cf-ccm tablet - Calcium Citrate Malate (250mg) + Vitamin D3 (100IU) medicine

Calcigiant CCM Tablet: Complete Guide to Uses, Dosage, and Safety

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🏭 Conceptive Farmacia Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 21, 2026
⚠️ Nephrotoxicity Risk 🤰 Pregnancy Category Calcium and vitamin D3 are considered safe and essential during pregnancy when taken at recommended doses. Adequate calcium intake is crucial for fetal skeletal development and maternal bone health. However, excessive doses should be avoided. Always consult your healthcare provider before starting any supplement during pregnancy. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
12 min read
Evidence: Well-established for calcium and vitamin D supplementation in deficiency states and bone health.
Reviewed by
SaathiMed Expert Panel | Oct 21, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Excessive thirst or frequent urination
  • Confusion or altered mental status
  • Severe muscle weakness or bone pain
  • Blood in urine or severe flank pain
  • Swelling of face, lips, or throat
  • Difficulty breathing or rash
  • Persistent nausea or vomiting

If experiencing severe symptoms, call emergency services immediately.

What is cf-ccm tablet used for?

This medicine is a calcium and vitamin D3 supplement used to treat or prevent calcium deficiency and support bone health. It is taken orally, usually once daily with food.

  • Generic Name: Calcium Citrate Malate + Vitamin D3
  • Manufacturer: Conceptive Farmacia Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 cf-ccm tablet के बारे में (Hindi Summary)

उपयोग: यह दवा कैल्शियम और विटामिन डी3 की कमी को पूरा करने के लिए दी जाती है। यह हड्डियों को मजबूत बनाने, ऑस्टियोपोरोसिस और ऑस्टियोमलेशिया के इलाज में सहायक होती है। गर्भावस्था और स्तनपान के दौरान भी यह दवा डॉक्टर की सलाह पर ली जा सकती है। यह मांसपेशियों की ऐंठन और हड्डियों के दर्द में राहत देने में मदद करती है।

साइड इफेक्ट्स: आमतौर पर यह दवा सही तरीके से लेने पर सुरक्षित मानी जाती है। कुछ लोगों को कब्ज, पेट में गैस, जी मिचलाना, दस्त या पेट में हल्की तकलीफ हो सकती है। ये लक्षण आमतौर पर अस्थायी होते हैं और भोजन के साथ दवा लेने से कम हो जाते हैं। कभी-कभी मुंह में धातु जैसा स्वाद या भूख में कमी हो सकती है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अत्यधिक प्यास, बार-बार पेशाब, भ्रम या मांसपेशियों में कमजोरी हो तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। खुराक से अधिक न लें। गोली को पानी के साथ पूरा निगलें, भोजन के साथ लेना बेहतर होता है। पर्याप्त पानी पिएं। अगर आपको किडनी की पथरी, किडनी रोग या रक्त में कैल्शियम की अधिकता है तो डॉक्टर को बताएं। आयरन सप्लीमेंट, एंटासिड या कुछ एंटीबायोटिक्स के साथ इस दवा को एक साथ न लें। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें। धूप और नमी से बचाएं।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 cf-ccm tablet Uses & Benefits

[{"condition":"Calcium deficiency","description":"Used to treat or prevent low calcium levels in the body, which can lead to bone weakness and muscle cramps.","evidence":"Well-established"},{"condition":"Osteoporosis","description":"Supports bone mineral density when used as an adjunct to other treatments and adequate dietary calcium.","evidence":"Well-established"},{"condition":"Osteomalacia and rickets","description":"Helps in the correction of defective bone mineralization due to calcium and vitamin D deficiency.","evidence":"Well-established"},{"condition":"Pregnancy and lactation","description":"Provides supplemental calcium to meet increased demands during pregnancy and breastfeeding.","evidence":"Well-established"},{"condition":"Postmenopausal bone health","description":"Helps reduce bone loss in postmenopausal women when combined with other measures.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Premenstrual syndrome (PMS)","description":"Sometimes used to alleviate symptoms of PMS, though evidence is mixed.","evidence":"Limited"},{"condition":"Colorectal cancer prevention","description":"Calcium supplementation has been studied for reducing colorectal cancer risk, but it is not a standard preventive measure.","evidence":"Limited"}]

