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  3. Gemcal DS Capsule 15's

Therapeutic Class

MULTIMINERALS

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Drug-Drug Interactions

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CalcitriolDihydrotachysterol
Severe

Drug-Drug Interactions

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CalcitriolDihydrotachysterol
Severe
How does the drug interact with Gemcal DS Capsule:
Co-administration of Gemcal DS Capsule with Dihydrotachysterol can increase the risk of adverse effects.

How to manage the interaction:
Co-administration of Dihydrotachysterol with Gemcal DS Capsule can possibly result in an interaction, but it can be taken if your doctor has advised it. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, throwing up, constipation, dry mouth, strange taste in your mouth, muscle or bone pain, trouble coordinating movements, weak muscles, peeing a lot, feeling very thirsty, losing weight, eye infection, sensitivity to light, itching, or a higher body temperature - make sure to call a doctor right away. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Gemcal DS Capsule:
Co-administration of Gemcal DS Capsule with Carbamazepine may decrease the effects of Gemcal DS Capsule.

How to manage the interaction:
Although there is an interaction, Gemcal DS Capsule can be taken with Carbamazepine if prescribed by the doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
How does the drug interact with Gemcal DS Capsule:
Co-administration of Orlistat with Gemcal DS Capsule may reduce the levels of Gemcal DS Capsule which can lead to low treatment outcomes.

How to manage the interaction:
Although there is an interaction, Gemcal DS Capsule can be taken with Orlistat when prescribed by the doctor. Do not discontinue any medications without consulting a doctor.
CalcitriolFosphenytoin
Severe
How does the drug interact with Gemcal DS Capsule:
Taking Gemcal DS Capsule with Fosphenytoin can reduce the levels and efficacy of Gemcal DS Capsule.

How to manage the interaction:
Taking Gemcal DS Capsule with Fosphenytoin together can possibly result in an interaction, but it can be taken if a doctor has advised it. If you notice any symptoms of sudden dizziness, weakness, chest pain or pressure, abnormal body movements, uncontrollable eye movements, itching, burning, or tingling sensation, it's important to contact a doctor right away. Do not stop using any medications without a doctor's advice. Do not discontinue the medication without consulting a doctor.
How does the drug interact with Gemcal DS Capsule:
Co-administration of Doxercalciferol and Gemcal DS Capsule are forms of vitamin D, and taking too much vitamin D may lead to toxic effects related to increased calcium levels in the blood and urine.

How to manage the interaction:
Taking Doxercalciferol with Gemcal DS Capsule can lead to an interaction, it can be taken if advised by a doctor. Consult the prescriber if you experience symptoms of vitamin D intoxication such as weakness, fatigue, headache, vertigo, drowsiness, ringing in the ears, loss of appetite, nausea, vomiting, constipation, dry mouth, metallic taste, muscle pain, bone pain, muscle incoordination, and low muscle tone. Do not discontinue the medication without consulting a doctor.
CalcitriolDigitoxin
Severe
How does the drug interact with Gemcal DS Capsule:
Co-administration of Gemcal DS Capsule with Digitoxin may increase the risk or severity of digitoxin toxicity and irregular heart rhythm.

How to manage the interaction:
Although there is an interaction, Gemcal DS Capsule can be taken with Digitoxin if prescribed by the doctor. Consult the prescriber if you experience symptoms that could indicate high blood calcium, such as weakness, fatigue, headache, dizziness, drowsiness, ringing in the ears, loss of appetite, nausea, vomiting, constipation, dry mouth, a metallic taste in the mouth, bone or muscle pain, incoordination, frequent urination, and weight loss. Also, seek medical attention if you experience symptoms of digitoxin toxicity, such as blurred vision, slow pulse, or irregular heartbeats. Do not discontinue the medication without consulting a doctor.
How does the drug interact with Gemcal DS Capsule:
Co-administration of Isoniazid with Gemcal DS Capsule may decrease the effects of Gemcal DS Capsule.

How to manage the interaction:
Although there is an interaction, Gemcal DS Capsule can be taken with isoniazid if prescribed by the doctor. Do not stop using any medications without talking to a doctor. Do not discontinue the medication without consulting a doctor.
CalcitriolParicalcitol
Severe
How does the drug interact with Gemcal DS Capsule:
Co-administration of Paricalcitol and Gemcal DS Capsule are forms of vitamin D, and taking too much vitamin D may lead to toxic effects related to excessive calcium levels in the blood and urine.

