Fizycal-D Effervescent Tablet 10s - Calcium + Vitamin D3 | Incepta

What is Fizycal-D Effervescent Tablet?

Fizycal-D Effervescent Tablet is a calcium and vitamin D3 combination supplement manufactured by Incepta Pharmaceuticals Ltd. It is dissolved in water before consumption and is used to support bone health and treat calcium deficiency.

Generic Name and Composition

Each effervescent tablet contains Calcium Lactate Gluconate 1358.196 mg and Calcium Carbonate BP 1050 mg, together providing elemental Calcium 600 mg, plus Vitamin D3 (Cholecalciferol USP) 400 IU.

Indications

• Prevention and treatment of calcium and vitamin D deficiency
• Adjunct therapy in the prevention and treatment of osteoporosis and associated fractures
• Increased calcium requirement during pregnancy and lactation
• Supportive therapy in osteomalacia
• General bone health maintenance, particularly in postmenopausal women and the elderly

How It Works - Mechanism of Action

Calcium Lactate Gluconate and Calcium Carbonate provide elemental calcium essential for bone mineralization and neuromuscular function. Vitamin D3 (Cholecalciferol) is converted in the liver and kidneys to its active form, calcitriol, which enhances intestinal absorption of calcium and phosphate, working together to support bone density and reduce fracture risk. The effervescent formulation allows rapid dissolution and may enhance palatability and absorption.

Dosage and Administration

• Usual adult dose: Dissolve 1 tablet in a glass of water and drink once or twice daily, or as directed by physician
• Best taken with or after meals to enhance calcium absorption and reduce gastrointestinal discomfort
• Allow the tablet to fully dissolve before drinking
• Duration of therapy should be individualized based on calcium/vitamin D status and clinical condition

Side Effects

Common: Mild gastrointestinal discomfort, bloating

Uncommon: Constipation, nausea, flatulence

Rare: Hypercalcemia, hypercalciuria, and milk-alkali syndrome with excessive or prolonged high-dose use

Drug Interactions

Tetracyclines and Fluoroquinolone Antibiotics: Calcium reduces absorption of these antibiotics - separate dosing by at least 2-3 hours

Levothyroxine: Calcium can reduce absorption of levothyroxine - separate dosing by at least 4 hours

Thiazide Diuretics: May increase risk of hypercalcemia when combined with calcium/vitamin D supplementation

Digoxin: Hypercalcemia may increase risk of digoxin toxicity - use with caution

Iron Supplements: Calcium may reduce iron absorption - separate dosing if both are required

Contraindications

• Known hypersensitivity to calcium salts, vitamin D3, or any excipient
• Hypercalcemia or hypercalciuria
• Conditions associated with vitamin D toxicity (hypervitaminosis D)
• Severe renal impairment with risk of soft tissue calcification (use only under close medical supervision)

Pregnancy and Lactation

Calcium and Vitamin D3 supplementation at recommended doses is generally considered safe and often recommended during pregnancy and lactation to meet increased physiological demand. Please follow your physician's specific dosing recommendations during this period.

Precautions and Warnings

• Use with caution in patients with a history of kidney stones or renal impairment
• Avoid excessive intake beyond recommended doses to prevent hypercalcemia
• Patients with sarcoidosis or other granulomatous diseases should use vitamin D supplements cautiously due to increased sensitivity
• Periodic monitoring of serum calcium may be advised with long-term use, especially in at-risk patients
• Note the sodium content of effervescent formulations if on a sodium-restricted diet - consult physician if relevant

Overdose

Overdose may lead to hypercalcemia with symptoms such as nausea, vomiting, constipation, confusion, and in severe cases, renal impairment or cardiac arrhythmias. Discontinue use and seek immediate medical attention. Management is generally supportive, including hydration and monitoring of serum calcium under medical care.

Storage Instructions

• Store below 30°C in a cool, dry place
• Protect from light and moisture; keep tube/container tightly closed
• Keep in original packaging
• Keep out of reach of children

Frequently Asked Questions

Q1: What is Fizycal-D Effervescent Tablet used for?
A1: It is used to prevent and treat calcium and vitamin D deficiency, and as supportive therapy for osteoporosis and bone health.

Q2: How do I take Fizycal-D Effervescent Tablet?
A2: Dissolve one tablet in a glass of water and drink, preferably with or after meals, once or twice daily as directed by your physician.

Q3: Can Fizycal-D be taken with other medications?
A3: Calcium can interact with certain antibiotics, levothyroxine, and other medications. Separate dosing by at least 2-4 hours where advised, and inform your physician or pharmacist of all medications you take.

Q4: How does Fizycal-D differ from MarinCal-D?
A4: Both are calcium and vitamin D3 supplements from Incepta, but Fizycal-D uses Calcium Lactate Gluconate and Calcium Carbonate in an effervescent (dissolvable) tablet form, while MarinCal-D uses Coral-source Calcium Carbonate in a standard tablet form. Both provide comparable elemental calcium and vitamin D3 dosing; choice often depends on patient preference for effervescent versus standard tablets, as advised by your physician.

Medical Disclaimer

This product should be used under medical/physician guidance, particularly for therapeutic indications. The information provided here is for educational purposes and does not replace professional medical advice. DiabetesStore.com.bd is a licensed online pharmacy in Bangladesh. Please consult your doctor before starting, stopping, or changing any medication or supplement.