Overview
Uses and benefits
Side effects
How to use
How drug works
Safety advice
Missed dose
All substitutes
Quick tips
Fact box
Patient concerns
User feedback
FAQs

Author Details

Written By

Dr. Swati Mishra

BDS

Reviewed By

Dr. Rajeev Sharma

MBA, MBBS

Last updated

21 Sep 2025 | 05:37 PM (IST)

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Home>Nidcal CL>nidcal cl tablet

Nidcal CL Tablet

Prescription Required

Marketer

Olcare Laboratories

SALT COMPOSITION

Calcitriol (0.25mcg) + Calcium Carbonate (500mg) + Zinc (7.5mg) + Risedronate (35mg)

Storage

Store below 30°C

View available alternative with same salt composition

Click here to view all substitutes

Product introduction

Nidcal CL Tablet is a combination medicine used in the treatment of osteoporosis. It prevents bone loss and makes the bones stronger. This way it helps prevent bone fractures.

Nidcal CL Tablet is best taken on an empty stomach. You should take it regularly at a fixed time each day. Taking it at the same time every day will help you remember to take it. It may take several days to get the full benefit of this drug. Do not stop taking the medicine until your doctor tells you it is right to stop. This medicine may only be part of a treatment program that may also include changes to your diet and taking other medicines and vitamin supplements.

The most common side effects of Nidcal CL Tablet include headache, back pain, musculoskeletal (bone, muscle, or joint) pain, indigestion, heartburn, and diarrhea. These are generally mild and usually resolve on their own. If they do not go away or get worse, you should let your doctor know. Your doctor may be able to suggest ways of preventing or reducing the side effects.

Before using Nidcal CL Tablet, let your doctor know if you have any medical conditions or disorders. To make sure the medicine is safe for you, let your doctor know all the other medicines you are taking. You may need frequent medical tests to check your kidney function and mineral levels while on treatment with this medicine. You should avoid consuming large amounts of alcohol, as it can cause bone loss. Pregnant and breastfeeding women should consult their doctors before using this medicine.

Uses of Nidcal CL Tablet

Treatment of Osteoporosis

Benefits of Nidcal CL Tablet

In Treatment of Osteoporosis

Osteoporosis is a common condition that causes bones to become fragile and brittle so that they break (fracture) more easily. Fractures may be painful and restrict a person’s ability to carry out their normal daily tasks. Nidcal CL Tablet reduces the risk of a fracture occurring in osteoporosis. It also helps in the growth and development of bones as well as maintaining strong bones. Along with medicines, eat a balanced diet rich in calcium and vitamin D, like dairy products, green leafy vegetables, etc.

Side effects of Nidcal CL Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Nidcal CL

Headache
Increased calcium level in blood
Abdominal pain
Nausea
Rash
Urinary tract infection

How to use Nidcal CL Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Nidcal CL Tablet is to be taken empty stomach.

How Nidcal CL Tablet works

Nidcal CL Tablet is a combination of four medicines: calcitriol, calcium carbonate, zinc, and risedronate, which treat osteoporosis. Calcitriol is a form of vitamin D that helps your body effectively absorb calcium carbonate and supports the muscles needed to avoid falls. Calcium carbonate and zinc are minerals that help build and maintain bones. Risedronate is a bisphosphonate that works by suppressing the activity of osteoclasts, cells that destroy bone. This strengthens the bone and minimizes the risk of fractures.

Safety advice

Alcohol

UNSAFE

It is unsafe to consume alcohol with Nidcal CL Tablet.

Pregnancy

CONSULT YOUR DOCTOR

Nidcal CL Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

Breast feeding

CONSULT YOUR DOCTOR

Nidcal CL Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.

Driving

SAFE

Nidcal CL Tablet does not usually affect your ability to drive.

Kidney

CAUTION

Nidcal CL Tablet should be used with caution in patients with kidney disease. Dose adjustment of Nidcal CL Tablet may be needed. Please consult your doctor.
No dose adjustment is recommended in patients with mild to moderate kidney disease. However, use of Nidcal CL Tablet is not advised in severe kidney disease patients.

