Evacal D3 1500mg/400iu Chewable Tablets 56s

SKU : PIEVA01500056 PIP-Code : 3819885 EAN : 5017007013044

Evacal D3 1500mg/400iu Chewable Tablets are a calcium-vitamin D3 supplement that is used to prevent and treat a lack of calcium and vitamin D, particularly in the elderly, and support the treatment of osteoporosis (brittle bones).

In Stock

SKU

PIEVA01500056

£3.60 £0.07 per tablet

This medicine can only be sold under the supervision of a Pharmacist, therefore you will need to answer a few short questions so our Pharmacist can ensure this product is suitable for you.

This product is limited to 2 per customer

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Description

Evacal D3 1500mg/400iu Chewable Tablets

Evacal D3 1500mg/400iu Chewable Tablets are a calcium-vitamin D3 supplement that is used to prevent and treat a lack of calcium and vitamin D, particularly in the elderly, and support the treatment of osteoporosis (brittle bones).

Evacal D3 1500mg/400iu Chewable Tablets can be taken at any time, with our without food, but should not be taken in the 2 hours before or after eating food containing high amounts of oxalic or phytic acid (found in spinach, rhubarb and wholegrain cereals). This is because they can reduce the amount of calcium you absorb in your bowel.

Evacal D3 1500mg/400iu Chewable Tablets can be used during pregnancy and while breastfeeding under medical supervision. Pregnant women must not exceed 1 tablet per day (no more than a total daily intake of 1500mg of calcium and 600iu of vitamin D3).

Directions

Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist have told you. Check with your doctor or pharmacist if you are not sure. If not told otherwise by your doctor the recommended dose is:

Adults, the elderly and children over 12 years of age: Take 2 chewable tablets daily, preferably one tablet each morning and evening.
Pregnant women: Take 1 chewable tablet daily. The daily dose of 1 tablet must not be exceeded.

The tablet has to be chewed before it is swallowed. It can be taken at any time, with or without food.

Evacal D3 1500mg/400iu Chewable Tablets should be taken as a long-term treatment. Talk to your doctor about how long you should take this medicine for.

Ingredients

Active Ingredients: Calcium carbonat 1500mg (equivalent to 600mg of calcium) and colecalciferol concentrate (powder form) 4mg (equivalent to 10 micrograms of colecalciferol=400 iu of vitamin D3).
Other Ingredients: Isomalt (E953), xylitol, sorbitol (E420), citric acid, anhydrous, sodium dihydrogen citrate, magnesium stearate, carmellose sodium, flavour tutti frutti, silica, colloidal hydrated, aspartame (E951), acesulfam potassium, sodium ascorbate, all-rac-alpha-tocopherol, modified (maize) starch, sucrose, triglycerides medium chain and silicon dioxide colloidal.

Cautions

Evacal D3 1500mg/400iu Chewable Tablets contain aspartame (E951), a source of phenylalanine which may be harmful for people with phenylketonuria.
Evacal D3 1500mg/400iu Chewable Tablets contain sorbitol (E420), isomalt (E953) and sucrose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.
During long-term treatment the levels of calcium in your blood and urine and your kidney function have to be monitored regularly. This is especially important if you have a tendency to develop kidney stones. Depending on your blood levels your doctor might reduce the dosage or discontinue the treatment.
If you are simultaneously being treated with cardiac glycosides or thiazide diuretics (water tablets) for heart problems the levels of calcium in your blood and urine and your kidney function have to be monitored regularly. Depending on your blood levels your doctor might reduce the dosage or discontinue the treatment.
If you suffer from kidney problems you have to take Evacal D3 1500mg/400iu Chewable Tablets with special care. Your calcium levels of the blood and urine have to be checked. If you suffer from severe kidney problems, use other forms of vitamin D than colecalciferol.
Take additional supplementation of calcium and vitamin D only under medical supervision and your doctor will require frequent monitoring of the calcium levels in the blood and urine.
Take special care when taking Evacal D3 1500mg/400iu Chewable Tablets if you suffer from sarcoidosis (an immune system disorder which may affect your liver, lung, skin or lymph nodes). There is a risk that the effect of this medicinal product gets too strong which can result in an overdose of calcium in the body. The levels of calcium in the blood and urine have to be monitored.
If you are immobile and are suffering from osteoporosis this medicinal product has to be used with special care, as the level of calcium in your blood might increase.
Long-term overdose of calcium and vitamin D during pregnancy must be avoided since this may lead to high levels of calcium in the blood and may have a negative effect on the unborn child.
Evacal D3 1500mg/400iu Chewable Tablets can be used during breastfeeding. As calcium and vitamin D pass into breast-milk check with your doctor first if your child receives any other products containing vitamin D.

