ical 560mg Tablet: Complete Guide to Uses, Side Effects, and Safety
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Severe abdominal pain or constipation that does not improve
- Confusion, drowsiness, or lethargy
- Increased thirst and frequent urination
- Irregular heartbeat or palpitations
- Blood in urine or severe flank pain
- Swelling of face, lips, or throat, or difficulty breathing
- Yellowing of skin or eyes (jaundice)
If experiencing severe symptoms, call emergency services immediately.
What is ical 560mg tablet used for?
This medicine is a calcium supplement used to prevent and treat calcium deficiency, support bone health, and manage conditions like osteoporosis. It provides 560 mg of elemental calcium per tablet and is taken orally with food.
- Generic Name: Calcium (560mg)
- Manufacturer: Aspire Pharma
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 ical 560mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा कैल्शियम की कमी को पूरा करने के लिए दी जाती है। यह हड्डियों और दांतों को मजबूत बनाने में मदद करती है। ऑस्टियोपोरोसिस, रिकेट्स, और हाइपोकैल्सीमिया जैसी स्थितियों में इसका उपयोग किया जाता है। यह मांसपेशियों के कार्य, तंत्रिका संचरण, और रक्त के थक्के बनने में भी महत्वपूर्ण भूमिका निभाती है। जिन लोगों को आहार से पर्याप्त कैल्शियम नहीं मिलता, उनके लिए यह दवा फायदेमंद है।
साइड इफेक्ट्स: आम दुष्प्रभावों में कब्ज, पेट फूलना, मतली, और गैस शामिल हैं। ये आमतौर पर हल्के होते हैं और भोजन के साथ दवा लेने से कम हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन हाइपरकैल्सीमिया (रक्त में अत्यधिक कैल्शियम) हो सकता है, जिससे भ्रम, नींद, प्यास, बार-बार पेशाब, और अनियमित दिल की धड़कन हो सकती है। गुर्दे की पथरी का खतरा भी हो सकता है। किसी भी गंभीर लक्षण पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। एक बार में एक गोली, पूरे गिलास पानी के साथ, भोजन के साथ लें। दिन में पर्याप्त पानी पिएं। अन्य दवाओं जैसे आयरन, टेट्रासाइक्लिन, या थायरॉइड हार्मोन के साथ लेने से पहले कम से कम 2 घंटे का अंतराल रखें। गुर्दे की बीमारी या पथरी की समस्या हो तो डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें।
💊 ical 560mg tablet Uses & Benefits
[{"condition":"Calcium deficiency","description":"Used to prevent and treat low blood calcium levels (hypocalcemia) when dietary intake is insufficient.","evidence":"Well-established"},{"condition":"Osteoporosis prevention and treatment","description":"Supports bone health and reduces fracture risk when combined with vitamin D and other therapies.","evidence":"Well-established"},{"condition":"Osteomalacia and rickets","description":"Helps correct bone softening due to calcium and vitamin D deficiency.","evidence":"Well-established"},{"condition":"Postmenopausal bone loss","description":"Calcium supplementation helps slow bone loss in postmenopausal women.","evidence":"Well-established"},{"condition":"Dietary calcium insufficiency","description":"Supplementation for individuals who cannot meet daily calcium requirements through diet alone.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Premenstrual syndrome (PMS)","description":"Some studies suggest calcium may reduce PMS symptoms, but evidence is not definitive.","evidence":"Limited"},{"condition":"Colorectal cancer prevention","description":"Observational studies suggest a possible protective effect, but clinical trials are inconclusive.","evidence":"Limited"},{"condition":"Weight management","description":"Calcium may slightly affect fat metabolism, but evidence is weak and not a primary use.","evidence":"Limited"}]
Primary treatment for: Calcium deficiency
Also treats: Osteoporosis, Osteomalacia, Rickets, Hypocalcemia, Postmenopausal bone loss
📋 Drug Information
| Generic Name(s) | Calcium (560mg) |
| Brand Name | ical 560mg tablet |
| Manufacturer | Aspire Pharma |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | VITAMINS MINERALS NUTRIENTS |
| Action Class | Minerals |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Keep in a dry place, away from direct sunlight and moisture. Do not refrigerate unless specified. Keep in the original container, tightly closed. |
| Shelf Life | 24 months from the date of manufacture, unless otherwise stated on the packaging. |
| WHO Guideline | The World Health Organization recommends adequate calcium intake for all age groups. For adults, the recommended daily intake is 1000-1200 mg of calcium. Calcium supplementation is recommended when dietary intake is insufficient. |
| ICMR Guideline | The Indian Council of Medical Research recommends a daily calcium intake of 1000 mg for adults. For postmenopausal women and the elderly, 1200 mg per day is advised. Calcium supplements may be prescribed when dietary intake is inadequate. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
Calcium is an essential mineral that plays a critical role in numerous physiological processes. When taken orally, this medicine provides elemental calcium, which is absorbed primarily in the duodenum and proximal jejunum. Calcium ions are vital for bone mineralization, muscle contraction, nerve impulse transmission, blood coagulation, and cellular signaling. In bone, calcium combines with phosphate to form hydroxyapatite crystals, providing structural strength. When dietary calcium is insufficient, supplemental calcium helps maintain normal serum calcium levels by either being deposited into bone or by regulating parathyroid hormone (PTH) secretion. This medicine does not directly act on a specific receptor but rather replenishes the body's calcium pool, which is tightly regulated by PTH, calcitonin, and vitamin D.
