed to older adults to prevent postmenopausal bone loss and senile osteoporosis. However, elderly patients may be more sensitive to high calcium levels or have reduced kidney function. Talk to your doctor to determine if regular blood tests are needed.
It is best to avoid drinking large amounts of coffee, tea, or other caffeinated beverages near the time you take this medicine. Caffeine can interfere with calcium absorption and may reduce the overall effectiveness of your treatment. Talk to your doctor or pharmacist for guidance.

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.

Country of origin

INDIA

Manufacturer/Marketer address

PHARMED LIMITED,Pharmed Gardens, Whitefield Road, Bangalore-560048, India.
Other Info - SUP0241

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