Tata 1mg Calcium & Vitamin D Supplement Tablet

Tata 1mg Calcium & Vitamin D Supplement Tablet:

• Calcium and vitamin D supplement tablet is a combination nutritional supplement available as over-the-counter (OTC) medicine. 
• It comprises calcium, vitamin D2, Zinc, magnesium, and citrus bioflavonoids.
• It supplements the diet and restores calcium levels in individuals who fall short of calcium through dietary sources. 
• Therapeutic rationale: Calcium, a macromineral, is an essential nutrient that is pivotal for healthy bones and teeth. The body can get calcium from food/diet or bones. When the diet fails to meet the body’s calcium requirements, it borrows calcium from your bones. If this happens over time, it leads to bone loss and osteoporosis. Calcium and vitamin D supplements and a calcium-rich diet help restore the normal calcium balance in the body.
• Calcium, one of its primary ingredients, helps restore optimal calcium levels in the body, maintain strong bones and teeth, prevent bone loss that may lead to osteoporosis, regulate blood clotting pathways, support muscle contraction, nerve conduction, and coordination of heart function. 
• Vitamin D2 helps in calcium absorption, strengthens immune function, protects bones and muscles, and takes care of heart health. 
• Zinc is present in all the body cells. It is required for the body's defence (immunity), cell growth, wound healing, carbohydrate breakdown, and sense of taste and smell.
• Magnesium is needed for the biochemical reactions in the body. It helps maintain nerve and muscle functions, strong bones, healthy blood glucose levels and supports the immune system. 
• Citrus bioflavonoids help improve blood flow and ease swelling in the body. 

Key Ingredients:
Each tablet of calcium and vitamin D supplement contains: 

• Calcium: 250 mg
• Vitamin D2: 400 IU
• Zinc: 3 mg
• Magnesium: 100 mg
• Citrus bioflavonoids: 50 mg

Key Benefits:

• Calcium and vitamin D supplement tablets help restore low calcium levels and meet daily calcium requirements

• They may help prevent bone disorders, such as osteoporosis

• These tablets help strengthen teeth and provide defence against tooth decay

• Calcium in the calcium and vitamin D supplement tablets helps establish neural communication between the brain and other body parts and aids in muscle contraction and relaxation. It also helps activate several blood clotting factors and regulates the blood-clotting pathway

• These tablets help balance adequate calcium intake that is beneficial for optimal heart functioning

• These supplement tablets are packed with vitamin D as one of their components, which helps support maximal calcium absorption

How to take calcium and vitamin D supplement tablets? 
Take one tablet per day or as suggested by a healthcare professional. The usual recommended dosage is one tablet a day, depending upon the individual's physiological condition. Do not exceed the stated recommended dosage.

Calcium in this supplement tablet is calcium citrate which is more easily absorbed than calcium carbonate; therefore, this tablet can be taken with or without food.


Quick tips for calcium and vitamin D supplement tablets

• Pregnant or lactating women, children, or individuals with underlying medical conditions should consult their doctors before using these supplement tablets

• The product is not intended to diagnose, treat, cure, or prevent any disease(s)

• Never self-medicate. Use under medical supervision only

• Take it exactly as prescribed at the same time each day. This helps prevent missing a dose

• Do not use calcium and vitamin D supplement tablets as a substitute for a varied diet

• If your doctor has recommended that you follow a special diet, it is essential to follow the diet to get the most benefits from this medication and to prevent serious side effects

• Do not take these supplements if you are allergic to vitamin D, calcium, or any other ingredients present in them

• Avoid taking iron and calcium supplements together, as calcium absorption may get hindered

• Avoid use in conditions such as tissue calcification, hypercalcemia, severe hypercalciuria, malabsorption syndrome, kidney problems, or blood cancer

• Tell your doctor about all the medicines you are taking as they may affect or get affected by this medicine

• Do not share the supplements yourself without consulting a doctor, as the nutritional needs vary from one individual to another

• Do not abruptly stop taking calcium and vitamin D supplement tablets even if you start to feel better

• Get your calcium and vitamin D levels checked at regular intervals

• If concerned, call your doctor right away

Possible side effects of calcium and vitamin D supplement tablets:
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. Some of the common side effects of this tablet may include:

• Constipation
• Nausea
• Vomiting 
• Loss of appetite
• Thirsty feeling

What if you forget to take a tablet?
If you miss a dose, take it as soon as you remember. However, if it's almost time for the next dose, skip the dose you missed, and take your next dose at the scheduled time.

