SHELCAL OS is a combination medication that provides essential calcium supplementation along with active vitamin D3 (Alfacalcidol). This combination helps to maintain proper bone health and is used in the treatment of calcium and vitamin D3 deficiencies. It promotes bone mineralization and calcium absorption, ensuring adequate levels of calcium and vitamin D in the body. It is beneficial for individuals with osteoporosis, osteomalacia, and other conditions requiring supplementation of calcium and vitamin D3.

• Management of osteoporosis
• Supports bone health and mineralization
• Improves calcium absorption
• Prevention and treatment of calcium and vitamin D3 deficiencies

• Constipation
• Nausea
• Increased thirst
• Abdominal pain
• Muscle weakness

Take this medicine orally with or without food, as directed by your doctor. Avoid taking antacids or other medications containing calcium within 2 hours before or after taking this medicine, as they may interfere with calcium absorption. Follow your doctor's instructions regarding dosage and duration of treatment.

• Pregnancy - SHELCAL OS is generally considered safe for use during pregnancy. However, it is advised to consult your doctor before taking it.
• Alcohol - There are no known interactions between alcohol and this medicine. However, it is advisable to limit alcohol consumption.
• Old Age - No specific precautions need to be taken while using SHELCAL OS in the elderly population.
• Breast Feeding - SHELCAL OS is considered safe for use while breastfeeding. However, it is advised to consult your doctor before taking it.
• Children - This medicine is safe for use in children. However, the dosage may vary based on the child's age and weight. Consult your doctor for the appropriate dosage.

• Store at room temperature (20-25°C) -
• Protect from moisture and light -

• Drug-Drug - There are no known significant drug-drug interactions with SHELCAL OS.
• Drug-Food - Avoid consuming foods high in oxalic acid (spinach, rhubarb, beet greens) and phytic acid (bran, whole grains) as they may inhibit calcium absorption.
• Drug-Disease - SHELCAL OS should be used with caution in patients with kidney stones or hypercalcemia. Consult your doctor if you have these conditions.

• Q. Can SHELCAL OS be taken with other calcium supplements?
  It is generally not recommended to take additional calcium supplements while using SHELCAL OS as it may lead to excessive calcium intake. Consult your doctor before taking any additional calcium supplements.
• Q. What should I do if I miss a dose of SHELCAL OS?
  If you miss a dose, take it as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for the missed dose.
• Q. Are there any dietary restrictions while using SHELCAL OS?
  It is important to maintain a balanced diet rich in calcium and vitamin D sources during treatment with SHELCAL OS to support its effectiveness.
• Q. Can SHELCAL OS cause kidney stones?
  There is a potential risk of developing kidney stones with long-term use of calcium supplements. It is advisable to drink plenty of water and consult your doctor if you experience symptoms of kidney stones.
• Q. What are the symptoms of calcium deficiency?
  Symptoms of calcium deficiency may include muscle cramps, fatigue, depression, and brittle nails. Consult your doctor for proper diagnosis and treatment.