Dolcal Tablet belongs to the class of nutritional supplements used to treat low calcium and phosphate levels. Dolcal Tablet is also used to treat Vitamin D deficiency, renal osteodystrophy (changes in bone caused by kidney failure), hyperparathyroidism (parathyroid glands make high levels of calcium in the body), hypoparathyroidism (parathyroid glands make low levels of calcium in the body), hypocalcaemia (low levels of calcium), rickets or osteomalacia (softening or deformation of bones due to lack of calcium) and prevent or treat low blood calcium levels in people who cannot get sufficient calcium from their diet.

Dolcal Tablet is a combination of two drugs, namely: Alfacalcidiol (a type of vitamin D) and Calcium carbonate (mineral).  Alfacalcidol is a Vitamin D supplement that is activated by liver enzymes after intake. Alfacalcidol is further converted into the active form of vitamin D3 (calcitriol) and works by strengthening the bones by increasing the calcium and phosphate levels in the blood. Calcium and phosphate are the essential substances to form healthy bones and teeth. It raises Vitamin D levels and thereby increases calcium levels in the blood. Calcium carbonate is a mineral that is used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation.

Take Dolcal Tablet as advised by your doctor. In some cases, you may experience stomach pain, itching, rash, constipation, stomach upset or gas. Most of these side effects of Dolcal 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 Dolcal Tablet or any other medicines, please tell your doctor. If you are pregnant or breastfeeding, consult a doctor before using Dolcal Tablet . Dolcal Tablet should be used with caution in children and only if recommended by a doctor. Drive only if you are alert as Dolcal Tablet may cause dizziness. Do not take Dolcal Tablet if you have hypercalcaemia (high calcium levels in the blood) or calcification (high calcium levels in body tissues).

Dolcal Tablet is a combination of two drugs, namely: Alfacalcidiol and Calcium carbonate used to treat or prevent calcium disorders. Alfacalcidol is a Vitamin D supplement that is activated by liver enzymes after intake. Alfacalcidol is further converted into the active form of vitamin D3 (calcitriol) and works by strengthening the bones by increasing the calcium and phosphate levels in the blood. Calcium and phosphate are the essential substances to form healthy bones and teeth. It raises Vitamin D levels and thereby increases calcium levels in the blood. Calcium carbonate is a mineral that is used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation.

• Stomach pain
• Itching
• Rash
• Constipation
• Stomach upset
• Gas

If you are allergic to Dolcal Tablet or any other medicines, please tell your doctor. If you are pregnant or breastfeeding, consult a doctor before using Dolcal Tablet . Dolcal Tablet should be used with caution in children and only if recommended by a doctor. Drive only if you are alert as Dolcal Tablet may cause dizziness. Do not take Dolcal Tablet if you have hypercalcemia (high calcium levels in the blood) or calcification (high calcium levels in body tissues). If you have vomiting, nausea, bone pain, muscle weakness, increased thirst or urination, constipation, tiredness or lack of energy, contact a doctor immediately as these might be signs of high calcium levels in the blood.

Drug-Drug Interaction: Dolcal Tablet may interact with antacids containing magnesium, medicines containing aluminium and calcium, heart-related drugs (digoxin), water pills (furosemide), anticonvulsants (carbamazepine, phenytoin, primidone), painkiller (aspirin), an antidepressant (duloxetine), iron supplement (ferrous sulfate) and thyroid drugs (levothyroxine).

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

Drug-Disease Interaction: Avoid taking Dolcal Tablet if you have hypercalcemia (high calcium levels in the blood) or calcification (high calcium levels in body tissues). If you have granulomas (small areas of inflammation), sarcoidosis, cancer, parathyroid gland disorder, kidney stones or any other kidney problems, inform your doctor before taking Dolcal Tablet .

• DIGOXIN
• FUROSEMIDE
• CARBAMAZEPINE
• PHENYTOIN
• PRIMIDONE
• ASPIRIN
• DULOXETINE
• FERROUS SULPHATE
• LEVOTHYROXINE

• Include dairy products like milk, yoghurt, 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.

Regular blood tests are recommended while taking Dolcal Tablet to monitor calcium and phosphate levels in the blood.

Renal Osteodystrophy: It is a bone disease that occurs when the kidneys fail to maintain the blood's calcium and phosphorus levels. It usually occurs in people with kidney diseases and patients undergoing dialysis treatment.

Hypocalcemia: It is a condition that is caused due to low levels of calcium in the blood. Hypocalcemia can be caused by a lack of vitamin D.

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.

Hypoparathyroidism: It is a disease characterized by low levels of parathyroid hormone. This can cause low calcium levels and trigger tetany (muscle cramps, spasms or tremors).

Hyperparathyroidism: It is a condition in which one or more of your parathyroid glands become overactive and release high parathyroid hormone levels. This condition leads to hypercalcemia (high levels of calcium in the blood).