Primary treatment for: Calcium and vitamin D deficiency

Also treats: Osteoporosis, Osteomalacia, Rickets, Pregnancy-related calcium deficiency

📋 Drug Information

Generic Name(s)Calcium Citrate Malate + Vitamin D3
Brand NameAdorcal-CC Tablet
ManufacturerConceptive Farmacia Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassVITAMINS MINERALS NUTRIENTS
Action ClassVitamins and Minerals
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a cool, dry place. Protect from direct sunlight and moisture. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineThe World Health Organization recommends adequate calcium and vitamin D intake for bone health, but specific recommendations for this combination product are not established from available information.
ICMR GuidelineThe Indian Council of Medical Research recommends daily calcium intake of 600 mg for adults and higher for pregnant and lactating women. This medicine can help meet those requirements when dietary intake is insufficient.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with a meal to enhance absorption and reduce stomach upset.
2
Maintain a gap of at least 2 hours between this medicine and other medications like antibiotics or iron supplements.
3
Stay well hydrated to help prevent constipation and kidney stones.
4
Do not exceed the recommended dose unless advised by your doctor.
5
Inform your doctor if you have a history of kidney stones or kidney disease.
6
Regular monitoring of calcium levels may be needed if you are on long-term therapy.
7
Consult your doctor if you experience symptoms of hypercalcemia such as excessive thirst or frequent urination.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Muscle cramps
This medicine is commonly prescribed for calcium deficiency-related cramps.
Likely Use
✅
Bone pain
May be used as part of management for bone pain due to calcium deficiency.
Likely Use
❌
Fever
This medicine is not a fever reducer.
Not Primary
❌
Headache
Not a primary treatment for headache.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionCalcium citrate malate is absorbed in the small intestine by both active and passive mechanisms. Its absorption is less dependent on gastric acid compared to calcium carbonate, making it effective even in achlorhydria. Vitamin D3 is absorbed in the presence of bile salts and dietary fat.
DistributionCalcium is distributed primarily to bones and teeth, with smaller amounts in extracellular fluids and soft tissues. Vitamin D3 and its metabolites are transported in the blood bound to vitamin D-binding protein and distributed to target tissues such as intestine, bone, kidney, and parathyroid glands.
Protein BindingCalcium is approximately 40% bound to plasma proteins, mainly albumin. Vitamin D metabolites are highly bound to vitamin D-binding protein.
MetabolismCalcium is not metabolized. Vitamin D3 undergoes hydroxylation in the liver to 25-hydroxyvitamin D and further in the kidneys to 1,25-dihydroxyvitamin D, the active form.
Half-LifeCalcium is eliminated primarily via the kidneys and gastrointestinal tract; its half-life is not applicable. The half-life of 25-hydroxyvitamin D is approximately 2-3 weeks, while that of 1,25-dihydroxyvitamin D is about 4-6 hours.
ExcretionUnabsorbed calcium is excreted in the feces. Absorbed calcium is excreted mainly in urine and to a lesser extent in feces. Vitamin D metabolites are excreted in bile and urine.
BioavailabilityThe bioavailability of calcium from calcium citrate malate is approximately 30-35% under normal conditions, which is higher than that of calcium carbonate. Vitamin D3 bioavailability is enhanced when taken with a fat-containing meal.
Onset of ActionThe onset of action for calcium supplementation is gradual, typically taking several days to weeks to affect serum calcium levels and bone turnover markers.
Peak Plasma TimeSerum calcium levels peak approximately 2-4 hours after oral administration. Vitamin D3 levels peak later, with 25-hydroxyvitamin D reaching maximum levels after several weeks of consistent intake.
Duration of ActionThe effect on calcium homeostasis lasts for about 12-24 hours after a single dose, but the benefits on bone health require continuous supplementation.

