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Zecal 40 Plus Tablet is a combination medicine primarily used to treat nutritional deficiencies, low calcium levels, and Vitamin D deficiency. This medicine works by maintaining blood calcium, phosphorus and folate levels, producing new blood cells, regulates many bodily functions, thus providing essential nutrients necessary for bone formation and maintenance. Common side effects include constipation, nausea, vomiting, and stomach upset.

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Written By Veda Maddala , M Pharmacy
Reviewed By Santoshini Reddy G , M Pharmacy
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More about the Product

Composition :

CALCIUM-250MG+ISOFLAVONE-60MG+VITAMIN D3-2000IU

Manufacturer/Marketer :

Indchemie Health Specialities Pvt Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Zecal 40 Plus Tablet

Zecal 40 Plus Tablet is a supplement designed to support bone health and help prevent bone loss, particularly in postmenopausal women. It helps maintain strong bones and lowers the risk of fractures by supplying essential bone-building nutrients. Doctors commonly prescribe it to manage osteoporosis and calcium deficiency.

For best results, you should take Zecal 40 Plus Tablet consistently every day at the same time, exactly as directed by your doctor. It is typically taken with food to improve how well your body absorbs the ingredients and to reduce the chance of an upset stomach. Combining this supplement with a balanced diet rich in leafy greens and regular weight-bearing exercise helps maximise its benefits.

Most people tolerate this supplement well, but some may experience mild side effects like constipation or stomach gas. If you notice persistent nausea, unusual tiredness, or signs of kidney stones like severe lower back pain, stop taking it and consult your doctor immediately.

Do not take this if you have high calcium levels in your blood or urine, or if you have severe kidney disease. Before starting, talk to your doctor if you have a history of kidney stones, sarcoidosis, or thyroid disorders.

Certain medications, such as thyroid hormones or iron supplements, can interact with this product, so they should be taken at different times of the day. Avoid heavy drinking and smoking, as they can weaken your bones and reduce the supplement's effectiveness. If you are pregnant, breastfeeding, or an older adult, consult your doctor before starting Zecal 40 Plus Tablet to ensure it is safe for you.

Uses of Zecal 40 Plus Tablet

Zecal 40 Plus Tablet may be used to help manage the following conditions:

  • Postmenopausal osteoporosis: It helps prevent and treat bone thinning that occurs after menopause by replacing lost calcium and balancing bone remodeling.
  • Calcium and Vitamin D deficiency: It restores low levels of these crucial nutrients in the body, ensuring healthy bone mineralisation and muscle function.
  • Senile osteoporosis: It supports elderly patients who experience age-related bone loss, helping to reduce the risk of debilitating fractures.
  • Osteomalacia: It aids in softening of the bones by providing the mineral building blocks needed for bone hardening.

Key Benefits

This medication offers comprehensive support to help you maintain mobility and bone strength as you age. By directly reinforcing your skeletal structure, it provides several key physical benefits:

  • Stronger bone structure: It delivers calcium directly to the bone matrix, keeping your skeletal system strong and resilient against daily physical stress.
  • Enhanced joint and bone comfort: By maintaining healthy bone density, it helps reduce the deep, aching bone pain often associated with bone thinning.
  • Better balance and muscle support: Vitamin D3 assists in muscle strength, which improves overall balance and significantly lowers the risk of accidental falls.
  • Support during hormonal changes: The inclusion of isoflavones provides natural plant-derived compounds that mimic some protective bone-saving effects of estrogen in postmenopausal women.
Side effects of Zecal 40 Plus Tablet
Here are the steps to cope with constipation as a side effect of medication:
  • Inform your doctor about your constipation symptoms. They may adjust your medication or advise alternative treatments.
  • Stay hydrated by drinking sufficient of water (at least 8-10 glasses a day) to help soften stool and promote bowel movements.
  • Increase fibre intake by eating foods high in fibre, such as fruits, whole grains, vegetables and legumes, to help bulk up the stool.
  • Establish a bowel routine by trying to go to the bathroom at the same time each day to train your bowels.
  • Engaging in regular exercise, like walking or yoga, can support in bowel movement stimulation.
  • Consult your doctor if constipation persists, and discuss alternative treatments or adjustments to your medication.

Directions for Use

  • Take Zecal 40 Plus Tablet with or without food as advised by the doctor.
  • Follow your doctor’s instructions on the dosage and timing of this medication.
  • Swallow it as a whole with a glass of water.
  • Do not break, crush, or chew it.