Liver

SAFE IF PRESCRIBED

Nidcal CL Tablet is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Nidcal CL Tablet may not be needed in these patients. Please consult your doctor.

What if you forget to take Nidcal CL Tablet?

If you miss a dose of Nidcal CL Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

Nidcal CL Tablet

₹7.52/Tablet

GEMcal -Kit

Alkem Laboratories Ltd

₹274/tablet

3544% costlier

Quick tips

Drink plenty of water while taking this medicine.
Along with taking Nidcal CL Tablet, maintain a healthy lifestyle, take a balanced diet, exercise (regular weight-bearing exercise) with your doctor's advice, and take proper measures to reduce the risk of falls.
Let your doctor know if you’re taking an iron supplement, as the absorption rate might be affected.
Inform your doctor if you have kidney problems or if you have ever had kidney stones.

Fact Box

Habit Forming

Therapeutic Class

PAIN ANALGESICS

Patient concerns

Teriparatide is this injection advisable?

Dr. Akshat Goel

Orthopaedics

Yes, it's good in Osteoporosis

Details About osteoporosis treatment

Dr. Akshat Goel

Orthopaedics

Take Calcium and Vitamin-D3 supplements

User feedback

Patients taking Nidcal CL Tablet

Once A Day

80%

Twice A Day

20%

What are you using Nidcal CL Tablet for?

Others

100%

FAQs

How should I take this Nidcal CL Tablet?

You should take Nidcal CL Tablet first thing in the morning on an empty stomach with a full glass of water (not juice/coffee).

Who should not take Nidcal CL Tablet?

Individuals should avoid using Nidcal CL Tablet if they are allergic to any of its ingredients. It should also be avoided in cases of high blood calcium levels (hypercalcemia), severely reduced kidney function, or bone softening not caused by vitamin D deficiency. Additionally, people with esophageal problems (such as difficulty swallowing or a very narrow food pipe) or those unable to stand or sit upright for at least 30 minutes should not use Nidcal CL Tablet.

What should I avoid while taking Nidcal CL Tablet?

While taking Nidcal CL Tablet, avoid lying down for at least 30 minutes afterward, as it may irritate your food pipe. Do not take calcium, antacids, or iron supplements within 2 hours of this medicine, as they can reduce its absorption. Also, avoid taking it with milk or dairy products, as they may interfere with how well it works.

What are the serious side effects of Nidcal CL Tablet I should watch out for?

During Nidcal CL Tablet treatment, contact your doctor immediately if you experience chest pain or difficulty swallowing, as these may be signs of esophageal damage. Seek help if you notice severe bone, joint, or muscle pain, jaw pain or swelling (which could indicate a rare condition called osteonecrosis of the jaw, where the jawbone doesn’t heal properly), eye pain or vision changes, or worsening of asthma (if you have or had asthma).

How long until I see improvements in bone density during Nidcal CL Tablet treatment?

The exact time Nidcal CL Tablet takes to show its benefits is not known. However, you may expect improvement in bone density in a few months of regular use. Your doctor may do scans to observe how you are doing on the Nidcal CL Tablet treatment.

Can I take Nidcal CL Tablet if I have kidney problems?

Avoid self-administering Nidcal CL Tablet if you have a kidney or any other disease. Nidcal CL Tablet requires dosage adjustment in kidney issues. Your doctor may closely monitor serum calcium/creatinine levels.

Should I continue taking Nidcal CL Tablet during dental work?

You should inform your dentist if you are taking Nidcal CL Tablet. Nidcal CL Tablet may need to be paused if you are having tooth extractions, getting dental implants, or experiencing jaw infections/pain.

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Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

Calcium Carbonate + Risedronate. Manati, Puerto Rico: Warner Chilcott Company. [Accessed 25 Apr. 2019] (online) Available from:
Calcitriol, Calcium Carbonate & Zinc Capsules and Risedronate Sodium.[Product Information] Ahmedabad, Gujarat: Torrent Pharmaceuticals Ltd.; [Accessed 24 Mar. 2025] (online) Available from: