Actical Tablet 1200 mg+0.25 mcg combines Calcium Citrate and Calcitriol (active Vitamin D3) to support bone health and calcium metabolism. This combination is particularly beneficial for individuals with calcium deficiency, osteoporosis, or impaired calcium absorption due to kidney disease or other conditions.

Calcium Citrate is a highly bioavailable form of calcium that helps strengthen bones and teeth, while Calcitriol enhances intestinal calcium absorption and regulates serum calcium levels, ensuring optimal bone mineralization.

রেজিস্টার্ড চিকিৎসকের পরামর্শ অনুযায়ী ঔষধ সেবন করুন

Indications

Actical Tablet is indicated for:

• Prevention and treatment of calcium deficiency
• Management of osteoporosis in postmenopausal women and older adults
• Support in chronic kidney disease (CKD) patients with impaired calcium absorption
• Secondary hyperparathyroidism due to vitamin D deficiency
• Maintaining healthy bones in patients at risk of fractures

Mechanism of Action

• Calcium Citrate provides the essential mineral calcium, critical for bone structure, nerve transmission, and muscle function.
• Calcitriol is the active form of vitamin D3 that:
  • Enhances intestinal absorption of calcium and phosphate
  • Regulates bone remodeling
  • Maintains serum calcium and phosphate levels within the normal range

The combination ensures effective bone mineralization and reduces the risk of osteoporosis and fractures.

Dosage and Administration

• Adults: 1 tablet daily or as prescribed by a physician
• Can be taken with or without food, though absorption may be improved when taken with meals
• Swallow the tablet whole with water
• Follow the prescribed dosage carefully to avoid hypercalcemia
• Regular monitoring of serum calcium and kidney function may be recommended for long-term therapy

Side Effects

Common side effects:

• Mild gastrointestinal discomfort (nausea, constipation, or bloating)
• Metallic taste in the mouth

Rare but serious side effects:

• Hypercalcemia (symptoms include nausea, vomiting, confusion, frequent urination, or irregular heartbeat)
• Kidney stones or renal impairment
• Allergic reactions, including rash, itching, or swelling

Seek medical advice if serious or persistent symptoms occur.

Precautions and Warnings

• Use with caution in patients with renal impairment, kidney stones, or hypercalcemia
• Avoid taking other calcium supplements unless prescribed
• Not recommended for children unless specifically directed by a physician
• Inform your doctor if pregnant or breastfeeding
• Maintain adequate hydration to reduce risk of kidney complications

রেজিস্টার্ড চিকিৎসকের পরামর্শ অনুযায়ী ঔষধ সেবন করুন

Drug Interactions

Actical Tablet may interact with:

• Thiazide diuretics – increased risk of hypercalcemia
• Certain antibiotics (tetracyclines, quinolones) – calcium may reduce their absorption
• Digoxin – increased risk of arrhythmia if serum calcium is elevated
• Other vitamin D or calcium supplements – additive effects

Always inform your healthcare provider of all medications and supplements being taken.

Storage Instructions

• Store at 20–25°C (room temperature)
• Keep in a dry place protected from light
• Keep out of reach of children
• Do not use after the expiry date.