Storage and Safety Information:

• Store at room temperature in a cool and dry place

• Protect from sunlight, heat, and humidity

• Do not keep it in a refrigerator as it is full of moisture and can reduce the shelf life and effectiveness of the supplement

• Keep the container tightly closed. Do not use it if the seal is broken

• Keep out of the reach and sight of children

How much calcium and vitamin D do you need?

Calcium: According to the Indian Council of Medical Research (ICMR) guidelines, the recommended dietary allowance (RDA) of calcium depends on age. The RDA for Indians is as follows:

• Infants (0-1 years): 500 mg

• Children (1-9 years): 600 mg

• Tweens and Teens (10-18 years): 800 mg

• Adults: 600 mg

• Pregnant and lactating women: 1200 mg

Vitamin D: The Indian Council of Medical Research (ICMR) recommends a daily supplement of 400 IU/day of vitamin D for Indians while emphasizing outdoor activities to achieve adequate vitamin D.

If you do not meet your daily vitamin D or suffer from its deficiency, your calcium absorption may be affected. This is why supplements containing calcium and vitamin D, such as calcium and vitamin D supplement tablets, are preferred.

Frequently asked questions (FAQs) related to calcium and vitamin D supplement tablets

Q. Is calcium and vitamin D supplement tablet good for health?
When your body has a calcium deficiency, it fulfils that need by using the calcium present in your bones, thereby weakening them. Calcium and vitamin D supplement tablets prevent this weakening of bones by supplementing your body with the amount of calcium it needs to keep the bones strong.

Q. Why do you need calcium?
Calcium plays a crucial role in maintaining strong bones and building strong teeth. This essential mineral also facilitates nerve signal transmission, helps in blood clotting, and aids in the contraction and relaxation of muscles. Since most of the calcium you obtain from your diet gets stored in bones and teeth, a lack of this mineral can impair your bone health and up the risk of osteoporosis. This is why you need to fulfil your daily calcium needs to keep your bones healthy.

Q. What to do if you have low calcium levels?
Based on your blood calcium levels, your doctor may advise changes in your diet. Dietary sources rich in calcium include dairy products, such as milk, yoghurt, cheese, and foods with added calcium, like breakfast cereals, soymilk, bread, and bottled water. In severe calcium deficiency, calcium supplements may be prescribed. Remember that calcium supplements should always be taken as per your doctor’s advice.

Q. Which foods are good sources of Vitamin D?
Foods that contain Vitamin D3 include fish, such as tuna and salmon, cereals, orange juice, soy milk, dairy products, cheese, egg yolks, and beef liver. The other familiar dietary sources include natural food sources, like cod liver oil, mushrooms, and Vitamin D3 fortified foods.

Q. Why should one take Vitamin D supplements?
Sunlight is the primary source of Vitamin D3. Owing to increased skin pigmentation and suntan, people apply sunscreen and cover their body with top layers of clothing, leading to limited exposure to UV rays and reducing the synthesis of Vitamin D3 in the body. Furthermore, the availability of Vitamin D3 through diet is not widespread. Due to the lack of adequate sun exposure, deficient intake of foods rich in Vitamin D3, and lack of food fortification, the Indian population is susceptible to Vitamin D3 deficiency. This is why one needs to take Vitamin D supplements.

Q. Can excess calcium be harmful?
Dietary calcium is usually safe as it is unlikely to get amounts above the upper limits from the food alone. If you take calcium supplements and eat calcium-rich/fortified foods, you may be getting more calcium than you realize, and more isn't necessarily better. Excess calcium can cause bloating, constipation, an increased risk of heart disease, kidney stones, and prostate cancer.

Q. Should I take a calcium and vitamin D supplement tablet with or without food?
As vitamin D3 is fat-soluble, it has to be taken with fatty foods. Many people take it with milk. It is easiest to take vitamin D3 with a meal, but you can also pair it with fat, like fish oil or a teaspoon of coconut oil.

Q. How are calcium and vitamin D supplement tablets helpful in osteoporosis?
Calcium and vitamin D supplement tablets help increase bone mineral density and enhance calcium absorption into the bones. Maintaining optimum calcium and vitamin D levels is essential to prevent conditions like osteoporosis (characterized by decreased bone density and increased bone fragility).

