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Oral Calcium
Aka: Oral Calcium, Calcium Supplementation, Dietary Calcium, Calcium Carbonate, Calcium Citrate, Calcium Phosphate- Indications: Osteoporosis Prevention
- Starting in childhood and adolescence preferable
- Begin at 35-40 years old if not already started
- Potentiates Estrogen Replacement Therapy
- Contraindications
- Adverse Effects
- Excess calcium intake may be a Cardiac Risk Factor in postmenopausal women
- Risk did not seem to apply when combined with Vitamin D supplementation
- Does not appear to apply to typical doses of 1000-1200 mg daily or to Dietary Calcium intake
- Risk appears to be low and patients at risk for Osteoporosis should not stop Calcium Supplementation
- Bolland (2008) BMJ 336(7638):262-6
- Excess calcium intake may be a Cardiac Risk Factor in postmenopausal women
- Dosing: Calcium daily requirements
- Daily dose of 1000 mg Calcium Indications
- Men and women ages 25 to 50 years
- Men 50 to 65 years
- Women on Estrogen Replacement ages 50-65 years
- Dose 1200 to 1500 mg Calcium Indications (all others)
- Ages 11 to 24 years
- Post-menopausal women not on Estrogen Replacement
- Age over 65 years
- Pregnancy
- Lactation
- Daily dose of 1000 mg Calcium Indications
- Preparations: Dietary Calcium Sources (300mg elemental calcium in each)
- Yogurt or frozen yogurt 8 ounces
- Calcium-Fortified Orange Juice 8 ounces
- Milk 8 ounces
- Firm Cheese 1 to 1.5 ounces
- Canned Sardines 3 ounces
- Cooked greens, collards, or mustard 1-2 cups or 8 oz
- Preparations: Calcium Carbonate
- Advantages
- Most elemental calcium (40%)
- Tablet 650 mg contains 250 mg elemental calcium
- Least expensive calcium preparation
- Administration
- Take with meals or citrus juice
- Absorption reduced with fasting or achlorhydria
- Preparations
- Tums 500 mg PO qd-tid
- Adverse effects
- Advantages
- Preparations: Calcium Citrate
- Advantages
- No Constipation
- Better absorption than Calcium Carbonate by >20%
- Indications:
- Constipation or gas on Calcium Carbonate
- Calcium based Kidney stones
- Administration
- Take on an empty Stomach
- Advantages
- Preparations: Calcium Phosphate
- Advantages
- No Constipation
- Absorption: 39%
- Disadvantages
- Cost
- Advantages
| Medication Costs | ||
|---|---|---|
| Calcium Citrate (on 2/9/2012 at DrugStore.com) | ||
| Calcium Citrate 100 950mg Tablets Bottle | #1 for $13.99 | ($13.99/unit) |
| FPNotebook does not benefit financially from showing this medication data or their pharmacy links. This information is provided only to help medical providers and their patients see relative costs. Insurance plans negotiate lower medication prices with suppliers. Prices shown here are out of pocket, non-negotiated rates. See Needy Meds for financial assistance information. | ||
Calcium Carbonate (C0006681) |
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| Definition (NCI) | A form of the mineral calcium that is used to prevent or treat osteoporosis (a decrease in bone mass and density) and to treat heartburn and upset stomach. It is also being studied in the prevention of bone problems in people with cancer. It is a type of dietary supplement. |
| Definition (MSH) | Carbonic acid calcium salt (CaCO3). An odorless, tasteless powder or crystal that occurs in nature. It is used therapeutically as a phosphate buffer in hemodialysis patients and as a calcium supplement. |
