la cal suspension: Calcium and Vitamin D3 Oral Suspension
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Confusion, weakness, or extreme tiredness that is unusual for you
- Increased thirst and frequent urination that does not settle
- Irregular heartbeat, palpitations, or fainting
- Severe back or side pain, blood in urine, or painful urination
- Swelling of the face, lips, tongue, or throat, or difficulty breathing
- Severe nausea, vomiting, or abdominal pain
- Reduced urine output or swelling in the legs
If experiencing severe symptoms, call emergency services immediately.
What is la cal suspension used for?
This medicine is an oral suspension of calcium 250 mg and vitamin D3 125 IU used to support bone health and treat or prevent calcium and vitamin D deficiency. It is taken by mouth with food, and the dose must be individualized by a doctor.
- Generic Name: Calcium (250mg) + Vitamin D3 (125IU)
- Manufacturer: LA Grande Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 la cal suspension के बारे में (Hindi Summary)
उपयोग: यह दवा कैल्शियम और विटामिन डी3 का मिश्रण है, जो हड्डियों और दांतों को मजबूत बनाने, कैल्शियम और विटामिन डी की कमी को पूरा करने में मदद करती है। यह बच्चों, गर्भवती महिलाओं, स्तनपान कराने वाली माताओं और बुजुर्गों में अक्सर सलाह दी जाती है। यह रिकेट्स, ऑस्टियोमलेशिया और ऑस्टियोपोरोसिस में सहायक उपचार के रूप में भी इस्तेमाल की जाती है। इसे भोजन के साथ लेने से कैल्शियम अच्छी तरह अवशोषित होता है और पेट की तकलीफ कम होती है। इस दवा को डॉक्टर की सलाह के बिना न लें और मात्रा से ज्यादा न लें।
साइड इफेक्ट्स: आमतौर पर यह दवा सही मात्रा में लेने पर अच्छी तरह सहन की जाती है। कुछ लोगों को हल्का पेट दर्द, कब्ज, पेट फूलना, जी मिचलाना या मुँह में चॉक जैसा स्वाद महसूस हो सकता है। ये लक्षण आमतौर पर हल्के और अस्थायी होते हैं। कभी-कभी भूख कम लगना, मुँह सूखना, ज्यादा प्यास लगना या बार-बार पेशाब आना हो सकता है। बहुत कम मामलों में कैल्शियम का स्तर बहुत ज्यादा बढ़ सकता है, जिससे कमजोरी, भ्रम या दिल की धड़कन अनियमित हो सकती है। अगर कोई भी लक्षण लंबे समय तक रहे या बढ़े, तो डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर या फार्मासिस्ट द्वारा बताई गई मात्रा और समय पर ही लें। हर बार उपयोग से पहले बोतल को अच्छी तरह हिलाएँ और दवा के साथ दिए गए चम्मच, कप या सिरिंज से ही मात्रा नापें। इसे भोजन के साथ लें, इससे कैल्शियम अच्छी तरह अवशोषित होता है और पेट की तकलीफ कम होती है। बताई गई मात्रा से ज्यादा कभी न लें। अगर आपको किडनी की बीमारी, दिल की बीमारी या किडनी में पथरी की समस्या है, तो डॉक्टर को जरूर बताएं। अन्य दवाओं और सप्लीमेंट्स के बारे में भी डॉक्टर को जानकारी दें। बच्चों की पहुंच से दूर रखें और लेबल पर दिए निर्देशों के अनुसार ही रखें।
💊 la cal suspension Uses & Benefits
[{"condition":"Calcium deficiency","description":"Used to prevent or treat low calcium levels when dietary intake is not sufficient.","evidence":"Well-established"},{"condition":"Vitamin D deficiency","description":"Provides vitamin D3 to support calcium absorption and correct low vitamin D status.","evidence":"Well-established"},{"condition":"Rickets in children","description":"Used as supportive therapy for soft and weak bones caused by vitamin D and calcium deficiency in growing children.","evidence":"Well-established"},{"condition":"Osteomalacia","description":"Supports bone mineralization in adults with soft bones due to poor calcium and vitamin D nutrition.","evidence":"Well-established"},{"condition":"Osteoporosis supportive care","description":"Used alongside other treatments to help maintain calcium and vitamin D levels for bone strength.","evidence":"Well-established"},{"condition":"Pregnancy and breastfeeding support","description":"May be advised when dietary calcium and vitamin D intake is inadequate, as determined by a clinician.","evidence":"Well-established"},{"condition":"Growth support in children","description":"Helps meet increased calcium and vitamin D needs during periods of rapid growth.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Premenstrual syndrome support","description":"Calcium supplements are sometimes used to reduce premenstrual symptoms, but this is not a primary approved use of this combination.","evidence":"Limited"},{"condition":"Colorectal cancer risk reduction","description":"Calcium and vitamin D have been studied for possible risk reduction, but evidence is not sufficient for routine use.","evidence":"Limited"}]
Primary treatment for: Calcium and vitamin D deficiency
