Maxical ® (Calcium carbonate) is a film coated capsule shaped tablet containing Calcium carbonate USP 1.25 gm equivalent to 500 mg elemental calcium.

USP

Vitamins & Minerals

Maxical ® (Calcium carbonate) is used in the treatment of deficiency states of calcium and as a dietary supplement when intake may be inadequate. The dietary requirement varies with age and is relatively greater in childhood, pregnancy and lactation due to increased demand.

1. Hypercalcaemia and hyperparathyroidism

2. Hypercalciuria and nephrolithiasis

3. Zollinger-Ellison syndrome

4. Concomitant digoxin therapy

As a dietary calcium supplement, the recommended dose is 1.5 to 3 gm per 24 hours, according to the requirements of the patient. The reference calcium intake is 350 mg (1-3 years), to 550 mg (7-10 years) for children and 800 mg for female and 1000 mg for male in adolescents. The recommended dose of calcium for post-menopausal women is 1000 mg. During  pregnancy and lactation the recommended dose is 1200 mg calcium per day.

As a phosphate binder in chronic renal failure patients, doses given range from 2.5 to 9 gm Calcium carbonate per 24 hours, depending on the needs of the patients.

The use of Calcium supplements has rarely given rise to mild gastro-intestinal disturbances, such as constipation, flatulence, nausea, gastric pain, diarrhoea. Hypercalciuria, and in rare cases hypercalcaemia have been seen with long-term treatment at high doses.

Hypercalcaemia associated with excess Calcium carbonate therapy in both normal patients and those with renal failure is usually reversible on reduction or cessation of therapy.

Drug interactions

Calcium carbonate may enhance the cardiac effect of digoxin and may interfere with the absorption of concomitantly administered tetracycline preparations. Phosphate absorption from the gastrointestinal tract is reduced by Calcium carbonate. For better absorption of each medicine at least 2-3 hours interval should therefore be allowed between administrations of these medicines.

Maxical ® Tablet: Each box contains 10x10 tablets in blister pack.

Maxical ® can be safely used during pregnancy and lactation, as Calcium requirements are increased in these cases. However, you should only use this medicine after consulting your doctor.

Symptoms of overdose may include nausea and vomiting, severe drowsiness, dry mouth, loss of appetite, metallic taste, stomach cramps, unconsciousness, diarrhea, weakness, headache, constipation, dizziness or irritability.

Store in a cool dry place, protected from light. Store below 30 ºC. Keep all medicines out of the reach of children.