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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Troycal 500mg Tablet is used to treat low blood calcium levels. 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 can also be given to pregnant, nursing, and postmenopausal women to ensure that they are getting enough calcium. It contains Calcium carbonate and Cholecalciferol, which provides essential nutrients to maintain bone formation and maintenance. Also, it is used in the absorption of calcium in the blood. It may cause side effects such as constipation or stomach upset, nausea, vomiting, loss of appetite, mood changes, weakness, tiredness, fast or pounding heartbeat, bone/muscle pain, and headache.
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Manufacturer/Marketer :

Troikaa Pharmaceuticals Ltd

Consume Type :

ORAL

Return Policy :

3 Days Returnable

Expires on or after :

Jan-27

About Troycal 500mg Tablet

Troycal 500mg Tablet is used to treat low blood calcium levels. Troycal 500mg 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). Troycal 500mg Tablet can also be given to pregnant, nursing, and postmenopausal women to ensure that they are getting enough calcium. 

Troycal 500mg Tablet consists of two medicines, namely: Calcium carbonate(mineral) and  Cholecalciferol(Vitamin D3). Calcium carbonate is a mineral that is used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation and maintenance. Cholecalciferol(Vitamin D3) is used in the absorption of calcium in the blood. Which helps in the processing of essential minerals in the body like Calcium and Phosphorus. Lack of Vitamin D3 results in bone weakening, bone pain, and skin diseases. 

Take Troycal 500mg Tablet as prescribed by your doctor. You are advised to take Troycal 500mg Tablet as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, Troycal 500mg Tablet can cause side effects like constipation or stomach upset, nausea, vomiting, loss of appetite, mood changes, weakness, tiredness, fast or pounding heartbeat, bone/muscle pain, and headache. Most of these side effects of Troycal 500mg Tablet do not require medical attention and gradually resolve over time. However, if these side effects persist longer, please consult your doctor.

If you are known to be allergic to Troycal 500mg Tablet or its inactive components, please inform your doctor. Pregnant or breastfeeding women should consult their doctor before taking Troycal 500mg Tablet . Higher doses of Vitamin D than the recommended daily dose should be used in pregnant women only when advised by the doctor. Troycal 500mg Tablet may pass into the breast milk. Hence, breastfeeding mothers need to seek medical advice before starting Troycal 500mg Tablet . Do not take Troycal 500mg Tablet if you have hypercalcemia (high calcium levels), hypervitaminosis D (high vitamin D levels), and malabsorption syndrome (difficulty absorbing nutrition from food). 

Uses of Troycal 500mg Tablet

Treatment of Osteoporosis, Postmenopausal osteoporosis Osteomalacia, Rickets, Calcium deficiency, Hypoparathyroidism.

Directions for Use

Swallow this medicine as a whole with a glass of water. Do not crush, chew, or break it.

Medicinal Benefits

Troycal 500mg Tablet is a combination of three drugs, Calcium carbonate(mineral) and cholecalciferol (Vitamin D3) used to treat low blood calcium levels and various associated 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 tetany (a muscle disease with low blood calcium levels). Calcium carbonate is a mineral and prevents or treats calcium deficiency. It helps to maintain bone and teeth health. Cholecalciferol(Vitamin D3) treats calcium deficiency with hypoparathyroidism (the parathyroid glands' decreased activity) and metabolic bone diseases in people with chronic kidney failure. 

How Troycal 500mg Tablet Works

Troycal 500mg Tablet consists of two medicines, namely: Calcium carbonate(mineral) and  Cholecalciferol(Vitamin D3). Calcium carbonate is a mineral that is used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation and maintenance. Cholecalciferol(Vitamin D3) is used in the absorption of calcium in the blood. Which helps in the processing of essential minerals in the body like Calcium and Phosphorus. Lack of Vitamin D3 results in bone weakening, bone pain, and skin diseases.

Storage

Store in a cool and dry place away from sunlight
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Side Effects of Troycal 500mg Tablet

  • Nausea
  • Vomiting
  • Headache
  • Stomach pain
  • Loss of appetite
  • Constipation
  • Mood changes
  • Tiredness/ weakness
  • Bone/muscle pain
  • Fast or pounding heartbeat

What if I have taken an overdose of Troycal 500mg Tablet

Do not take more than the prescribed dose of Troycal 500mg Tablet as it may cause overdose. The symptoms of overdose include nausea, vomiting, loss of appetite, headache, drowsiness, mental/mood changes tiredness and weakness. If you suspect you have taken overdose or notice signs of overdose, please consult a doctor immediately.