How It Works

This medicine combines calcium citrate malate, a highly soluble form of calcium, with vitamin D3 (cholecalciferol). Calcium is a vital mineral that provides structural strength to bones and teeth and plays a role in muscle contraction, nerve transmission, and blood clotting. Vitamin D3 enhances the active absorption of calcium from the small intestine by promoting the synthesis of calcium-binding proteins. It also helps regulate calcium homeostasis by influencing parathyroid hormone levels and renal calcium reabsorption. The citrate malate salt of calcium is absorbed well even in low gastric acid conditions, making it suitable for individuals with reduced stomach acid. Together, these components help maintain adequate calcium levels and support bone health.

Mechanism Steps

1
Calcium dissolution and ionization: Calcium citrate malate dissolves readily in the gastrointestinal tract, releasing calcium ions that are available for absorption.
2
Vitamin D3 activation: Vitamin D3 is converted in the liver to 25-hydroxyvitamin D and then in the kidneys to its active form, 1,25-dihydroxyvitamin D, which regulates calcium absorption.
3
Enhanced intestinal absorption: Active vitamin D increases the production of calcium-binding proteins in the intestinal lining, facilitating the transport of calcium into the bloodstream.
4
Calcium homeostasis: Increased calcium levels suppress parathyroid hormone release, reducing bone resorption and promoting bone formation.
5
Bone mineralization: Calcium and phosphate are deposited into the bone matrix, maintaining bone strength and density.

💡 How to Take cf-ccm tablet

Strength: Calcium Citrate Malate 250 mg + Vitamin D3 100 IU immediate-release tablet.

1Swallow the tablet whole with a full glass of water.
2Take it with a meal to improve absorption and reduce stomach upset.
3Do not crush, chew, or break the tablet unless advised by your doctor.
4Follow the dosage schedule prescribed by your healthcare provider.
5If you are also taking other medications, maintain a gap of at least 2 hours as advised.

Dosage Information

Adult DosageThe usual adult dose is one tablet daily or as directed by a physician. The dose may be adjusted based on individual requirements, dietary intake, and medical condition. It is best taken with a meal to enhance absorption and minimize stomach upset. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children.
Elderly DosageElderly patients may require the same dose as adults, but should be monitored for renal function and calcium levels. Dose adjustments may be necessary in case of renal impairment.
Renal ImpairmentUse with caution in patients with renal impairment. Dose reduction may be required. Consult a nephrologist or physician for individualized dosing.
Hepatic ImpairmentNo specific dose adjustment is recommended for hepatic impairment, but monitoring is advised.
Maximum Daily DoseThe maximum daily dose should not exceed the recommended allowance unless prescribed by a doctor. Typically, up to 1000-1200 mg of elemental calcium per day from all sources is considered safe for most adults.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Enhances absorption and reduces stomach upset.
Oxalate-rich foods (spinach, rhubarb)
Avoid taking together
Oxalates can bind calcium and reduce absorption.
Phytate-rich foods (whole grains, bran)
Separate by 2 hours
Phytates can interfere with calcium absorption.
Caffeine
Limit intake
High caffeine can increase calcium excretion.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of cf-ccm tablet

✅ Common Side Effects

Constipation (Common (5-10%))
Increase dietary fiber and water intake. Consult doctor if persistent.
Bloating (Common (5-10%))
Take with food and avoid carbonated drinks. Usually resolves on its own.
Nausea (Common (5-10%))
Take with a meal. If nausea persists, consult your doctor.
Diarrhea (Uncommon (1-5%))
Stay hydrated. If diarrhea is severe or persistent, seek medical advice.
Stomach upset (Common (5-10%))
Take with food to minimize discomfort.

