CALSHINE D Tablet capsule/syrup/tablet is used for the treatment of low blood calcium levels in conditions, such as:

• Osteoporosis (bone loss)
• Hypoparathyroidism
• Osteomalacia/rickets (weak bones)
• Latent tetany (muscle disease)

CALSHINE D Tablet may also be prescribed for other conditions as determined by the doctor.

In CALSHINE D Tablet, Calcium is used as a supplement. It acts by regulating the uptake and binding of amino acids. It also acts by maintaining the calcium balance in the body.

Cholecalciferol used as a vitamin supplement. It acts by increasing the intestinal absorption of calcium by binding to certain receptors. Thus, it helps in increasing serum calcium levels.  

The dosage and the drug form depend on the age, weight and medical condition of an individual. Take CALSHINE D Tablet capsule/syrup/tablet as prescribed by your doctor.

• Chew the tablet before swallowing it.
• Swallow the capsule whole. Do not crush or chew the capsule.
• Take the drug with or without food. However, taking the drug with food prevents stomach upset.
• In case of syrup , shake the suspension well before taking each dose so as to ensure the uniform mixing of the drug.
• Use a measuring cup while taking each dose.

If you miss a dose of CALSHINE D Tablet, please take it as soon as you remember. However, if it is almost time for your next dose, then skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for the missed dose.

Drugs that interact with CALSHINE D Tablet include the following:

• Calcipotriene
• Calcitriol
• Cholestyramine
• Colesevelam
• Colestipol
• Digoxin
• Doxercalciferol
• Orlistat
• Paricalcitol

This is not a comprehensive list of drug interactions. Consult your doctor to know more about other possible drug interactions.

The following are the most common side effects of CALSHINE D Tablet:

• Stomach upset
• Constipation

The following are the severe side effects and you may require immediate medical attention:

• Swelling of the face, tongue, and throat
• Severe dizziness
• Irregular heartbeat
• Trouble breathing
• Increased thirst
• Unusual tiredness
• Mood changes
• Increased urination
• Muscle pain

This is not a complete list of side effects and others may occur. Please consult your doctor to know more about other possible side effects.

• Avoid taking the medicine if you are allergic to CALSHINE D Tablet or similar drugs.
• Avoid consumption of alcohol as it may alter the absorption of CALSHINE D Tablet
• Be cautious while taking CALSHINE D Tablet if you are suffering from hypercalcemia (increased levels of calcium in the blood), diabetes or phenylketonuria.

You are advised not to take CALSHINE D Tablet if

• it has passed the expiry date of the medicine printed on the pack.
• the foil or packaging is torn or shows signs of tampering or there is discolouration.

• Tell your doctor if you have any medical history of kidney diseases, liver diseases, immune system disorders, heart/blood vessel diseases or bowel diseases.
• Inform the doctor if you are taking any other drugs, OTC medications, herbal products or nutritional supplements.

1. How should CALSHINE D Tablet be stored?

CALSHINE D Tablet should be stored at room temperature away from heat, sunlight, and moisture.

2. Can I take CALSHINE D Tablet while on doxycycline medication?

It is not advisable to take CALSHINE D Tablet along with doxycycline as calcium interferes with the drug absorption.

3. Do I need to follow any dietary restrictions while taking CALSHINE D Tablet medicine?

Avoid consuming grapefruit or grapefruit juice while taking CALSHINE D Tablet medication.

4. Is it safe to take CALSHINE D Tablet while breastfeeding?

Consult your doctor before taking CALSHINE D Tablet during breastfeeding, as it known to pass through the breast milk.

5. Do I need to be monitored for any laboratory parameters while taking CALSHINE D Tablet?

Yes, it is advised to monitor serum calcium levels and bilirubin levels while taking CALSHINE D Tablet.