Q. Can calcium and vitamin D supplement tablets be taken during menopause?
Menopause is the most important risk factor for bone loss. Menopausal women are considered most vulnerable to osteoporosis and bone fractures due to substantial bone loss during their midlife. As calcium requirements increase during such stages in women, these supplement tablets may be taken.

Q. My wife is 3 months pregnant; can I give her calcium and vitamin D supplement tablets?
Calcium requirements usually increase during pregnancy. Do not self-medicate at home, and it is best to consult your doctor before starting calcium supplements during pregnancy.

Q. Can calcium and vitamin D supplement tablets be taken along with caffeine-containing products?
Avoid taking caffeine-containing products, such as coffee, simultaneously with calcium supplements as they may interfere with calcium absorption in the body.


References

• Institute of Medicine (US) Committee to Review Dietary Reference Intakes for Vitamin D and Calcium; Ross AC, Taylor CL, Yaktine AL, et al., editors. Dietary Reference Intakes for Calcium and Vitamin D. Washington (DC): National Academies Press (US); 2011. 2, Overview of Calcium. Available from: https://www.ncbi.nlm.nih.gov/books/NBK56060/
• Calcium | The Nutrition Source | Harvard TH Chan School of Public Health. Available from: https://www.hsph.harvard.edu/nutritionsource/calcium/
• Calcium - Health Professional Fact Sheet. Available from: https://ods.od.nih.gov/factsheets/Calcium-HealthProfessional/
• Zinc | The Nutrition Source | Harvard TH Chan School of Public Health. Available from: https://www.hsph.harvard.edu/nutritionsource/zinc/
• Zinc - Health Professional Fact Sheet. Available from: https://ods.od.nih.gov/factsheets/Zinc-HealthProfessional/
• Magnesium | The Nutrition Source | Harvard TH Chan School of Public Health. Available from: https://www.hsph.harvard.edu/nutritionsource/magnesium/
• Magnesium - Consumer. Available from: https://ods.od.nih.gov/factsheets/Magnesium-Consumer/
• Zinc: Benefits, intake, sources, deficiency, and side effects. Available from: https://www.medicalnewstoday.com/articles/263176
• Magnesium - Health Professional Fact Sheet. Available from: https://ods.od.nih.gov/factsheets/Magnesium-HealthProfessional/
• Cal-C-Vita Plus Effervescent Tablets PI.pdf.Available from: https://www.bayer.com/sites/default/files/Cal-C-Vita%20Plus%20Effervescent%20Tablets%20PI.pdf
• Healthy Diet | National Health Portal Of India. Available from: https://www.nhp.gov.in/healthlyliving/healthy-diet
• Finkelstein JS, Brockwell SE, Mehta V, Greendale GA, Sowers MR, Ettinger B, Lo JC, Johnston JM, Cauley JA, Danielson ME, Neer RM. Bone mineral density changes during the menopause transition in a multiethnic cohort of women. J Clin Endocrinol Metab. 2008 Mar;93(3):861-8. doi: 10.1210/jc.2007-1876. Epub 2007 Dec 26. PMID: 18160467; PMCID: PMC2266953.[Accessed 22 Feb. 2022] (online) Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2266953/#:~:text=The%20most%20important%20risk%20factor,menopause%20(1%2C2).
• Calcium and Vitamin D Intake and Risk of Incident Premenstrual Syndrome | Cancer Screening, Prevention, Control | JAMA Internal Medicine | JAMA Network. Available from: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/486599
• Effects of Calcium Supplement Therapy in Women with Premenstrual Syndrome - ScienceDirect. Available from: https://www.sciencedirect.com/science/article/pii/S1028455909602710#:~:text=Our%20results%20showed%20that%20calcium,depression%20in%20women%20with%20PMS.
• Calcium Supplementation for Preventing Hypertensive Disorders in Pregnancy - Cochrane for Clinicians - American Family Physician (i.e.,those%20with%20low%2Dcalcium%20diets.Available from : https://www.aafp.org/afp/2015/1001/p570.html#:~:text=High%2Ddose%20calcium%20supplementation%20 (i.e.,those%20with%20low%2Dcalcium%20diets.