🚨 Serious Side Effects

Hypercalcemia (Rare (<0.1%))
Seek immediate medical attention if you experience excessive thirst, frequent urination, confusion, or muscle weakness.
Kidney stones (Rare (<0.1%))
Report severe flank pain, blood in urine, or painful urination to your doctor immediately.
Severe allergic reaction (Rare (<0.1%))
Discontinue use and seek emergency care if you develop rash, itching, swelling of face or throat, or difficulty breathing.

⚠️ Rare Side Effects

Metallic taste
Usually resolves with continued use. Consult doctor if bothersome.
Loss of appetite
Monitor and consult doctor if it persists.
Muscle weakness
Report to doctor immediately as it may indicate hypercalcemia.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Tetracycline Major
Fluoroquinolone Major
Levothyroxine Major
Thiazide diuretics Major
Iron supplements Moderate
Aluminum-containing antacids Moderate
Corticosteroids Moderate
Bisphosphonates Minor
Sodium fluoride Minor
Alcohol Moderate

🚨 Major Interactions

  • Tetracycline antibiotics
  • Fluoroquinolone antibiotics
  • Levothyroxine
  • Thiazide diuretics

⚡ Moderate Interactions

  • Iron supplements
  • Antacids containing aluminum
  • Corticosteroids

🍷 Alcohol Interaction

Alcohol may impair calcium absorption and bone health. It is advisable to limit alcohol consumption while taking this medicine. Chronic heavy alcohol use can worsen bone loss and increase the risk of fractures.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypercalcemia (high blood calcium levels)","Hypercalciuria (high urinary calcium excretion)","Severe renal impairment or kidney stones","Hypersensitivity to any component of the medicine","Sarcoidosis (may increase risk of hypercalcemia)"]

⚠️ Warnings & Precautions

["Use with caution in patients with a history of kidney stones.","Avoid concurrent use with other calcium or vitamin D supplements without medical advice.","Monitor calcium levels in patients with renal impairment or those on thiazide diuretics.","Do not exceed the recommended dose.","Consult a doctor before use if you are pregnant, breastfeeding, or have any chronic illness.","Keep out of reach of children."]

🤱 Lactation Safety

Calcium and vitamin D3 are safe during breastfeeding and are often recommended to meet the increased nutritional demands. They pass into breast milk in amounts that are beneficial for the infant. Consult your doctor for the appropriate dose.

💊 Overdose Management

Overdose of this medicine can lead to hypercalcemia, which may present with symptoms such as nausea, vomiting, excessive thirst, frequent urination, confusion, and cardiac arrhythmias. If overdose is suspected, seek immediate medical attention. Treatment is supportive and may include discontinuation of the supplement, hydration, and in severe cases, medications to lower calcium levels. Hemodialysis may be required in extreme cases.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose. Swallow the tablet whole with a glass of water, preferably with a meal to enhance absorption and reduce stomach upset. Maintain adequate hydration throughout the day. Inform your doctor if you have a history of kidney stones, kidney disease, or high blood calcium levels. Avoid taking this medicine at the same time as iron supplements, antacids containing aluminum or magnesium, or certain antibiotics such as tetracyclines and fluoroquinolones, as they may interfere with absorption. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this product. Keep this medicine out of the reach of children. Store it in a cool, dry place away from direct sunlight. Do not use it beyond the expiry date. Regular monitoring of calcium levels may be required if you are on long-term therapy or have underlying health conditions.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to hypercalcemia and renal impairment. Regular monitoring of calcium levels and kidney function is recommended. Dose adjustments may be needed based on renal function.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, ensure adequate calcium and vitamin D intake. This medicine can be continued under medical supervision. Consult your doctor for personalized advice.

🏥 Post-Surgery Considerations

After surgery, calcium and vitamin D supplementation may be beneficial for bone healing, but follow your surgeon's instructions. Do not self-medicate.

🦷 Dental Procedures

No specific precautions for dental procedures. Inform your dentist about all medications you are taking.

💚 Lifestyle Tips for Better Results

🏃
Maintain a balanced diet rich in calcium and vitamin D.
🥗
Engage in regular weight-bearing exercises like walking or dancing.
😴
Avoid smoking and limit alcohol consumption.
💧
Get adequate sunlight exposure for natural vitamin D synthesis.
🧘
Stay hydrated to support kidney function.
🌞
Practice good posture to reduce bone stress.