| Definition (NCI) | The carbonic salt of calcium (CaCO3). Calcium carbonate is used therapeutically as a phosphate buffer in hemodialysis, as an antacid in gastric hyperacidity for temporary relief of indigestion and heartburn, and as a calcium supplement for preventing and treating osteoporosis. (NCI04) |
| Definition (CSP) | carbonic acid calcium salt (CaCO3) used therapeutically as a phosphate buffer in hemodialysis patients and as a calcium supplement. |
| Definition (PDQ) | The carbonic salt of calcium (CaCO3). Calcium carbonate is used therapeutically as a phosphate buffer in hemodialysis, as an antacid in gastric hyperacidity for temporary relief of indigestion and heartburn, and as a calcium supplement for preventing and treating osteoporosis. Check for "http://www.cancer.gov/Search/ClinicalTrialsLink.aspx?id=39679&idtype=1" active clinical trials or "http://www.cancer.gov/Search/ClinicalTrialsLink.aspx?id=39679&idtype=1&closed=1" closed clinical trials using this agent. ("http://nciterms.nci.nih.gov:80/NCIBrowser/ConceptReport.jsp?dictionary=NCI_Thesaurus&code=C332" NCI Thesaurus) |
| Concepts | Organic Chemical (T109) , Pharmacologic Substance (T121) |
| MSH | D002119 |
| SnomedCT | 387307005, 55217007 |
| English | Calcium Carbonate, Carbonate, Calcium, calcium carbonate, Carbonic acid calcium salt (1:1), CaCO3, mineral supplements calcium carbonate, calcium carbonate (medication), calcium (as carbonate), calcium carbonate as antacid, calcium carbonate as antacid (medication), CALCIUM CARBONATE, Calcium Carbonate [Chemical/Ingredient], calcium carbonated, calcium carbonates, Calcium carbonate, Calcium carbonate (product), Calcium carbonate (substance), CALCIUM (AS CALCIUM CARBONATE), CALCIUM (AS CARBONATE), Antacid (Calcium Carbonate) |
| French | CaCO3, Carbonate de calcium |
| Swedish | Kalciumkarbonat |
| Czech | uhličitan vápenatý |
| Finnish | Kalsiumkarbonaatti |
| Russian | KAL'TSIIA KARBONAT, КАЛЬЦИЯ КАРБОНАТ |
| Japanese | 霰石, 炭酸石灰, 炭酸カルシウム, あられ石 |
| Polish | Węglan wapniowy |
| Spanish | carbonato de calcio (producto), carbonato de calcio (sustancia), carbonato de calcio nativo purificado, carbonato de calcio, Carbonato de Calcio |
| German | Calciumcarbonat, Kalziumkarbonat |
| Italian | Carbonato di calcio |
| Portuguese | Carbonato de Cálcio |
| Sources |
Derived from the NIH UMLS (Unified Medical Language System) |
calcium phosphate (C0006711) |
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| Definition (CSP) | calcium salts containing the phosphate radical (PO4), frequently used as calcium supplements. |
| Concepts | Pharmacologic Substance (T121) , Inorganic Chemical (T197) |
| MSH | C020243 |
| SnomedCT | 259546007, 44044007, 419939009 |
| English | calcium phosphate, Calcium Phosphate, calcium (as phosphate), calcium phosphate [Chemical/Ingredient], calciums phosphates, calcium phosphate product, phosphate calcium, Calcium phosphate, Calcium phosphate product, Calcium phosphate (substance), Calcium phosphate [dup] (substance), Calcium phosphate agent, CALCIUM PHOSPHATE, Calcium phosphate (product) |
| Spanish | fosfato de calcio, fosfato de calcio (producto), Calcium phosphate, Calcium phosphate product, Calcium phosphate [dup] (substance), fosfato cálcico (sustancia), fosfato cálcico |
| Sources |
Derived from the NIH UMLS (Unified Medical Language System) |
Calcium, Dietary (C0006726) |
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| Definition (NCI) | Forms of the element calcium found in foods. |
| Definition (MSH) | Calcium compounds used as food supplements or in food to supply the body with calcium. Dietary calcium is needed during growth for bone development and for maintenance of skeletal integrity later in life to prevent osteoporosis. |