Mechanism Steps
💡 How to Take ical 560mg tablet
Strength: Each immediate-release tablet contains 560 mg of elemental calcium.
Dosage Information
| Adult Dosage | The typical adult dose of this medicine is one tablet (560 mg elemental calcium) taken orally once or twice daily, depending on the indication and dietary calcium intake. The maximum recommended daily dose is usually 1000-1200 mg of elemental calcium from all sources. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and serum calcium levels. Take with meals to enhance absorption and reduce stomach upset. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children. |
| Elderly Dosage | Elderly patients may require calcium supplementation to prevent osteoporosis. The usual adult dose can be used, but renal function should be monitored. Dose adjustment may be necessary in patients with impaired kidney function. |
| Renal Impairment | In patients with mild to moderate renal impairment, no dosage adjustment is usually required, but serum calcium and renal function should be monitored. In severe renal impairment (creatinine clearance <30 mL/min), calcium supplementation should be used with caution and only under medical supervision. Dose reduction may be necessary. |
| Hepatic Impairment | No dosage adjustment is required in patients with hepatic impairment. |
| Maximum Daily Dose | The maximum recommended daily dose of elemental calcium from all sources is 2000-2500 mg for adults, but the safe upper limit for supplemental calcium is often considered 1000-1200 mg per day unless otherwise directed by a physician. Do not exceed the dose prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of ical 560mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Tetracycline | Major | |
| Fluoroquinolones | Major | |
| Levothyroxine | Major | |
| Iron supplements | Moderate | |
| Thiazide diuretics | Moderate | |
| Loop diuretics | Moderate | |
| Corticosteroids | Moderate | |
| Aluminum-containing antacids | Minor | |
| Sodium bicarbonate | Minor | |
| Caffeine | Minor |
🚨 Major Interactions
- Tetracycline antibiotics (e.g., doxycycline, tetracycline)
- Fluoroquinolone antibiotics (e.g., ciprofloxacin, levofloxacin)
- Levothyroxine
- Iron supplements
⚡ Moderate Interactions
- Thiazide diuretics
- Loop diuretics
- Corticosteroids
🍷 Alcohol Interaction
Alcohol may impair calcium absorption and increase urinary calcium excretion. Chronic heavy alcohol use can lead to bone loss and increase the risk of osteoporosis. It is advisable to limit alcohol consumption while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypercalcemia (high blood calcium levels)","Hypercalciuria (high urine calcium levels)","Severe renal impairment or kidney failure","History of calcium-containing kidney stones","Hypersensitivity to calcium salts or any component of the tablet","Sarcoidosis (may increase risk of hypercalcemia)"]
⚠️ Warnings & Precautions
["Do not exceed the recommended dose without medical supervision.","Use with caution in patients with a history of kidney stones.","Monitor serum calcium levels during long-term therapy.","Avoid concurrent use with other calcium-containing products.","Consult a doctor before use if you have heart disease, kidney disease, or sarcoidosis.","Keep out of reach of children.","Inform your doctor if you are pregnant or breastfeeding."]
🤱 Lactation Safety
Calcium is excreted in breast milk and is considered safe during breastfeeding. The recommended daily intake for lactating women is 1000-1300 mg. This medicine can be used to meet increased calcium demands during lactation. Consult your doctor for appropriate dosing.
