Parnacal-OD Tablet belongs to the class of 'nutritional supplements', primarily used to treat low blood calcium levels. Parnacal-OD Tablet effectively treats various conditions caused by low calcium levels in the body like Vitamin D deficiency, osteoporosis (weak and brittle bones), hypoparathyroidism (a condition in which 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). 

Parnacal-OD Tablet consists of two drugs: Calcium orotate (mineral) and Vitamin D3 (Cholecalciferol). Calcium orotate is a mineral used to prevent or treat calcium deficiency. It provides essential nutrients necessary for bone formation and maintenance. Vitamin D3 helps maintain blood calcium and phosphorus levels and mineralization of bone. It aids in calcium absorption enabling bone growth and repair. It further prevents cartilage degeneration.

Use Parnacal-OD Tablet as directed by your doctor. Parnacal-OD Tablet is likely safe to use. In some cases, it may cause common side effects like constipation and stomach upset. These side effects do not require medical attention and gradually resolve over time. However, you are advised to talk to a doctor if the side effects persist or worsen.

Avoid taking Parnacal-OD Tablet if you are allergic to any of the components of this medicine. Please inform your doctor if you have heart/kidney/liver/blood vessel disorders, kidney stones, and malabsorption syndrome (difficulty absorbing nutrition from food). Pregnant or breastfeeding women should consult their doctor before taking Parnacal-OD Tablet . 

Parnacal-OD Tablet is used to treat low blood calcium levels. 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. Parnacal-OD Tablet consists of two medicines: Calcium orotate (mineral) and Vitamin D3 (Cholecalciferol). Calcium orotate is a mineral used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation. Vitamin D3 helps maintain blood calcium and phosphorus levels and mineralization of bone. It aids in calcium absorption enabling bone growth and repair. It further prevents cartilage degeneration.

• Constipation

• Stomach upset 

Let your doctor know if you are allergic to any of the components in Parnacal-OD Tablet . Parnacal-OD Tablet is not recommended if you have hypercalcaemia (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 disorders, kidney stones, achlorhydria (little or no stomach acid), low levels of bile, and phosphate imbalance before starting Parnacal-OD Tablet . Consult your doctor before taking Parnacal-OD Tablet if you are pregnant or breastfeeding. Drinking alcohol can affect calcium absorption; therefore, it is advised to limit alcohol intake while using Parnacal-OD Tablet . Parnacal-OD Tablet is safe to use in children only when suggested by the doctor.

Drug-Drug Interaction: Parnacal-OD Tablet may interact with drugs treating high cholesterol levels (cholestyramine), antibiotics (doxycycline, ciprofloxacin, penicillin, neomycin, and chloramphenicol), anti-cancer drugs (estramustine), drugs treating bone loss (alendronate), thyroid hormone (levothyroxine), weight-loss drugs (orlistat), fits medicines (phenobarbital), mineral oils, water pills (furosemide), and heart-related medicines (digitoxin).

Drug-Food Interaction: Avoid or reduce the intake of caffeine, soft drinks and alcohol as they might inhibit calcium absorption.

Drug-Disease Interaction: Parnacal-OD Tablet is not recommended in conditions such as hypercalcaemia, hypervitaminosis D, malabsorption syndrome, and Vitamin D toxicity. Please consult your doctor for more advice.

• CHOLESTYRAMINE
• DOXYCYCLINE
• CIPROFLOXACIN
• CHLORAMPHENICOL
• ESTRAMUSTINE
• ALENDRONATE SODIUM
• LEVOTHYROXINE
• ORLISTAT
• PHENOBARBITAL
• FUROSEMIDE
• DIGITOXIN
• NEOMYCIN
• PENICILLIN

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

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

• 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 as they may inhibit calcium absorption.

It is advised to timely monitor your Vitamin D levels through blood examination.

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: It is a bone disorder that makes the bones weak and brittle by decreasing bone density. 

Tetany: It is a condition occurring due to low calcium levels (hypocalcaemia) in the body that causes cramps and spasms in the hands, feet, and larynx (voice box).

Osteomalacia/Rickets: It is a disease caused by softening and weakening of bones in children due to inadequate vitamin D. 

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).