Also treats: Rickets, Osteomalacia, Osteoporosis supportive care, Pregnancy-related calcium deficiency, Lactation-related calcium deficiency, Malnutrition with low calcium intake
📋 Drug Information
| Generic Name(s) | Calcium (250mg) + Vitamin D3 (125IU) |
| Brand Name | la cal suspension |
| Manufacturer | LA Grande Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | VITAMINS MINERALS NUTRIENTS |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C in a dry place, away from direct sunlight. Keep the bottle tightly closed and do not freeze. Keep out of reach of children. |
| Shelf Life | Refer to the expiry date printed on the pack. Do not use after the expiry date. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ 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
This medicine works through the combined actions of calcium and vitamin D3. Calcium is an essential mineral that provides the structural material for bones and teeth and is required for normal muscle contraction, nerve conduction, hormone secretion, and blood clotting. Vitamin D3 is converted in the body to its active form, which increases the absorption of calcium and phosphate from the small intestine and helps regulate their levels in blood. By maintaining adequate calcium and phosphate, vitamin D3 supports normal bone mineralization and helps prevent soft or weak bones. When calcium intake is low, the body may draw calcium from bones; providing calcium with vitamin D3 helps reduce this loss and supports bone strength.
Mechanism Steps
💡 How to Take la cal suspension
Strength: Oral suspension containing calcium 250 mg and vitamin D3 125 IU per measured dose.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine depends on the reason it is prescribed, the person's dietary intake, and their calcium and vitamin D status. It is commonly taken once or twice daily with food, but the exact amount and frequency must be individualized by a qualified clinician based on indication, age, weight, kidney function, and liver function. Do not increase the dose on your own, because too much calcium and vitamin D3 can be harmful. Follow the instructions on the label and your doctor's advice. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician for the correct dose, because it depends on the child's age, weight, diet, and medical condition. |
| Elderly Dosage | Older adults often need calcium and vitamin D3 support, but the dose must be individualized by a clinician. Kidney function tends to decline with age, so monitoring may be advised. Do not take extra doses without medical advice. |
| Renal Impairment | People with kidney disease may need a lower dose or may not be able to take this medicine at all, depending on their kidney function and calcium levels. Dose adjustment must be determined by a qualified clinician with appropriate blood and urine tests. |
| Hepatic Impairment | People with liver disease may have difficulty converting vitamin D3 to its active form. The dose must be individualized by a qualified clinician, and monitoring may be needed. |
| Maximum Daily Dose | The maximum daily dose must be determined by a qualified clinician based on the person's age, diet, calcium and vitamin D levels, kidney function, and the reason for use. Do not exceed the prescribed amount. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of la cal suspension
✅ 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 | |
| Ciprofloxacin | Major | |
| Levothyroxine | Major | |
| Bisphosphonates | Major | |
| Thiazide diuretics | Moderate | |
| Iron supplements | Moderate | |
| Zinc supplements | Moderate | |
| Corticosteroids | Moderate | |
| Aluminum-containing antacids | Minor | |
| Caffeine | Minor |
🚨 Major Interactions
- Tetracycline and doxycycline antibiotics
- Fluoroquinolone antibiotics
- Levothyroxine
- Bisphosphonates
⚡ Moderate Interactions
- Thiazide diuretics
- Iron supplements
- Zinc supplements
- Corticosteroids
🍷 Alcohol Interaction
Alcohol can interfere with calcium absorption and vitamin D metabolism, and heavy drinking increases the risk of bone loss and falls. It is best to limit or avoid alcohol while taking this medicine, especially if you have bone or liver problems.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to calcium, vitamin D3, or any ingredient in this medicine","High blood calcium levels (hypercalcemia)","High calcium in urine (hypercalciuria)","Active calcium-containing kidney stones","Severe kidney disease or kidney failure","Sarcoidosis or other conditions that increase vitamin D sensitivity","Hyperparathyroidism unless specifically advised by a doctor"]