💊 Overdose Management
Overdose of calcium can lead to hypercalcemia, which may cause symptoms such as nausea, vomiting, confusion, increased thirst, frequent urination, and irregular heartbeat. In severe cases, it can lead to coma and cardiac arrest. If you suspect an overdose, seek immediate medical attention. Treatment may include discontinuation of calcium, intravenous fluids, and medications to lower calcium levels (e.g., calcitonin, bisphosphonates).
⏰ 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
Take this medicine exactly as directed by your doctor or as indicated on the label. Do not exceed the recommended dose. Swallow the tablet whole with a full glass of water, preferably with meals to enhance absorption and reduce stomach upset. Maintain adequate hydration throughout the day. Avoid taking this medicine within 2 hours of other medications such as iron supplements, tetracycline antibiotics, or thyroid hormones, as calcium can interfere with their absorption. If you have a history of kidney stones, kidney disease, or high blood calcium, consult your doctor before use. Regular monitoring of calcium levels may be necessary during long-term therapy. Keep this medicine out of reach of children. Do not use if the seal is broken or if the tablet is discolored. Inform your doctor about all other medications and supplements you are taking.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of calcium deficiency and osteoporosis. This medicine can help maintain bone health, but renal function should be monitored. The dose may need adjustment based on kidney function. Fall prevention strategies are also important.
🤰 Pregnancy Planning (TTC)
Adequate calcium intake is important before and during pregnancy. If you are planning pregnancy, consult your doctor about your calcium needs. This medicine may be continued under medical supervision.
🏥 Post-Surgery Considerations
After surgery, calcium levels may be affected. Consult your doctor before resuming this medicine, especially if you have had surgery affecting the parathyroid glands or kidneys.
🦷 Dental Procedures
Calcium supplements do not interfere with dental procedures. However, inform your dentist about all medications you are taking. Maintain good oral hygiene as calcium is essential for dental health.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Weight-bearing exercises are beneficial for bone health while taking this medicine. However, if you have osteoporosis or are at risk of fractures, consult your doctor before starting a new exercise regimen. Avoid high-impact activities if you have joint or bone pain.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine does not typically affect your ability to work or drive. However, if you experience side effects like dizziness or confusion (rare), avoid driving or operating heavy machinery until you feel normal.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor, especially if it was prescribed for a chronic condition like osteoporosis. If you experience severe side effects, contact your doctor immediately. They may adjust the dose or recommend an alternative.
📅 Long-Term Use Effects
Long-term use of this medicine at recommended doses is generally safe. However, excessive intake can lead to hypercalcemia, kidney stones, and soft tissue calcification. Regular monitoring of serum calcium and renal function is advised for individuals on high doses or with kidney disease. Prolonged high-dose calcium supplementation without vitamin D may not be effective for bone health. Always follow your doctor's guidance for long-term use.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Increasing intake of calcium-rich foods can help meet daily requirements without supplements.
Evidence: Well-establishedVitamin D enhances calcium absorption and is often recommended alongside calcium.
Evidence: Well-establishedRegular exercise helps maintain bone density and complements calcium supplementation.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are 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
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after expiry date
✈️ Traveling with This Medicine
When traveling, 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 crossing time zones, continue taking your doses at regular intervals as prescribed. Check customs regulations for carrying supplements. Keep enough supply for your trip and consider carrying a few extra doses in case of delays.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts replenishing calcium levels within hours, but effects on bone density may take months of consistent use.
A: It is best taken with food to enhance absorption and reduce stomach upset.
A: Take it as soon as you remember, but if it's almost time for your next dose, skip the missed dose and continue with your regular schedule.
A: Avoid taking this medicine with oxalate-rich foods like spinach and rhubarb, as they can reduce calcium absorption.
A: Consult your doctor before combining with other supplements, especially those containing calcium or vitamin D.
🤔 Common Patient Concerns
🔄 Substitutes for ical 560mg tablet
View AllAlternative brands with exact same active ingredient:
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Calcium supplements can cause kidney stones in everyone.
Fact: Kidney stones are a rare side effect and mainly occur in individuals with a history of stones or excessive calcium intake. - Myth: Calcium supplements are only for women.
Fact: Both men and women need adequate calcium for bone health. Men may also require supplements if dietary intake is insufficient. - Myth: You can take calcium supplements at any time without food.
Fact: Taking calcium with food enhances absorption and reduces stomach upset.
🔄 Alternative Options
Generic Alternatives
- Calcium carbonate 560 mg tablet
- Calcium citrate 560 mg tablet
Brand Alternatives
- ical 560mg tablet