Drug Warnings

If you are known to be allergic to Troycal 500mg Tablet or any other medicines, please tell your doctor. If you are pregnant or planning to become pregnant, it is advised to inform your doctor before using Troycal 500mg Tablet . Higher doses of Vitamin D than the recommended daily dose should be used in pregnant women only when advised by the doctor. Cholecalciferol in higher doses may harm the foetus. Troycal 500mg Tablet may pass into the breast milk, hence consult your doctor before taking Troycal 500mg Tablet if you are a breastfeeding mother. Troycal 500mg Tablet should be used with caution in children and only if prescribed by a doctor. Cholecalciferol in Troycal 500mg Tablet can affect growth in children. Inform your doctor if your child is not growing at a normal rate while using Troycal 500mg Tablet . Troycal 500mg Tablet is not recommended if you have hypercalcemia (high calcium levels), metastatic calcification (extra deposits of calcium in the body), hypervitaminosis D (high vitamin D levels), and malabsorption syndrome (difficulty absorbing nutrition from food). Inform your doctor before taking Troycal 500mg Tablet 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. Troycal 500mg Tablet contains sugar or sorbitol; hence caution should be taken to have an intolerance to sugars, diabetes, and phenylketonuria (increased levels of an amino acid called phenylalanine).

Drug-Drug Interactions

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ColecalciferolDihydrotachysterol
Severe
ColecalciferolCalcitriol
Severe

Drug-Drug Interactions

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ColecalciferolDihydrotachysterol
Severe
How does the drug interact with Troycal 500 Tablet 10's:
Cholecalciferol and dihydrotachysterol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects.

How to manage the interaction:
Although there is a possible interaction between Troycal 500 Tablet 10's and dihydrotachysterol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - contact a doctor right away. Do not discontinue any medications without consulting a doctor.
ColecalciferolCalcitriol
Severe
How does the drug interact with Troycal 500 Tablet 10's:
Co-administration of Cholecalciferol and Calcitriol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects.

How to manage the interaction:
Although there is a possible interaction between Troycal 500 Tablet 10's and calcitriol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - contact a doctor right away. Do not discontinue any medications without consulting a doctor.
ColecalciferolAluminium hydroxide
Severe
How does the drug interact with Troycal 500 Tablet 10's:
The combined use of aluminum hydroxide with Troycal 500 Tablet 10's may increase the risk of toxicity.

How to manage the interaction:
Co-administration of Troycal 500 Tablet 10's with Aluminium hydroxide can possibly result in an interaction, but it can be taken if your doctor has advised it. If you're having any of these symptoms like bone pain, muscle weakness, anemia, seizures, or dementia, it's important to contact your doctor right away. Do not stop using any medications without a doctor's advice.
ColecalciferolDoxercalciferol
Severe
How does the drug interact with Troycal 500 Tablet 10's:
Cholecalciferol and doxercalciferol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects.

How to manage the interaction:
Although there is a possible interaction between Troycal 500 Tablet 10's and doxercalciferol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - make sure to call a doctor right away. Do not discontinue any medications without consulting a doctor.
ColecalciferolCalcifediol
Severe
How does the drug interact with Troycal 500 Tablet 10's:
The combined use of calcifediol with cholecalciferol can increase the risk of side effects.

How to manage the interaction:
Although there is a possible interaction between Troycal 500 Tablet 10's and calcifediol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - contact a doctor right away. Do not discontinue any medications without consulting a doctor.
ColecalciferolErgocalciferol
Severe
How does the drug interact with Troycal 500 Tablet 10's:
The combined use of cholecalciferol and ergocalciferol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects.

How to manage the interaction:
Although there is a possible interaction between Troycal 500 Tablet 10's and ergocalciferol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - contact a doctor right away. Do not discontinue any medications without consulting a doctor.
ColecalciferolParicalcitol
Severe
How does the drug interact with Troycal 500 Tablet 10's:
The combined use of cholecalciferol and paricalcitol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects.

How to manage the interaction:
Although there is a possible interaction between Troycal 500 Tablet 10's and paricalcitol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - contact a doctor right away. Do not discontinue any medications without consulting a doctor.
ColecalciferolSucralfate
Severe
How does the drug interact with Troycal 500 Tablet 10's:
Taking Cholecalciferol together with Sucralfate may increase the risk or severity of kidney problems.

How to manage the interaction:
There may be a possibility of interaction between Cholecalciferol and Sucralfate, but it can be taken if prescribed by a doctor. Do not discontinue any medications without consulting a doctor.
Calcium carbonateRaltegravir
Severe
How does the drug interact with Troycal 500 Tablet 10's:
Co-administration of Troycal 500 Tablet 10's may interfere with the absorption of Raltegravir and reduce its effectiveness.

