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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Last Updated Oct 9, 2024 | 12:39 PM IST

Citromacalvit Tablet is used to prevent or treat low blood calcium levels in people who cannot get sufficient calcium from their diets. 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 contains Elemental Calcium and Calcitriol (vitamin D3), which provides essential nutrients to maintain bone formation. It raises Vitamin D levels and thereby increases calcium levels in the blood. In some cases, it may cause side effects such as constipation, stomach upset, or gas. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.

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Manufacturer/Marketer

Novartis India Ltd

Consume Type

ORAL

Return Policy

Not Returnable

Expires on or after

Jan-27

About Citromacalvit Tablet

Citromacalvit Tablet is used to prevent or treat low blood calcium levels in people who cannot get sufficient calcium from their diets. Citromacalvit 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).

Citromacalvit Tablet is a combination of two drugs: Elemental Calcium (mineral) and Calcitriol (vitamin D3). Elemental Calcium is a mineral that is used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation. Calcitriol is a human-made form of Vitamin D3 and treats calcium deficiency with hypoparathyroidism (the decreased activity of parathyroid glands) and metabolic bone diseases in people with chronic kidney failure. 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.

Take Citromacalvit Tablet as advised by your doctor. In some cases, you may experience constipation, stomach upset, or gas. Most of these side effects of Citromacalvit Tablet do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

If you are allergic to Citromacalvit Tablet or any other medicines, please tell your doctor. If you are pregnant or breastfeeding, consult a doctor before using Citromacalvit Tablet . Citromacalvit Tablet should be used with caution in children and only if recommended by a doctor. Calcitriol in Citromacalvit Tablet can affect growth in children. Inform your doctor if your child is not growing at a normal rate while using Citromacalvit Tablet . If you have cancer, kidney stones, high levels of calcium or vitamin D in the blood, parathyroid gland disorder, liver, kidney, or heart problems, sarcoidosis (growth of tiny collections of inflammatory cells in any part of the body), Crohn's disease, Whipple's disease (a bacterial infection affecting joints and digestive system), achlorhydria (absence of stomach acid), inform your doctor before taking Citromacalvit Tablet .

Uses of Citromacalvit Tablet

Treatment of Calcium deficiency

Medicinal Benefits

Citromacalvit Tablet is a combination of two drugs: Elemental Calcium and Calcitriol. Elemental Calcium is a mineral that is used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation. Calcitriol is a human-made form of Vitamin D3 and treats calcium deficiency with hypoparathyroidism (the decreased activity of parathyroid glands) and metabolic bone diseases in people with chronic kidney failure. 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.

Directions for Use

Take Citromacalvit Tablet with food to avoid stomach upset, or take it as advised by the doctor. Swallow it as a whole with a glass of water. Do not crush, chew or break it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Citromacalvit Tablet

  • Stomach upset
  • Nausea
  • Vomiting
  • Dry mouth
  • Constipation
  • Gas
  • Weakness
  • Headache
  • Muscle pain and weakness
  • Renal calculi
  • Bone pain

Drug Warnings

If you are allergic to Citromacalvit Tablet or any other medicines, please tell your doctor. If you are pregnant or breastfeeding, consult a doctor before using Citromacalvit Tablet . Citromacalvit Tablet should be used with caution in children and only if recommended by a doctor. Calcitriol in Citromacalvit Tablet can affect growth in children. Inform your doctor if your child is not growing at a normal rate while using Citromacalvit Tablet . If you have cancer, kidney stones, high levels of calcium or vitamin D in the blood, parathyroid gland disorder, liver, kidney, or heart problems, sarcoidosis (growth of tiny collections of inflammatory cells in any part of the body), Crohn's disease, Whipple's disease (a bacterial infection that most often affects joints and digestive system), achlorhydria (absence of stomach acid), inform your doctor before taking Citromacalvit Tablet .

Drug Interactions

Drug-Drug Interaction: Citromacalvit Tablet may have interaction with antibiotics (doxycycline, minocycline, ciprofloxacin, levofloxacin), drugs used to treat bone loss (alendronate), anti-cancer drug (estramustine), thyroid drugs (levothyroxine), high cholesterol-lowering medicines (cholestyramine, colestipol), weight-loss drugs (orlistat), iron supplement (ferrous sulfate), calcium supplements (ergocalciferol, cholecalciferol), painkillers (aspirin), antidepressants (duloxetine).

Drug-Food Interaction: Avoid spinach, rhubarb, bran, and whole grains with Citromacalvit Tablet as they may reduce the absorption of calcium.