How to manage the interaction:
Concomitant use of Paricalcitol with Gemcal DS Capsule can lead to an interaction, it can be taken if advised by a doctor. Consult the prescriber if you experience symptoms of vitamin D intoxication such as weakness, fatigue, headache, vertigo, drowsiness, ringing in the ears, loss of appetite, nausea, vomiting, constipation, dry mouth, metallic taste, muscle pain, bone pain, muscle incoordination, and low muscle tone. Do not discontinue the medication without consulting a doctor.
CalcitriolMetolazone
Severe
How does the drug interact with Gemcal DS Capsule:
Co-administration of Metolazone with Gemcal DS Capsule can cause blood calcium levels to become too high.

How to manage the interaction:
Although there is an interaction, Gemcal DS Capsule can be taken with metolazone if prescribed by the doctor. Consult the doctor if you experience symptoms such as dizziness, drowsiness, weakness, lethargy, headache, nausea, vomiting, or seizures. Do not discontinue the medication without consulting a doctor.
CalcitriolErgocalciferol
Severe
How does the drug interact with Gemcal DS Capsule:
Co-administration of Ergocalciferol and Gemcal DS Capsule are forms of vitamin D, and taking too much vitamin D may lead to toxic effects related to increased calcium levels in the blood and urine.

How to manage the interaction:
Co-administration of Ergocalciferol with Gemcal DS Capsule can lead to an interaction, it can be taken if advised by a doctor. Consult the prescriber if you experience symptoms of vitamin D intoxication such as weakness, fatigue, headache, vertigo, drowsiness, ringing in the ears, loss of appetite, nausea, vomiting, constipation, dry mouth, metallic taste, muscle pain, bone pain, muscle incoordination, and low muscle tone. Do not discontinue the medication without consulting a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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Drug Warnings

Let your doctor know if you are allergic to Gemcal DS Capsule or its inactive components. Brief your medical history if you have any heart/kidney/liver/blood vessel diseases, kidney stones, sarcoidosis (growth of inflammatory cells in different parts of the body), Crohn's disease (inflammatory bowel disease), Whipple's disease (bacterial infection affecting joints and digestive system), achlorhydria (little or no stomach acid), low levels of bile, and phosphate imbalance. Chewable tablets of Gemcal DS Capsule contain sugar or aspartame; hence caution should be taken to have diabetes and phenylketonuria (increased levels of an amino acid called phenylalanine). Calcitriol in higher doses may harm the foetus. Higher doses of Vitamin D than the recommended daily dose should be used in pregnant women only when advised by the doctor. Gemcal DS Capsule may pass into the breast milk, hence consult your doctor before taking Gemcal DS Capsule if you are a breastfeeding mother.

Side Effects of Gemcal DS Capsule

  • Constipation or stomach upset
  • Nausea
  • Vomiting
  • Loss of appetite
  • Mood changes
  • Weakness, tiredness
  • Fast or pounding heartbeat
  • Bone/muscle pain
  • Headache

Directions for Use

Extended-release tablet/Tablet/Capsule: Swallow it as a whole with a glass of water. Do not crush, chew or break it. Chewable tablet: Take the chewable tablet by mouth. Chew it completely before swallowing.Liquid: Shake the bottle well before use. Take the recommended dose by mouth using the measuring cup/dosing syringe/dropper provided by the pack.

Medicinal Benefits Mweb

Medicinal Benefits

Gemcal DS Capsule is used to treat low blood calcium levels and various associated conditions caused by low calcium levels in the body, such as osteoporosis (weak and brittle bones), osteomalacia/rickets (weak bones), hypoparathyroidism (low levels of parathyroid hormone), and tetany (a muscle disease with low blood calcium levels). Gemcal DS Capsule consists of Calcium (mineral), Calcitriol (Vitamin D3), and Menaquinone (Vitamin K2). Calcium is a mineral and prevents or treats calcium deficiency. It helps to maintain bone and teeth health. Calcitriol, a synthetic form of Vitamin D3, treats calcium deficiency with hypoparathyroidism (the parathyroid glands' decreased activity) and metabolic bone diseases in people with chronic kidney failure. Menaquinone, also known as Vitamin K2, helps maintain bone density by promoting calcium transport from the bloodstream into the bone. Calcium-regulating proteins also require it in the arteries.

Uses of Gemcal DS Capsule

Osteoporosis, Osteomalacia (Rickets), Calcium deficiency, Tetany and Hypoparathyroidism.

About Gemcal DS Capsule

Gemcal DS Capsule belongs to the class of 'dietary supplements, primarily used to treat low blood calcium levels. Gemcal DS Capsule effectively treats various conditions caused by low calcium levels in the body, such as osteoporosis (weak and brittle bones), osteomalacia/rickets (weak bones), hypoparathyroidism (low levels of parathyroid hormone), and latent tetany (a muscle disease with low blood calcium levels). Gemcal DS Capsule can also be given to pregnant, nursing, and postmenopausal women to ensure that they are getting enough calcium.

