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Instruction for use: Calcium carbonate (Calcii carbonas)

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Pharmacological group


Macro and microelements

Nosological classification (ICD-10)

E20 Hypoparathyroidism

Hypoparathyroidism, Idiopathic hypoparathyroidism, Tumor hypoparathyroidism, Postoperative hypoparathyroidism, Parathyroid gland disorder, Autoimmune hypoparathyroidism, Hypoparathyroidism, Parathyroid gland function, Functional hypoparathyroidism, Insufficiency of parathyroid glands, Parathyroid gland dysfunction, Insufficiency of secretion of parathyroid hormone, Insufficiency of parathyroid gland function

E55.0 Rickets active

Vitamin D-dependent rickets, Congenital vitamin D-resistant rickets, Late rickets, Pseudo-deficiency rickets, Rickets, Rickets Vitamin D-dependent, Rickets of newborns, Rasmic spasmophilia

E58 Alimentary calcium deficiency

Replenishment of calcium deficiency, Replenishment of calcium deficiency in the body, Replenishment of a lack of calcium, Calcium deficiency, Calcium deficiency in the mother's body, Deficiency of calcium and vitamin D3, Deficiency of calcium and vitamin D3 in the elderly,Calcium and magnesium deficiency in breastfeeding, Calcium deficiency in pregnant women, An additional source of calcium, An additional source of calcium and phosphorus, Source of calcium, Correction of calcium metabolism disorders during pregnancy, Lack of calcium, Lack of calcium in the diet, Lack of calcium in the body, Inadequate intake of calcium from food, Insufficiency of calcium, Increased need for calcium, Increased need for calcium in breastfeeding

E83.5 Disorders of calcium metabolism

Loss of calcium in bones and teeth, Replenishment of a lack of calcium, Malabsorption of calcium, Violation of calcium metabolism in the body, Violation of the calcium-phosphorus balance, Disturbance of calcium metabolism, Impaired calcium absorption, Decreased calcium absorption, Replenishment of calcium deficiency

K02 Dental caries

Multiple caries, Caries of milk teeth

K21 Gastroesophageal reflux

Biliary reflux esophagitis, gastrocardiac syndrome, Gastroesophageal reflux disease, Gastro-oesophageal reflux disease, Non-erosive reflux disease, syndrome gastrocardiac, Remhelda syndrome, Erosive reflux esophagitis, Ulcerative reflux esophagitis

K25 Gastric ulcer

Helicobacter pylori, Pain syndrome in gastric ulcer, Pain syndrome in gastric ulcer and duodenal ulcer, Inflammation of the gastric mucosa, Inflammation of the gastrointestinal mucosa, Benign gastric ulcer, The disease of the stomach and duodenum, asotsiirovannoe with Helicobacter pylori, Aggravation gastroduodenita on the background of peptic ulcer, Exacerbation of peptic ulcer, The aggravation of gastric ulcer, The organic gastrointestinal disease, Peptic ulcer of the stomach and duodenum, Postoperative gastric ulcer, Recurrent ulcers, Symptomatic gastric ulcers, Chronic inflammatory disease of the upper gastrointestinal tract, associated with Helicobacter pylori, Helicobacter pylori eradication, Erosive and ulcerative lesions of the stomach, Erosive lesions of the stomach, The erosion of the gastric mucosa, Peptic ulcer disease, Stomach ulcer, Gastric lesion, Ulcerative lesions of the stomach, Symptomatic ulcers of the stomach and duodenum

K26 Duodenal Ulcer

Pain with duodenal ulcer, Pain syndrome in gastric ulcer and duodenal ulcer, The disease of the stomach and duodenum, asotsiirovannoe with Helicobacter pylori, Exacerbation of peptic ulcer, The worsening of duodenal ulcer, Peptic ulcer of the stomach and duodenum, Relapse of duodenal ulcers, Symptomatic ulcers of the stomach and duodenum, Helicobacter pylori eradication, Erosive and ulcerative lesions of the duodenum, Erosive-ulcerative lesions of duodenal ulcers associated with Helicobacter pylori, Erosive lesions of the duodenum, Duodenal ulcer, Ulcerative lesions of the duodenum]

K29.6.1 * Gastritis is hyperacid

Gastritis with high acidity, Hyperacid gastritis, Pain in acute gastritis with high acidity, Gastritis with increased secretory function, Gastritis chronic hypersecretory, Hyperacid gastritis

K29.8 Duodenitis

Chronic duodenitis, Erosive duodenitis, Acute duodenitis

K31.8.0 * Atony of the stomach

Diabetic gastroparesis, Atony of the gastrointestinal tract, Hypotension of the stomach, Idiopathic gastroparesis, Medication Gastroparesis, Stomach paresis, Postoperative atony of the stomach, Postoperative hypotension of the stomach, Paresis of the stomach and intestines