| Definition (CSP) | calcium compounds used as food supplements or in food to supply the body with calcium; dietary calcium is needed during growth for bone development and for maintenance of skeletal integrity later in life to prevent osteoporosis. |
| Concepts | Inorganic Chemical (T197) |
| MSH | D002136 |
| English | Dietary Calcium, dietary calcium, Calcium, Calcium, Dietary, Calcium, Dietary [Chemical/Ingredient], calcium dietary |
| Swedish | Kalcium i kosten |
| Czech | vápník dietní |
| Finnish | Ravinnon kalsium |
| Russian | KAL'TSII PISHCHEVOI, PISHCHEVOI KAL'TSII, КАЛЬЦИЙ ПИЩЕВОЙ, ПИЩЕВОЙ КАЛЬЦИЙ |
| Croatian | KALCIJ U HRANI |
| Polish | Wapń w pokarmach |
| Japanese | カルシウム-食品, 食品中のカルシウム, 食品カルシウム, 食物カルシウム, 食用カルシウム, 食品中のカルシウム成分 |
| French | Calcium alimentaire |
| German | Nahrungscalcium, Nahrungskalzium |
| Italian | Calcio alimentare |
| Portuguese | Cálcio na Dieta |
| Spanish | Calcio en la Dieta |
| Sources |
Derived from the NIH UMLS (Unified Medical Language System) |
Calcium Citrate (C0108101) |
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| Definition (MSH) | A colorless crystalline or white powdery organic, tricarboxylic acid occurring in plants, especially citrus fruits, and used as a flavoring agent, as an antioxidant in foods, and as a sequestrating agent. (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed) |
| Definition (NCI) | The citrate salt of calcium. An element necessary for normal nerve, muscle, and cardiac function, calcium as the citrate salt helps to maintain calcium balance and prevent bone loss when taken orally. This agent may also be chemopreventive for colon and other cancers. (NCI04) |
| Definition (PDQ) | The citrate salt of calcium. An element necessary for normal nerve, muscle, and cardiac function, calcium as the citrate salt helps to maintain calcium balance and prevent bone loss when taken orally. This agent may also be chemopreventive for colon and other cancers. Check for "http://www.cancer.gov/Search/ClinicalTrialsLink.aspx?id=41817&idtype=1" active clinical trials or "http://www.cancer.gov/Search/ClinicalTrialsLink.aspx?id=41817&idtype=1&closed=1" closed clinical trials using this agent. ("http://nciterms.nci.nih.gov:80/NCIBrowser/ConceptReport.jsp?dictionary=NCI_Thesaurus&code=C1355" NCI Thesaurus) |
| Concepts | Organic Chemical (T109) , Pharmacologic Substance (T121) |
| MSH | D019355 |
| SnomedCT | 52209008 |
| English | Calcium Citrate, Citrate, Calcium, Calcium Citrates, Citrates, Calcium, TRICALCIUM CITRATE, 2-Hydroxy-1,2,3-propanetricarboxylic Acid, Calcium Salt (2:3), Tricalcium Citrate, calcium citrate (medication), mineral supplements calcium citrate, Calcium Citrate [Chemical/Ingredient], CALCIUM CITRATE, calcium citrates, citrate calcium, calcium citrated, calcium citrate, calcium (as citrate), Calcium citrate, Calcium citrate (substance), CALCIT, CALCIUM (AS CITRATE) |
| French | Citrate de calcium |
| Swedish | Kalciumcitrat |
| Czech | kalciumcitrát, citran vápenatý |
| Finnish | Kalsiumsitraatti |
| Russian | KAL'TSIIA TSITRAT, КАЛЬЦИЯ ЦИТРАТ |
| Polish | Cytrynian wapniowy |
| Spanish | citrato de calcio (sustancia), citrato de calcio, Citrato de Calcio |
| German | Calciumcitrat, Kalziumcitrat |
| Italian | Calcio citrato |
| Dutch | Calciumcitraat |
| Portuguese | Citrato de Cálcio |
| Sources |
Derived from the NIH UMLS (Unified Medical Language System) |