Gemcal DS Capsule consists of three medicines, namely: Calcium (mineral), Calcitriol (Vitamin D3), and Menaquinone (Vitamin K2). Calcium is a mineral that is used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation and maintenance. Calcitriol is a synthetic version of Vitamin D3 and treats calcium deficiency with hypoparathyroidism (the parathyroid glands' decreased activity) and metabolic bone diseases in people with chronic kidney failure. It raises Vitamin D levels and thereby increases calcium levels in the blood. This helps in improving the absorption rate of calcium from the intestine. Menaquinone is also known as Vitamin K2. Vitamin K2 helps to maintain bone density by promoting calcium transport from the bloodstream into the bone. Calcium-regulating proteins also require menaquinone in the arteries.

Your doctor will decide the dosage based on your medical condition. In some cases, Gemcal DS Capsule can cause side effects like constipation or stomach upset, nausea, vomiting, loss of appetite, mood changes, weakness, tiredness, fast or pounding heartbeat, bone/muscle pain, and headache. Most of these side effects of Gemcal DS Capsule do not require medical attention and gradually resolve over time. However, if these side effects persist longer, please consult your doctor.

If you are known to be allergic to Gemcal DS Capsule or its inactive components, please inform your doctor. Please tell your doctor if you have hypercalcemia (high calcium levels), hypervitaminosis D (high vitamin D levels), and malabsorption syndrome (difficulty absorbing nutrition from food). Brief your medical history if you have any heart/kidney/liver/blood vessel diseases, and kidney stones before starting Gemcal DS Capsule . Pregnant or breastfeeding women should consult their doctor before taking Gemcal DS Capsule . Higher doses of Vitamin D than the recommended daily dose should be used in pregnant women only when advised by the doctor. Gemcal DS Capsule may pass into the breast milk; hence breastfeeding mothers need to seek medical advice before starting Gemcal DS Capsule .

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Author Details

Doctor imageWe provide you with authentic, trustworthy and relevant information

Therapeutic Class

MULTIMINERALS

Gemcal DS Capsule Substitute

Substitutes safety advice
Side effects of Gemcal DS Capsule
  • Stay hydrated by drinking plenty of water.
  • Avoid dairy product such as cheese, milk, yogurt and ice cream.
  • Maintain healthy weight and exercise daily.
  • Following a low-calcium diet can help reduce hypercalcemia symptoms.
Here are the steps to cope with constipation as a side effect of medication:
  • Inform your doctor about your constipation symptoms. They may adjust your medication or advise alternative treatments.
  • Stay hydrated by drinking sufficient of water (at least 8-10 glasses a day) to help soften stool and promote bowel movements.
  • Increase fibre intake by eating foods high in fibre, such as fruits, whole grains, vegetables and legumes, to help bulk up the stool.
  • Establish a bowel routine by trying to go to the bathroom at the same time each day to train your bowels.
  • Engaging in regular exercise, like walking or yoga, can support in bowel movement stimulation.
  • Consult your doctor if constipation persists, and discuss alternative treatments or adjustments to your medication.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
  • Reduce sodium intake to minimize calcium excretion in urine.
  • Limit animal protein consumption to decrease urinary calcium levels.
  • Increase fluid intake by drinking plenty of water to dilute urine.
  • Moderate calcium intake based on individual needs, avoiding drastic restriction.
  • Limit oxalate-rich foods like spinach and chocolate to minimize kidney stone formation.
  • Stay hydrated by drinking plenty of water.
  • Consider reducing vitamin D supplementation if excessive intake is contributing to hypercalciuria.
  • Regularly monitor urine calcium levels through 24-hour urine tests.
  • Always seek guidance from a healthcare expert prior to implementing substantial changes to your diet or lifestyle routine.
Managing Medication-Triggered UTIs: A Comprehensive Approach:
  • Inform your doctor about the medication you're taking and the UTI symptoms you're experiencing.
  • Your doctor may adjust your medication regimen or consider alternative medications or dosages that may reduce the risk of UTIs.
  • Drink plenty of water (at least 8-10 glasses a day) to help flush out bacteria. Avoid sugary drinks and caffeine, which can exacerbate UTI symptoms.
  • Urinate when you feel the need rather than holding it in. This can help prevent bacterial growth and reduce the risk of UTIs.
  • Consider cranberry supplements: Cranberry supplements may help prevent UTIs by preventing bacterial adhesion.
  • Monitor UTI symptoms and report any changes to your doctor.
  • If antibiotics are prescribed, take them as directed and complete the full course.
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.

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Side Effects

Common Side Effects
  • High Calcium Levels In Blood
  • Constipation
  • Headache
  • Muscle Pain
  • Excessive Calcium In Urine
  • Urinary Tract Infection
  • Stomach Pain

If any of the above side effects continue or intensify, seek medical advice. Professional guidance may be necessary for appropriate care and treatment adjustments.
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