Calcium Carbonate
- Atc Codes:A02AC01#A12AA04
- CAS Codes:471-34-1
- PHARMGKB ID:471-34-1
Table of contents
- Brand Names
- Drug Combinations
- Chemistry
- Pharmacologic Category
- Mechanism of Action
- Therapeutic Use
- Pregnancy and Lactation Implications
- Contraindications
- Warnings and Precautions
- Adverse Reactions
- Genes that may be involved
- Drug Interactions
- Nutrition/Nutraceutical Interactions
- Dosage
- Pharmacokinetics and Pharmacodynamics
- Special Considerations
Brand Names
Europe
Austria: Biolectra Calcium, Calciumcarbonat, Dreisacarb, Maxi-Kalz; Belgium: Cacit, Calci-Chew, Steocar; Czech Republic: Calcii Carbonici, Calcium, Maxi-Kalz, Tabulettae Calcii Carbonici, Vitacalcin; Estonia: Calcigran Sine; Finland: Calcichew, Kalcidon; France: Cacit, Calcidia, Calciprat, Calperos, Calprimun, Caltrate, Densical, Eucalcic, Fixical, Orocal, Osteocal, Perical; Germany: Ac-Calciumbonat, Calcigamma, Calcimagon, Calciumcarbonat, Calcium, CC-Nefro, Dreisacarb, Hermes Calcimed, Löscalcon, Magen-Pastillen, Ospur Ca, Ossana, Osteovital Medium; Greece: Alcamex, Calciform, Calcioral, Frubiose-N; Hungary: Calcicarb, Calcichew; Ireland: Cacit, Calcichew, Remegel, Rowaloran; Italy: Adiecal, Cacit, Calc Car, Calcar, Calciodie, Calma 30 Cpr EFF., Carbosint OS, Idracal, Lubical, Metocal; Latvia: Calcigran Sine; Luxembourg: Calcichew; Malta: Remegel; Netherlands: Cacit, Calci-chew; Poland: Additiva Calcium, Calperos, Caltrate, FrutiCal, Vitacalcin; Portugal: Calciol, Calcioral, Calcital, Natecal; Slovakia: Calcium, Maxi-Kalz, Tabulettae Calcii Carbonici, Vitacalcin; Slovenia: Kalcijev Karbonat; Spain: Carbocal, Cimascal, Densical, Mastical, Natecal; Sweden: Calcitugg, Kalcidon, Kalcitena; UK: Adcal, Cacit, Calcichew, Remegel.
North America
Canada: Cal-500, Calcaera Carbonica, Calcium Tab, Calmicid, Caltrate, Neo Cal, Trial Antacid Tab.
Latin America
Argentina: Calcio Base, Calcional, Carbonato de Calcio, Renacalcio, Ultracalcium, Uvasal Tums Frutas Tropicales; Brazil: Calsan, Maxicalc, Osseopor; Mexico: Bexacal, Calcifar, Caltrate, Mubonet, Osteomin, Tums.
Asia
Japan: Calcium Carbonate, Caltan, Cartaretin, Tankaru.
Drug combinations
Calcium Carbonate and Cholecalciferol (Vitamin D~3~)
Calcium Carbonate and Etidronate Disodium
Calcium Carbonate and Fluoride
Calcium Carbonate and Magnesium Hydroxide
Calcium Carbonate and Risedronate
Calcium Carbonate and Simethicone
Calcium Carbonate, Alginic Acid, and Magnesium Carbonate
Calcium Carbonate, Aluminum Hydroxide, and Magnesium Hydroxide
Calcium Carbonate, Cholecalciferol (Vitamin D~3~), and Risedronate
Calcium Carbonate, Famotidine, and Magnesium Hydroxide
Other Calcium Carbonate combinations: Anamirta cocculus; Ascorbic Acid (Vitamin C); Aurum metallicum; Belladonna; Biotin (Vitamin B~7~); Calcium fluoratum; Chinium sulfuricum; Conium maculatum; Cuprum aceticum; Cyanocobalamin (Vitamin B~12~); Ergocalciferol (Vitamin D~2~); Euspongia officinalis; Ferrous Fumarate; Ferrous Sulfate; Folic Acid (Vitamin B~9~); Magnesium Carbonate; Magnesium Oxide; Matricaria recutita; Nicotiana tabacum; Niacinamide; Pantothenic Acid (Vitamin B~5~); Peumus boldus; Potassium Nitrate; Potassium Sulfate; Pulsatilla vulgaris; Pyridoxine (Vitamin B~6~); Retinol (Vitamin A); Riboflavin (Vitamin B~2~); Saccharum spp; Schoenocaulon officinale; Sepia officinalis; Sodium Bicarbonate; Sodium Chloride; Sodium Sulfate; Thiamine (Vitamin B~1~); Tocopherol (Vitamin E); Zinc
Chemistry
Calcium Carbonate: CaCO~3~. Mw: 100.09. Carbonic acid, calcium salt (1:1). CAS-471-34-1.
Pharmacologic Category
Replacement Preparations. Phosphate-removing Agents. Antidotes. Calcium Salts. Homeopathic products. (ATC-Code: A02AC01; A12AA04).
Mechanism of action
In osteoporosis, it helps to prevent or decrease the rate of bone loss. The calcium in calcium salts moderates nerve and muscle performance and allows normal cardiac function. Combines with dietary phosphate to form insoluble calcium phosphate, which is excreted in feces, and so helps to reduce hyperphosphatemia. Calcium salts as antacids neutralize gastric acidity resulting in increased gastric and duodenal bulb pH.
Therapeutic use
As an antacid. Calcium deficiency or hyperphosphatemia (e.g. mild/moderate renal insufficiency, hypoparathyroidism, osteomalacia, osteoporosis, postmenopausal osteoporosis, rickets).
Pregnancy and lactiation implications
Safe use during pregnancy and breast-feeding.
Unlabeled use
Contraindications
Hypercalcemia, hypophosphatemia, renal calculi. Suspected digoxin toxicity.
Warnings and precautions
Constipation, bloating, and gas are common with calcium supplements. Calcium absorption is impaired in achlorhydria. Hypercalcemia and hypercalciuria are most likely to occur in hypoparathyroid patients receiving high doses of vitamin D. Use caution when administering calcium supplements to patients with history of kidney stones. Calcium administration interferes with absorption of some minerals and drugs. Taking calcium (≤500 mg) with food improves absorption. May produce increased serum calcium and decreased serum magnesium.