Do not take Evacal D3 1500mg/400iu Chewable Tablets:

If you are allergic to calcium, vitamin D³ or any of the other ingredients of this medicine.
If you have high levels of calcium in your blood (hypercalcaemia).
If you have high levels of calcium in your urine (hypercalciuria).
If you suffer from overactive parathyroid glands (hyperparathyroidism).
If you suffer from bone marrow cancer (myeloma).
If you suffer from cancer that has affected your bones (bone metastases).
If you have restriction in movement of the limbs (prolonged immobilisation) accompanied with hypercalcaemia and / or hypercalciuria.
If you have kidney stones (nephrolithiasis).
If you have calcium deposits in your kidneys (nephrocalcinosis).
If you suffer from an excessive supply of vitamin D (hypervitaminosis D).
If you have severe kidney problems.
If you are under 12 years old.

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines:

In the case of simultaneous treatment with digitalis glycosides (cardiac glycosides derived from foxglove), changes in the way the heart beats (cardiac arrhythmias) can occur. Rigorous medical monitoring including an ECG and measurement of the blood calcium level is therefore necessary.
In the case of simultaneous administration of diuretics of the thiazide drug class (also called water tablets), the blood calcium level should be regularly monitored since thiazides decrease the amount of calcium disposed of in the urine.
The absorption and thus also the effectiveness of certain antibiotics (called tetracyclines) are decreased by the simultaneous administration of Evacal D3 1500mg/400iu Chewable Tablets. These drugs should be taken at least 2 hours before or 4-6 hours after Evacal D3 1500mg/400iu Chewable Tablets.
Other medicines such as sodium fluoride (used to strengthen the tooth enamel or to treat osteoporosis) and bisphosphonate (used to treat osteoporosis) drugs are affected by interactions. These products should therefore be taken at least 3 hours before Evacal D3 1500mg/400iu Chewable Tablets.
As long an interval as possible should be left between the administration of cholestyramine (a product to lower raised cholesterol levels) or laxatives such as liquid paraffin and Evacal D3 1500mg/400iu Chewable Tablets since otherwise vitamin D is not absorbed properly.
The simultaneous administration of Evacal D3 1500 mg/400iu Chewable Tablets and phenytoin (a product for the treatment of epilepsy) or barbiturates (hypnotics) can result in a reduction in the effect of vitamin D.
The simultaneous administration of Evacal D3 1500mg/400iu Chewable Tablets and glucocorticoids (e.g. cortisone) can result in a reduction in the effect of vitamin D and a decreased calcium level in the blood. The additional supplementation of calcium and vitamin D should be given only under medical supervision and will require frequent monitoring of the calcium levels in the blood and urine.
Calcium can reduce the effect of levothyroxine (used to treat thyroid deficiency). For this reason, levothyroxine should be taken at least four hours before or four hours after Evacal D3 1500mg/400iu Chewable Tablets.
The effect of quinolone antibiotics may be reduced if taken at the same time as calcium. Take quinolone antibiotics two hours before or six hours after taking Evacal D3 1500mg/400iu Chewable Tablets.

Patient Information

Always read the product information. Click on the link below to view the Patient Information Leaflet. Requires Adobe Reader – if you cannot open the file, please

click here to download.

Patient Information Leaflet

Delivery Type	Cost	Estimated Delivery Time (from date of dispatch)
Standard Delivery	£3.95	1-2 working days

Destination	Standard Delivery Charge	Estimated Delivery Time (from date of dispatch)
European Union	£15.00	10-15 working days
Rest of World	£20.00	10-15 working days

Evacal D3 1500mg/400iu Chewable Tablets 56s

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