Drug-Disease Interaction: If you have cancer, kidney stones, high levels of calcium or vitamin D in the blood, parathyroid gland disorder, liver, kidney, or heart problems, sarcoidosis (growth of tiny collections of inflammatory cells in any part of the body), Crohn's disease, Whipple's disease (a bacterial infection that most often affects joints and digestive system), achlorhydria (absence of stomach acid), inform your doctor before taking Citromacalvit Tablet .

Drug-Drug Interactions Checker List

  • DOXYCYCLINE
  • MINOCYCLINE
  • CIPROFLOXACIN
  • LEVOFLOXACIN
  • ALENDRONATE SODIUM
  • ESTRAMUSTINE
  • LEVOTHYROXINE
  • CHOLESTYRAMINE
  • COLESTIPOL
  • ORLISTAT
  • FERROUS SULPHATE
  • ERGOCALCIFEROL
  • CHOLECALCIFEROL
  • ASPIRIN
  • DULOXETINE

Habit Forming

No

Diet & Lifestyle Advise

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

  • Eat daily a serving of broccoli, cabbage, bok choy (Chinese white cabbage), 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 or tempeh for extra calcium in your food.

Special Advise

Citromacalvit Tablet may interact with certain laboratory tests, including cholesterol tests and may give false test results. Therefore, it is recommended to inform your doctor or lab technician that you are taking Citromacalvit Tablet before undergoing any tests.  

Disease/Condition Glossary

Osteoporosis: It is a bone disease that weakens and brittle bones by decreasing bone density. As the density of bones decreases, they weaken and are more likely to break. Breaking a bone is a serious complication of osteoporosis, especially in older patients. Women are much more likely to develop osteoporosis than men. Signs and symptoms include back pain caused by a fractured or collapsed vertebra, loss of height over time, a stooped posture, and a bone that breaks much more easily than expected.

Osteomalacia/Rickets: Rickets is a bone disease caused by softening and weakening bones in children due to inadequate vitamin D. Adults can experience a similar condition known as osteomalacia. It causes bone pain, poor growth, and soft, weak bones that can lead to bone deformities.

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

Hypoparathyroidism: It is a disease characterized by low levels of parathyroid hormone. This can cause low calcium levels and trigger tetany. 

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Alcohol

Caution

The interaction of alcohol with Citromacalvit Tablet is unknown. Please consult a doctor before consuming alcohol with Citromacalvit Tablet .

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Pregnancy

Caution

Please consult a doctor if you are pregnant. Citromacalvit Tablet is given to pregnant women if the doctor thinks benefits outweigh risks.

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Breast Feeding

Caution

It is unknown whether Citromacalvit Tablet is excreted in human milk. Therefore, please consult a doctor if you are breastfeeding. Citromacalvit Tablet is given to breastfeeding mothers only if the doctor thinks benefits are greater than risks.

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Driving

Safe

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

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Liver

Caution

Take Citromacalvit 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 Citromacalvit 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

Citromacalvit Tablet should be used in children only if recommended by a doctor.

Country of origin

India

Manufacturer/Marketer address

Sandoz House, Shiv Sagar Estate, Worli Mumbai -400 018, India
Other Info - CIT0010

Author Details

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FAQs

Citromacalvit Tablet belongs to the class of nutritional supplements used to prevent or treat low blood calcium levels.
Citromacalvit Tablet contains Elemental Calcium and Calcitriol. Elemental Calcium is a mineral that is used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation. Calcitriol is a man-made form of Vitamin D3 and treats calcium deficiency with hypoparathyroidism (the decreased activity of parathyroid glands) and metabolic bone diseases in people with chronic kidney failure. 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.
You are not recommended to take Citromacalvit Tablet if you have hypervitaminosis D (high levels of vitamin D in the blood) as it may worsen the condition. However, please consult a doctor before using Citromacalvit Tablet .
You are not recommended to take Citromacalvit 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 the medicines, you are advised to maintain a time gap of a minimum of 4 hours between taking Citromacalvit Tablet and levothyroxine.
Yes, Citromacalvit Tablet may interfere with certain laboratory tests, including cholesterol tests and may give false test results. Therefore, it is recommended to inform your doctor or lab technician that you are taking Citromacalvit Tablet before undergoing any tests.
Citromacalvit Tablet may cause kidney stones due to the accumulation of high levels of calcium when used for a prolonged time. Therefore, please consult a doctor before taking Citromacalvit Tablet if you have any kidney problems or a history of kidney stones.

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