M81 Osteoporosis without pathological fracture


M81.0 Postmenopausal osteoporosis

Menopause osteoporosis, Osteoporosis in menopause, Osteoporosis in menopause, Osteoporosis in postmenopausal women, Osteoporosis in the postmenopausal period, Postmenopausal osteoporosis, Osteoporosis in postmenopausal women, Perimenopausal osteoporosis, Postmenopausal osteoporosis, Post-menopausal osteoporosis, Postmenopausal osteoporosis, Postmenopausal demineralization of bones, Osteoporosis with estrogen deficiency, Osteoporosis in postmenopausal women, Osteoporosis in postmenopausal women and after hysterectomy

M83.9 Osteomalacia in adults, unspecified

Loss of calcium in bones and teeth

N25.0 Renal osteodystrophy

Nephrocalcinosis, Osteodystrophy of renal genesis, Renal osteodystrophy in chronic renal failure, Osteodystrophy in chronic renal failure

R12 Heartburn

R29.0 Theta

Latent tetany

T78.4 Allergy, unspecified

Allergic reactions to insulin, Allergic reactions to insect stings, Allergic reactions similar to systemic lupus erythematosus, Allergic diseases, Allergic diseases of mucous membranes, Allergic diseases and conditions resulting from increased release of histamine, Allergic diseases of mucous membranes, Allergic symptoms, Allergic symptoms in the mucous membranes, Allergic reactions, Allergic reactions caused by insect bites, Allergic reactions, Allergic conditions, Allergic laryngeal edema, allergopathy, allergic conditions, Allergy, House dust allergy, Anaphylaxis, Cutaneous reactions to medications, Skin reaction to insect stings, Cosmetic allergy, Drug allergy, Acute allergic reaction, Laryngeal edema allergic genesis and background radiation, Food and drug allergy

Z72.4 Unacceptable diet and bad habits in nutrition

Inadequate nutrition, Irregular nutrition, Unbalanced diets, Dyspepsia due to unusual food or overeating, Long-term dietotherapy, Prolonged or low-calorie diets, Gastrointestinal disorders due to a violation of diet, Binge eating, Food poisoning, Errors in the diet, Compliance with diets, Compliance with a strict diet, Special diets

CAS 471-34-1

Characteristics of Calcium carbonate

Powder or crystals of white color without odor and taste. Virtually nerastvorim in water, soluble in diluted hydrochloric and nitric acids with the release of carbon dioxide. Contains 40% calcium.


Pharmacological action - replenishing calcium deficiency, antiulcer, antacid.

Neutralizes hydrochloric acid and reduces the acidity of gastric juice. Acts quickly, but upon the termination of the buffer effect, there is an increase in the secretion of gastric juice. Normalizes the electrolyte balance. Inhibits the activity of osteoclasts and inhibits the resorption of bone tissue.

Application of Calcium carbonate

Giperacidnost gastric juice and gastrointestinal diseases that occur on its background (acute gastritis, chronic gastritis in the acute phase, acute duodenitis, peptic ulcer of the stomach and duodenum in the acute phase, symptomatic ulcers of various genesis, erosion of the mucous membrane of the gastrointestinal tract, reflux esophagitis, heartburn after excess consumption of ethanol, nicotine, coffee, drug intake, inaccuracies in the diet); osteoporosis, incl. postmenopausal; rickets and caries in children (prevention and treatment); osteomalacia, tetany; increased need for calcium (pregnancy, breast-feeding, period of intensive growth in children, etc.); hypocalcemia (with increased excretion or reduced absorption, with long-term treatment of HA, hypoparathyroidism, renal osteodystrophy); allergic reactions (ancillary treatment).


Hypersensitivity, hypercalcemia (hyperparathyroidism, vitamin D overdose, bone metastases), hypercalciuria, nephrourolythiasis, chronic renal failure, multiple myeloma, sarcoidosis, phenylketonuria.

Side effects

Allergic reactions, dyspeptic phenomena (epigastric pain, flatulence, nausea, constipation / diarrhea), secondary enhancement of gastric secretion, hypercalcemia (at a dose of more than 2 g of calcium per day).


Symptoms: hypercalcemia or milk-alkaline syndrome (with a dose of more than 2 grams of calcium per day) - headache, weakness, anorexia (up to anorexia), nausea, vomiting, constipation, abdominal pain, thirst, polyuria, lethargy, pain in muscles and joints, heart rhythm disturbance, kidney damage.

Treatment: gastric lavage, the appointment of activated charcoal, symptomatic therapy, maintenance of vital functions.

Routes of administration


Precautions for Calcium carbonate

With prolonged treatment, it is necessary to monitor the concentration of Ca + in the urine.

In large doses, especially against a background of a diary diet, can cause hypercalcemia or a milk-alkaline syndrome.

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