How to manage the interaction:
Taking Troycal 500 Tablet 10's with Raltegravir should be avoided. Consult the doctor if you have any concerns, the doctor may recommend alternatives that do not interact with raltegravir. Do not discontinue the medication without consulting a doctor.
Calcium carbonatePatiromer calcium
Severe
How does the drug interact with Troycal 500 Tablet 10's:
Co-administration of Troycal 500 Tablet 10's may lower the effectiveness of Patiromer calcium in binding potassium.

How to manage the interaction:
Although there is an interaction, Troycal 500 Tablet 10's can be taken with Patiromer calcium if prescribed by the doctor. Consult the prescriber if you experience symptoms such as metabolic alkalosis like nausea, vomiting, tremor, muscle twitching, lightheadedness, numbness or tingling, prolonged muscle spasms, slowed breathing, irregular heartbeat, and confusion. Do not discontinue the medication without a doctor's advice.

Drug-Food Interactions

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CALCIUM CARBONATE-500MG+CHOLECALCIFEROL-250IUFiber rich foods
Moderate

Drug-Food Interactions

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CALCIUM CARBONATE-500MG+CHOLECALCIFEROL-250IUFiber rich foods
Moderate
Common Foods to Avoid:
Spinach

How to manage the interaction:
Taking Calcium carbonate and Colecalciferol with food containing oxalic acid (e.g., spinach) or phytic acid (e.g., whole grains) can decrease the absorption of Calcium carbonate and Colecalciferol. It is advised to take Calcium carbonate and Colecalciferol 2 hours after or before consumption of food containing oxalic acid or phytic acid.

Diet & Lifestyle Advise

  • Include dairy products like milk, yoghurt, cheese, or milk-based custard in your diet.
  • Eat daily a serving of broccoli, cabbage, bok choy, 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 for extra calcium in your food.

Habit Forming

No

Therapeutic Class

MULTIMINERALS

Troycal 500mg Tablet Substitute

Substitutes safety advice
  • Welcal Tablet 10's

    10.53per tablet
  • Supercal 500 Tablet 15's

    7.74per tablet
  • Caltum Tablet 15's

    8.10per tablet
  • Qcium Tablet 10's

    4.90per tablet
  • Vycal Tablet 10's

    8.82per tablet
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Alcohol

Caution

Drinking alcohol can affect calcium absorption; hence it is advised to limit the alcohol intake while using Troycal 500mg Tablet .

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Pregnancy

Caution

During pregnancy, use higher doses of Troycal 500mg Tablet than the daily dietary allowance only when advised by the doctor. Calcitriol in higher doses may harm the foetus. Your doctor will weigh the potential risks and benefits before prescribing Troycal 500mg Tablet .

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Breast Feeding

Caution

Consult your doctor before taking Troycal 500mg Tablet if you are breastfeeding. Troycal 500mg Tablet can pass into the breast milk. If Troycal 500mg Tablet is used during breastfeeding, please monitor the mother and the infant's serum calcium levels.

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Driving

Caution

No interaction found/established

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Liver

Caution

Let your doctor know if you have any history of liver diseases before taking Troycal 500mg Tablet . Hepatic impairment/liver disease can alter the metabolic and therapeutic activity of certain Vitamin D forms.

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Kidney

Caution

It is advised to seek doctor advice before starting Troycal 500mg Tablet if you have kidney diseases like kidney stones or undergoing dialysis. Calcitriol in Troycal 500mg Tablet increases inorganic phosphate levels in serum; hence caution should be taken in patients undergoing dialysis to maintain adequate phosphorus levels and avoid ectopic calcification (calcium deposition).

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Children

Caution

Troycal 500mg Tablet should be used with caution in children and only if prescribed by a doctor.

FAQs

Troycal 500mg Tablet used to treat low blood calcium levels. Troycal 500mg 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). Troycal 500mg Tablet can also be given to pregnant, nursing, and postmenopausal women to ensure that they are getting enough calcium.
Troycal 500mg Tablet is a nutritional supplement that can be taken by people who have low levels of calcium in their blood and it keep the bones healthy and strong and is even effective in Chronic arthritis and Osteoporosis.
Troycal 500mg Tablet is used to increase low levels of calcium in the body. Hence it is not advised to use Troycal 500mg Tablet during hypercalcemia, since it causes the overdose of calcium leading to kidney stones and other effects.
Do not use Troycal 500mg Tablet if you are allergic to Troycal 500mg Tablet or any other ingredients in it. Troycal 500mg Tablet is not recommended in hypercalcemia (high calcium levels), metastatic calcification (extra deposits of calcium in the body), hypervitaminosis D (high vitamin D levels), and malabsorption syndrome (difficulty absorbing nutrition from food).

Country of origin

INDIA

Manufacturer/Marketer address

Troikaa Pharmaceuticals Ltd., Registered Office: , 'Commerce House - 1', Satya Marg, Bodakdev, Ahmedabad-380 054. Gujarat, India.
Other Info - TRO0076

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