How Zecal 40 Plus Tablet Works

Zecal 40 Plus Tablet contains calcium, vitamin D3, and isoflavones, which work together to support bone health. Calcium is an essential mineral that forms the main structural component of bones and teeth. It helps maintain bone strength and supports normal muscle and nerve function. If your dietary calcium intake is too low, your body may take calcium from your bones to maintain normal blood calcium levels. Vitamin D3 helps your body absorb calcium from food and supplements through the intestines. It also helps maintain normal calcium and phosphate (minerals needed for healthy bones and teeth) levels, supporting the formation and maintenance of strong bones. Isoflavones are naturally occurring plant compounds that have weak oestrogen-like (female hormone-like) activity. Some studies suggest they may help support bone health in postmenopausal women by slowing bone breakdown (the natural process in which old bone is removed). However, evidence of their effect on improving bone density remains limited and mixed.
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Alcohol

Caution

Interaction of alcohol with Zecal 40 Plus Tablet is unknown. Please consult a doctor before consuming alcohol with Zecal 40 Plus Tablet .

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Pregnancy

Caution

Zecal 40 Plus Tablet is advised for pregnant women only if the 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 Zecal 40 Plus Tablet while breastfeeding, the serum calcium levels of mother and infant should be monitored.

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Driving

Caution

Drive only if you are alert after taking Zecal 40 Plus Tablet .

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Liver

Caution

Take Zecal 40 Plus Tablet with caution, especially if you have a history of Liver diseases/conditions. The dose may be adjusted by your doctor as required.

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Kidney

Caution

Take Zecal 40 Plus Tablet with caution, especially if you have a history of Kidney diseases/conditions. The dose may be adjusted by your doctor as required.

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Children

Caution

Zecal 40 Plus Tablet is not recommended for children unless advised by a doctor.

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Heart

Consult your doctor

Please inform your doctor if you have a history of heart disease before taking Zecal 40 Plus Tablet . Your doctor will prescribe it only if the benefits outweigh the risks.

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Geriatrics

Consult your doctor

Consult your doctor before giving this medicine to elderly patients. Your doctor will prescribe it only if the potential benefits outweigh the risks.

What if I have taken an overdose of Zecal 40 Plus Tablet

If you take more than the recommended dose of this supplement, seek immediate medical advice or go to your nearest emergency department, even if you do not have any symptoms. Taking excessive amounts of calcium or vitamin D3 may lead to hypercalcaemia (high calcium levels in the blood), which can cause nausea, vomiting, constipation, excessive thirst, frequent urination, confusion, or weakness. Take the supplement pack with you so healthcare professionals know what you have taken.

Diet & Lifestyle Advise

  • Eat calcium-rich foods: Incorporate dairy products, leafy green vegetables like broccoli and kale, and fortified foods into your daily meals to support the supplement's effects.
  • Get safe sun exposure: Spend a few minutes in natural sunlight daily, as this helps your skin produce natural vitamin D to assist in calcium absorption.
  • Engage in weight-bearing exercise: Activities like walking, jogging, climbing stairs, or lifting light weights help stimulate bone cells and maintain bone density.
  • Limit caffeine and sodium: High amounts of caffeine and salt can cause your body to lose more calcium through your urine, so consume them in moderation.
  • Avoid smoking and excessive alcohol: Tobacco and heavy drinking interfere with bone-building cells and accelerate bone loss.
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How Soon It Starts Working

The time required for Zecal 40 Plus Tablet to start to work: Zecal 40 Plus Tablet starts to show its action within 1 to 2 hours of administration. The time for which the effects of Zecal 40 Plus Tablet last: Zecal 40 Plus Tablet effect lasts for 24 hours.

Storage

• Store Zecal 40 Plus Tablet at room temperature, ideally between 15°C and 30°C (59°F to 86°F).

What if you forget to take Zecal 40 Plus 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 one and continue with your regular schedule. Do not take a double dose to make up for a missed one.

Drug Warnings

  • Take as directed: Take this supplement exactly as prescribed or according to the product label. Do not take more than the recommended dose.
  • Attend follow-up appointments: If you are taking this supplement for a long time, your doctor may recommend regular blood tests to check your calcium levels and kidney function.
  • Tell healthcare professionals: Inform your doctor, dentist, pharmacist, or other healthcare professionals that you are taking this supplement before starting a new medicine or undergoing a medical, surgical, or dental procedure.
  • Avoid taking extra calcium or vitamin D: Do not take additional calcium or vitamin D supplements unless your doctor advises you to do so, as this may increase the risk of hypercalcaemia (high calcium levels in the blood).
  • Support your bone health: This supplement works best when combined with a balanced diet, regular weight-bearing exercise, and other healthy lifestyle habits.