⚠️ Warnings & Precautions
["Do not exceed the recommended dose, because too much calcium and vitamin D3 can be harmful.","Use with caution if you have kidney disease, heart disease, or a history of kidney stones.","Tell your doctor if you take antibiotics, thyroid medicines, or bone medicines, because timing of doses may need to be adjusted.","Avoid taking this medicine with large amounts of oxalate-rich or phytate-rich foods at the same time.","Do not use this medicine as a replacement for a balanced diet.","Keep out of reach of children and follow the storage instructions on the label.","If you are pregnant or breastfeeding, use only under medical guidance."]
🤱 Lactation Safety
Calcium and vitamin D3 are considered compatible with breastfeeding when used in recommended amounts. Calcium passes into breast milk in regulated amounts, and vitamin D3 is important for infant bone health. Consult your doctor for the correct dose.
💊 Overdose Management
Taking too much of this medicine can cause high calcium levels, which may lead to nausea, vomiting, increased thirst, frequent urination, confusion, weakness, or irregular heartbeat. If you suspect an overdose, stop the medicine and seek immediate medical attention. Treatment may include stopping the supplement, drinking fluids as advised, and in severe cases, medicines to lower calcium levels. Do not try to treat an overdose at home.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember, provided it is not almost time for the next dose. If it is almost time for the 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 in the amount and frequency advised by your doctor or pharmacist. Shake the bottle well before each use and measure the dose with the supplied spoon, cup, or syringe rather than a household spoon. Taking this medicine with food improves calcium absorption and reduces stomach upset. Do not take more than the recommended daily amount, because extra calcium and vitamin D3 can be harmful. Keep all follow-up appointments and blood tests, especially if you have kidney disease, heart disease, or a history of kidney stones. Tell your doctor about all other medicines, supplements, and vitamin products you use, because calcium can affect how some medicines are absorbed. Store this medicine out of the reach of children and follow the storage instructions on the label. If you are pregnant, planning pregnancy, or breastfeeding, use this medicine only under medical guidance.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults are more likely to have low calcium and vitamin D levels and may benefit from this medicine. However, kidney function declines with age, so the dose must be individualized and monitored. Older adults should also take steps to prevent falls and maintain bone strength through diet and exercise.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, discuss your calcium and vitamin D needs with your doctor. Adequate levels before conception support both maternal and fetal health. Do not start or change the dose of this medicine without medical advice.
🏥 Post-Surgery Considerations
After surgery, your doctor will decide whether you need calcium and vitamin D supplementation based on your diet, blood tests, and recovery plan. Do not start this medicine on your own after surgery. Follow your surgical team's instructions about food, fluids, and medicines.
🦷 Dental Procedures
This medicine does not usually interfere with dental procedures. However, tell your dentist about all medicines and supplements you take. If you are having dental surgery, follow your doctor's advice about continuing or pausing supplements.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Regular physical activity is good for bone health, but avoid excessive high-impact exercise if you have weak bones or joint problems. If you have kidney stones or kidney disease, ask your doctor about safe fluid intake during exercise. Stop exercising and seek medical advice if you develop severe pain, dizziness, or palpitations.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine is unlikely to affect your ability to work or drive. However, if you feel dizzy, weak, or unwell, avoid driving or operating heavy machinery until you feel better. Take it with food to reduce stomach upset during working hours.
