Shelcal HD 12 Tablet belongs to the Vitamins class, primarily used to treat nutritional deficiencies. Shelcal HD 12 Tablet effectively treats various conditions caused by low calcium levels in the body like Vitamin D deficiency, vitamin B12 deficiency, osteoporosis (weak and brittle bones), hypoparathyroidism (parathyroid glands make low levels of calcium in the body), latent tetany (a muscle disease with low blood calcium levels), and rickets or osteomalacia (softening or deforming of bones due to lack of calcium). Nutritional deficiency occurs when the body cannot absorb or get enough nutrients from food. It could lead to various health problems, including defective bone growth, skin disorders, digestive issues, and dementia (memory loss).

Shelcal HD 12 Tablet consists of three medicines: Calcium, Cholecalciferol (Vitamin D3), and Cobalamin (Vitamin B₁₂). Calcium is a mineral that is used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation. Cholecalciferol is a steroid hormone produced in the skin when exposed to ultraviolet light or obtained from food sources. It helps maintain blood calcium and phosphorus levels and the mineralization of bone. Cobalamin is a form of vitamin B12 that helps properly function the brain, nerves, and red blood cells.

Take Shelcal HD 12 Tablet as recommended. Shelcal HD 12 Tablet is likely safe to consume. In some cases, it may cause side effects like diarrhoea, constipation, and stomach upset. These side effects do not require medical attention and gradually resolve over time.

Do not take Shelcal HD 12 Tablet if you're allergic to any ingredient in it. Please inform your doctor if you have hypercalcemia (high calcium levels), hypervitaminosis D (high vitamin D levels), malabsorption syndrome (difficulty absorbing nutrition from food), low levels of bile, and phosphate imbalance before starting Shelcal HD 12 Tablet . Pregnant or breastfeeding women should consult their doctor before taking Shelcal HD 12 Tablet . Shelcal HD 12 Tablet is safe for children only when recommended by the doctor.

Shelcal HD 12 Tablet is used to treat and prevent Vitamin D and B12 deficiencies. It effectively treats various conditions caused by low calcium levels in the body, like Vitamin D deficiency, osteoporosis, hypoparathyroidism, latent tetany, and rickets or osteomalacia. Shelcal HD 12 Tablet consists of three medicines: Calcium, Cholecalciferol (Vitamin D3), and Cobalamin (vitamin B12). Calcium is a mineral that is used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation. Cholecalciferol is a steroid hormone produced in the skin when exposed to ultraviolet light or obtained from food sources. It helps maintain blood calcium and phosphorus levels and the mineralization of bone. It treats and prevents bone disorders, such as rickets and osteomalacia. Cobalamin is a form of vitamin B12 that helps properly function the brain, nerves, and red blood cells. It treats low blood levels of vitamin B12 in pernicious anaemia and other conditions like pregnancy, thyroid problems, and stomach and intestinal disorders.

• Constipation

• Stomach upset

• Diarrhoea

Let your doctor know if you are allergic to Shelcal HD 12 Tablet or its inactive components. Shelcal HD 12 Tablet is not recommended if you have hypercalcemia (high calcium levels), hypervitaminosis D (high vitamin D levels), and malabsorption syndrome (difficulty absorbing nutrition from food). Brief your medical history to the doctor 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. Chewable and dissolving tablets may contain sugar or aspartame; hence, you should be cautious if you have diabetes and phenylketonuria (increased amino acid levels called phenylalanine). Pregnant or breastfeeding women should consult their doctor before taking Shelcal HD 12 Tablet . Drinking alcohol can hinder calcium absorption; therefore, it is advised to limit alcohol intake while using Shelcal HD 12 Tablet . Shelcal HD 12 Tablet is safe for children only when recommended by the doctor. Do not store Shelcal HD 12 Tablet above 25°C.

Drug-Drug Interactions: Shelcal HD 12 Tablet may interact with drugs treating high cholesterol levels (cholestyramine, colesevelam, colestipol), antibiotics (doxycycline, minocycline, penicillin, neomycin, and chloramphenicol), anti-cancer drugs (estramustine), drugs treating bone loss (alendronate), thyroid hormone (levothyroxine), weight-loss drugs (orlistat), fits medicines (phenobarbital), water pills (furosemide, ethacrynic acid), and heart-related medicines (digitoxin).

Drug-Food Interactions: Avoid or reduce caffeine intake, soft drinks and alcohol that inhibit calcium absorption.

Drug-Disease Interactions: Shelcal HD 12 Tablet is contraindicated in hypercalcaemia, hypervitaminosis D, malabsorption syndrome, and Vitamin D toxicity. Use this medicine with caution in heart/ liver/blood vessel diseases, kidney stones, sarcoidosis, Crohn's disease, Whipple's disease, achlorhydria, low levels of bile, phosphate imbalance, diabetes, and phenylketonuria.

• DOXYCYCLINE
• MINOCYCLINE
• PENICILLIN
• NEOMYCIN
• CHLORAMPHENICOL
• ESTRAMUSTINE
• ALENDRONATE SODIUM
• LEVOTHYROXINE
• ORLISTAT
• PHENOBARBITAL
• FUROSEMIDE
• ETHACRYNIC ACID
• DIGITOXIN

• Include dairy products like milk, yoghurt, cheese, or milk-based custard in your diet.

• Eat a serving of broccoli, cabbage, bok choy, spinach, and other green leafy vegetables daily.

• Try Vitamin B complex food sources like milk, cheese, eggs, liver and kidney, chicken, red meat, tuna, mackerel, salmon, shellfish, oysters, clams, dark green vegetables, such as spinach and kale, beets, avocados, potatoes, whole grains, cereals, kidney beans, black beans, and chickpea.

• Include the best dietary sources of vitamin D, such as fish liver oils and vitamin D–fortified milk.

• 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 or tempeh for extra calcium in your food.

• Shelcal HD 12 Tablet may interfere with cholesterol tests. Hence please inform your doctor and laboratory staff that you are taking Shelcal HD 12 Tablet before undergoing blood tests.

• Clinical monitoring of vitamin B levels, serum electrolyte concentrations, and cardiac function is recommended.

Vitamin D deficiency: When a person cannot get enough Vitamin D through food and exposure to sunlight, it leads to vitamin D deficiency. It often leads to thin, brittle, or misshapen bones.

Osteoporosis: Osteoporosis is a bone disease that makes the bones weak and brittle by decreasing bone density.

Tetany: A disease condition due to low calcium levels (hypocalcemia) in the body that causes cramps and spasms in the hands, feet, and larynx (voice box).

Osteomalacia/Rickets: A disease caused by softening and weakening of bones in children due to inadequate vitamin D. Hypoparathyroidism is a disease characterized by low parathyroid hormone levels. This can cause low calcium levels and trigger tetany (muscle cramps, spasms, or tremors).

Vitamin B12 deficiency (cobalamin deficiency): When your body doesn't have adequate mineral levels called Vitamin B12, it leads to Vitamin B12 deficiency. Symptoms include fatigue, breathlessness, numbness, poor balance, and memory trouble.