Drug-Drug Interactions

verifiedApollotooltip
  • Antibiotics (such as tetracyclines and fluoroquinolones): Calcium can reduce the absorption of these antibiotics, making them less effective. Take them at least 2 hours before or 4–6 hours after this supplement.
  • Thyroid medicines (such as levothyroxine): Calcium can reduce the absorption of levothyroxine. Take these medicines at least 4 hours apart.
  • Thiazide diuretics (water pills): Taking these medicines with calcium supplements may increase the risk of hypercalcaemia (high calcium levels in the blood). Your doctor may recommend monitoring your calcium levels.
Calcium citrate + ColecalciferolParicalcitol
Severe
Calcium citrate + ColecalciferolCalcifediol
Severe

Drug-Drug Interactions

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Calcium citrate + ColecalciferolParicalcitol
Severe
How does the drug interact with Zecal 40 Plus 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 colecalciferol 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.
Calcium citrate + ColecalciferolCalcifediol
Severe
How does the drug interact with Zecal 40 Plus 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 colecalciferol 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.
Calcium citrate + ColecalciferolSucralfate
Severe
How does the drug interact with Zecal 40 Plus 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.
Calcium citrate + ColecalciferolAluminium hydroxide
Severe
How does the drug interact with Zecal 40 Plus 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.
Calcium citrate + ColecalciferolDoxercalciferol
Severe
How does the drug interact with Zecal 40 Plus 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 colecalciferol 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.
Calcium citrate + ColecalciferolCalcitriol
Severe
How does the drug interact with Zecal 40 Plus 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 colecalciferol 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.
Calcium citrate + ColecalciferolDihydrotachysterol
Severe
How does the drug interact with Zecal 40 Plus 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 colecalciferol 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.
Calcium citrate + ColecalciferolDihydroxialumini sodium carbonate
Severe
How does the drug interact with Zecal 40 Plus 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.
Calcium citrate + ColecalciferolErgocalciferol
Severe
How does the drug interact with Zecal 40 Plus 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 colecalciferol 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.
Calcium citrate + ColecalciferolDolutegravir
Severe
How does the drug interact with Zecal 40 Plus 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.

Drug-Food Interactions

verifiedApollotooltip
  • Food: Taking this supplement with food may improve tolerance and reduce stomach upset.
  • High-oxalate foods (such as spinach and rhubarb): These foods can reduce calcium absorption if eaten at the same time. If you regularly eat large amounts of these foods, consider taking this supplement at a different time of day.
  • High-fibre or high-phytate foods (such as wheat bran and some whole grains): Large amounts may slightly reduce calcium absorption. This is usually not clinically significant as part of a balanced diet, but taking the supplement at a different time may help if advised by your doctor.
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

Zecal 40 Plus Tablet belongs to the class of medicines called dietary supplements primarily used to treat calcium and vitamin D3 deficiency. Also, it is used to prevent bone diseases such as osteoporosis and rickets.
Zecal 40 Plus Tablet contains Calcium, Vitamin D3, and isoflavones. Calcium is used to prevent or treat a calcium deficiency in people who do not get enough calcium from their diet. Vitamin D3 helps the body to absorb calcium and phosphorous. Thereby increasing calcium levels in the blood and helping to build and maintain strong bones. Isoflavones work by preventing bone loss and strengthening bones.
You are not recommended to take Zecal 40 Plus Tablet if you have hypercalcemia (high levels of calcium in the blood) as it may worsen the condition.
You are not recommended to take Zecal 40 Plus Tablet with levothyroxine as co-administration of these two medicines at the same time may reduce the effectiveness of levothyroxine. However, if you are supposed to take both medicines, you are advised to maintain a time gap of a minimum of 4 hours between Zecal 40 Plus Tablet and levothyroxine.
You are not recommended to take Zecal 40 Plus Tablet if you have hypervitaminosis D (high levels of vitamin D in blood) as it may worsen the condition. However, please consult a doctor before using Zecal 40 Plus Tablet .
It is highly recommended to take Zecal 40 Plus Tablet with food. Eating a meal helps your body absorb the calcium and vitamin D3 better and prevents stomach irritation or gas. Talk to your doctor if you have persistent stomach issues.
Yes, men can take Zecal 40 Plus Tablet if they have been diagnosed with osteoporosis or calcium and vitamin D deficiencies. Although isoflavones are often studied in women, they can also support bone health in men. Talk to your doctor to see if this is right for you.
Constipation is a common side effect of calcium supplements, including Zecal 40 Plus Tablet . You can usually manage it by drinking plenty of water, eating high-fibre foods, and staying physically active. If constipation persists, becomes severe, or does not improve, talk to your doctor. They may recommend dietary changes or adjust your treatment if needed.
You should check the label of your multivitamin first. Taking both might cause you to consume too much calcium or vitamin D3, which can lead to serious side effects. Talk to your doctor or pharmacist to review all your supplements.
While calcium and vitamin D3 are essential during pregnancy, the addition of isoflavones (plant oestrogens) means you must exercise caution. Talk to your doctor before taking this specific combination if you are pregnant or breastfeeding.
It is best to avoid caffeine-containing drinks like tea or coffee for at least an hour after taking your supplement. Caffeine can interfere with how well your body absorbs calcium. Talk to your doctor for more dietary advice.
Signs of having too much calcium in your blood include severe nausea, vomiting, extreme thirst, frequent urination, confusion, and muscle weakness. If you experience these, stop taking the supplement and talk to your doctor immediately.

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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

SCO 850, Shivalik Enclave, N.A.C. Manimajra, Chandigarh - 160101 INDIA
Other Info - ZEC0048

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