Pack of film-coated tablets that help you to maintain healthy levels of calcium and vitamin D.

Benefits

• Vitamin D3 tablets with calcium, which helps you to absorb vitamin D
• Can help treat calcium and vitamin D deficiency
• Helps maintain healthy bones
• Each tablet contains 600mg of calcium
• Can be used when breastfeeding
• Easy to swallow tablets

If you're low on Vitamin D, a tablet with both the sunshine vitamin and calcium can be really helpful. Calcium can actually help your body to absorb more vitamin D, which is why they work so well together. Accrete D3 film-coated tablets are a calcium and vitamin D supplement that can be used to help treat calcium and vitamin D deficiencies in adults and the elderly and is sometimes used as an adjunct to specific osteoporosis treatment of patients who are at risk of vitamin D and calcium deficiency. One tablet should be taken twice a day to help maintain healthy bones and teeth. They're safe for use when breastfeeding too, which is women can be more prone to calcium and vitamin D deficiency.

Each film-coated tablet contains 600 mg calcium (as calcium carbonate 1500 mg) and 10 micrograms of colecalciferol (equivalent to 400 IU vitamin D3)

Other ingredients with know effect:

Excipients with known effect:

Each film-coated tablet contains 0.3 mg hydrogenated soya-bean oil and 1.52 mg sucrose.

Tablet core:

Magnesium stearate, Crospovidone (Type A), Copovidone (K-value: 25.2-30.8), Microcrystalline cellulose, Sucrose, Gelatin, all-rac -α-Tocopherol (E307), Hydrogenated soya-bean oil, Maize starch

Coating (Sepifilm 4202 yellow): Yellow iron oxide (E172), Hypromellose (15 mPa s), Titanium dioxide (E171), Macrogol 400, Talc

Adults and the elderly:

Take One tablet twice a day (e.g. one tablet in the morning and one tablet in the evening) the film-coated tablet is taken within one and a half hours of a meal with a glass of water or juice, without chewing it. The tablet can be broken in half if needed.

Consider reducing the dose as necessary following the monitoring of calcium levels.

If you take these tablets for a prolonged period of time serum calcium levels should be followed and renal function should be monitored (by checking serum creatinine levels). Monitoring is especially important in:

• elderly patients on concomitant treatment with cardiac glycosides or diuretics
• in patients with a high tendency to calculus formation.

Vitamin D should be used with caution in patients with impairment of renal function and the effect on calcium and phosphate levels should be monitored. The risk of soft tissue calcification should be taken into account. In patients with severe renal insufficiency, vitamin D in the form of colecalciferol is not metabolised normally and other forms of vitamin D should be used.

Accrete D3 film-coated tablets should be prescribed with caution to patients suffering from sarcoidosis, due to the risk of increased metabolism of vitamin D into its active form. These patients should be monitored with regard to the calcium content in serum and urine.

Accrete D3 film-coated tablets should be used with caution in immobilised patients with osteoporosis due to increased risk of hypercalcaemia.

If you are taking other supplements containing Vitamin D, please check with your pharmacist or doctor before taking Accrete-D3.

This medication can be used during pregnancy and breastfeeding. During pregnancy, the daily dose should not exceed 1500 mg of calcium and 600 IU of vitamin

Interactions with other medications, supplements or food:

• Calcium salts can decrease the absorption of iron, zinc or strontium. Take iron, zinc or strontium preparations at a distance of two hours from the calcium preparation.
• Oxalic acid (found in spinach, sorrel and rhubarb) and phytic acid (found in whole cereals) may inhibit calcium absorption through the formation of insoluble compounds with calcium ions. The patient should not take calcium products within two hours of eating foods high in oxalic acid and phytic acid.