🏋️ Exercise Considerations

Weight-bearing exercises are beneficial for bone health, but avoid high-impact activities if you have osteoporosis or are at risk of fractures. Consult your doctor before starting any new exercise regimen.

🥗 Diet Recommendations

Include dairy products, leafy greens, and fortified foods in your diet.
Consume fatty fish like salmon for vitamin D.
Limit caffeine and carbonated drinks.
Avoid excessive salt intake as it can increase calcium loss.

💼 Impact on Daily Work & Life

This medicine is unlikely to affect your ability to drive or operate machinery. However, if you experience dizziness or muscle weakness, avoid these activities until you feel better.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor, especially if you are on long-term therapy. Your doctor will determine the appropriate duration based on your condition and calcium levels.

📅 Long-Term Use Effects

Long-term use of this medicine at recommended doses is generally safe and beneficial for bone health. However, excessive intake can lead to hypercalcemia, kidney stones, and renal impairment. Regular monitoring of calcium levels and renal function is advised for individuals on prolonged therapy, especially those with underlying kidney disease.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Dietary calcium

Increasing intake of calcium-rich foods can help meet daily requirements.

Evidence: Well-established
Vitamin D from sunlight

Regular sun exposure can boost endogenous vitamin D production.

Evidence: Well-established
Weight-bearing exercise

Helps maintain bone density and strength.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions between this medicine and vaccines. Continue with your regular vaccination schedule as advised by your doctor.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store it in a cool, dry place away from direct sunlight. If traveling across time zones, continue taking it at your usual meal times. Check customs regulations for supplements before international travel. Keep enough supply for your entire trip.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 55-year-old postmenopausal woman with osteopenia
She was prescribed this medicine along with lifestyle changes. After 6 months, her bone density showed slight improvement and her muscle cramps reduced. She took the tablet regularly with breakfast and stayed active.
💡 Lesson: Consistent use with food and regular exercise can improve bone health outcomes.
👤 A 30-year-old pregnant woman with low dietary calcium intake
Her doctor recommended this supplement to meet the increased calcium demand during pregnancy. She took it with dinner and experienced no major side effects. Her calcium levels remained normal throughout pregnancy.
💡 Lesson: Calcium and vitamin D supplementation during pregnancy is safe and beneficial when taken as prescribed.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: It may take several weeks to months to see improvements in bone health and calcium levels. Consistency is key.

Q: Can I take it on an empty stomach?

A: It is best taken with food to enhance absorption and reduce stomach upset.

Q: Is it safe during pregnancy?

A: Yes, when taken as prescribed by your doctor. It helps meet the increased calcium demands during pregnancy.

Q: What are the signs of too much calcium?

A: Symptoms include excessive thirst, frequent urination, confusion, and muscle weakness. Seek medical help if these occur.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for cf-ccm tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Calcium supplements can be taken on an empty stomach.
    Fact: Calcium supplements are best taken with food to enhance absorption and reduce stomach upset.
  • Myth: More calcium is always better for bones.
    Fact: Excessive calcium can lead to kidney stones and other complications. Stick to the recommended dose.
  • Myth: Calcium supplements alone can cure osteoporosis.
    Fact: Calcium and vitamin D are important, but osteoporosis management often requires additional medications and lifestyle changes.

🔄 Alternative Options

Generic Alternatives

  • Calcium citrate malate + Vitamin D3 tablets from other manufacturers

Brand Alternatives

  • Calcigiant CCM Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Calcium Citrate Malate + Vitamin D3","key_difference":"Better absorbed in low stomach acid","suitable_for":"Individuals with achlorhydria or on acid-reducing medications"},{"medicine":"Calcium Carbonate + Vitamin D3","key_difference":"Requires stomach acid for absorption","suitable_for":"Individuals with normal stomach acid"}]

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