🛑 When to Stop This Medicine
Do not stop this medicine without talking to your doctor, especially if it was prescribed for a deficiency or bone condition. If you develop side effects such as severe stomach upset, signs of high calcium levels, or an allergic reaction, stop the medicine and seek medical advice immediately. Your doctor will decide whether to adjust the dose or stop it based on your condition and test results.
📅 Long-Term Use Effects
Long-term use of this medicine at recommended doses is generally safe and helps maintain bone health. However, excessive intake over a long period can lead to high calcium levels, kidney stones, and kidney damage. Regular monitoring of calcium levels and kidney function may be advised, especially in older adults and people with kidney disease. Your doctor may adjust or stop the dose based on your test results and clinical condition.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Increasing intake of dairy, leafy greens, fortified foods, and safe sunlight exposure can help maintain calcium and vitamin D levels.
Evidence: Well-establishedRegular walking, dancing, or light strength training supports bone strength alongside supplementation.
Evidence: Well-establishedCalcium citrate may be better absorbed in some people, especially those with low stomach acid.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and routine vaccines. Continue your usual vaccination schedule as advised by your doctor.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C
❌ DON'T
Do not freeze or refrigerate unless the label says so
✅ DO
Keep the bottle tightly closed and upright
❌ DON'T
Do not leave the cap loose or store the bottle upside down
✅ DO
Keep away from direct sunlight and heat
❌ DON'T
Do not store near a stove, heater, or in a hot car
✅ DO
Keep out of reach of children
❌ DON'T
Do not transfer to unmarked containers
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with the label intact, and keep a copy of your prescription or doctor's note, especially for international travel. Store it at room temperature and protect it from direct sunlight and extreme heat. If you are crossing time zones, continue your usual dosing schedule as closely as possible, and ask your doctor or pharmacist if you need to adjust the timing. Keep the bottle upright to prevent leakage, and pack it in your hand luggage if you need it during the journey. Check local customs rules for carrying medicines before you travel.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine is not for quick symptom relief. It gradually improves calcium and vitamin D levels over days to weeks of regular use. Follow-up blood tests may be done to check your levels.
A: Yes, it can generally be taken with milk or dairy products. Milk provides extra calcium, and taking this medicine with food improves absorption. Follow your doctor's advice.
A: Some antibiotics, such as tetracyclines and fluoroquinolones, can bind to calcium and become less effective. Separate the doses by at least 2 hours, or as advised by your doctor.
A: Calcium and vitamin D3 are generally considered safe in recommended amounts during pregnancy, but you should use this medicine only under medical guidance because your needs may be different.
A: Too much calcium and vitamin D3 can cause high calcium levels, which may lead to nausea, increased thirst, frequent urination, confusion, or irregular heartbeat. Seek medical help if you suspect an overdose.
🤔 Common Patient Concerns
🔄 Substitutes for la cal suspension
View AllAlternative brands with exact same active ingredient:
-
calcilac tabletVostok & Wilcure Remedies ₹11.00 80.4% CHEAPER
-
calcal tabletParke Davis India Ltd ₹11.47 79.6% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: More calcium always means stronger bones.
Fact: Excess calcium can be harmful and may cause kidney stones or high calcium levels. The right amount, as advised by a doctor, is what matters. - Myth: This medicine can replace a healthy diet.
Fact: Supplements support but do not replace a balanced diet rich in calcium and vitamin D. - Myth: Calcium supplements can be taken at any time with any medicine.
Fact: Calcium can reduce the absorption of some antibiotics, thyroid medicines, and bone medicines, so timing matters. - Myth: Vitamin D3 in this medicine works immediately.
Fact: The effects on calcium and vitamin D levels develop gradually over days to weeks of regular use.
🔄 Alternative Options
Generic Alternatives
- Calcium carbonate and vitamin D3 oral suspension
- Calcium citrate and vitamin D3 oral suspension
Brand Alternatives
- la cal suspension