rockbon tablet - Calcium Citrate Malate (250mg) + Calcitriol (0.25mcg) medicine

This Medicine: Complete Guide to Uses, Dosage, and Safety

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🏭 Abbott 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 21, 2026
⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for calcium and vitamin D deficiency 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

  • Severe confusion or drowsiness
  • Irregular or fast heartbeat
  • Severe nausea and vomiting
  • Blood in urine or severe flank pain
  • Decreased urine output
  • Swelling of face, lips, or throat
  • Difficulty breathing

If experiencing severe symptoms, call emergency services immediately.

What is rockbon tablet used for?

This medicine is a prescription tablet that combines Calcium Citrate Malate 250 mg and Calcitriol 0.25 mcg. It is used to treat calcium and vitamin D deficiency, support bone health in osteoporosis, and manage bone loss in chronic kidney disease. It works by improving calcium absorption and regulating bone metabolism. Take it exactly as prescribed, usually once daily with food, and attend regular blood tests.

  • Generic Name: Calcium Citrate Malate (250mg) + Calcitriol (0.25mcg)
  • Manufacturer: Abbott
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 rockbon tablet के बारे में (Hindi Summary)

उपयोग: यह दवा कैल्शियम सिट्रेट मैलेट और कैल्सिट्रियोल का संयोजन है। इसका उपयोग कैल्शियम और विटामिन डी की कमी को पूरा करने, ऑस्टियोपोरोसिस में हड्डियों को मजबूत बनाने, और किडनी रोग से जुड़ी हड्डी की समस्याओं के इलाज में किया जाता है। यह दवा हड्डियों के स्वास्थ्य के लिए बहुत उपयोगी है और डॉक्टर के निर्देशानुसार लेनी चाहिए।

साइड इफेक्ट्स: आमतौर पर यह दवा सही मात्रा में लेने पर अच्छी तरह सहन की जाती है। कुछ लोगों को कब्ज, जी मिचलाना, पेट में हल्की तकलीफ, मुँह सूखना या ज्यादा प्यास लगना जैसी हल्की समस्याएं हो सकती हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर कैल्शियम का स्तर बहुत बढ़ जाए तो भ्रम, कमजोरी, दिल की धड़कन अनियमित होना, किडनी में पथरी या पेशाब कम आना जैसी समस्याएं हो सकती हैं। ऐसा होने पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें, आमतौर पर दिन में एक बार भोजन के साथ। अपने आप मात्रा न बढ़ाएं। दिनभर पर्याप्त पानी पिएं। आयरन, थायरॉइड की दवा या कुछ एंटीबायोटिक्स के साथ इस दवा को एक साथ न लें, कम से कम दो घंटे का अंतर रखें। अगर आपको किडनी की बीमारी, पथरी, या कैल्शियम बढ़ने की समस्या है तो डॉक्टर को बताएं। नियमित रूप से कैल्शियम और किडनी की जांच कराते रहें।

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

💊 rockbon tablet Uses & Benefits

[{"condition":"Calcium and vitamin D deficiency","description":"Used to correct low calcium levels and vitamin D deficiency when diet alone is not enough.","evidence":"Well-established"},{"condition":"Osteoporosis","description":"Supports bone mineral density and reduces fracture risk when combined with other osteoporosis treatments.","evidence":"Well-established"},{"condition":"Chronic kidney disease with mineral bone disorder","description":"Helps manage low calcium and high parathyroid hormone levels in patients with reduced kidney function.","evidence":"Well-established"},{"condition":"Glucocorticoid-induced bone loss","description":"Used to protect bone health in patients on long-term steroid therapy.","evidence":"Moderate"},{"condition":"Hypoparathyroidism","description":"May be used to maintain normal calcium levels when parathyroid hormone is low.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Vitamin D insufficiency in the general population","description":"Sometimes prescribed when blood vitamin D is low but calcium is normal.","evidence":"Limited"},{"condition":"Prevention of falls in the elderly","description":"Calcium and active vitamin D may help muscle function and reduce falls in some older adults.","evidence":"Limited"}]

Primary treatment for: Calcium and vitamin D deficiency

Also treats: Osteoporosis, Chronic kidney disease mineral bone disorder, Hypoparathyroidism, Glucocorticoid-induced bone loss

📋 Drug Information

Generic Name(s)Calcium Citrate Malate (250mg) + Calcitriol (0.25mcg)
Brand Namerockbon tablet
ManufacturerAbbott
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassVITAMINS MINERALS NUTRIENTS
Action Class
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C in a dry place, away from direct sunlight and moisture.
Shelf Life24 months from the date of manufacture, or as printed on the pack.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with a meal to improve absorption and reduce stomach upset.
2
Maintain a consistent daily schedule for best results.
3
Do not take extra calcium or vitamin D supplements without consulting your doctor.
4
Keep all appointments for blood tests to monitor calcium and kidney function.
5
Separate this medicine from iron, thyroid, and certain antibiotics by at least two hours.
6
Report any symptoms of high calcium such as confusion, excessive thirst, or irregular heartbeat immediately.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Muscle cramps due to low calcium
This medicine is commonly prescribed for this.
Likely Use
✅
Bone pain
May be used if caused by calcium or vitamin D deficiency.
Likely Use
❌
Fever
This medicine is not a fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionCalcium Citrate Malate is absorbed in the small intestine and does not require stomach acid for absorption, which makes it useful in people with low acid production. Calcitriol is absorbed rapidly from the intestine after oral intake.
DistributionCalcium is distributed mainly to bone, teeth, and extracellular fluid. Calcitriol is distributed to the intestine, bone, kidney, and parathyroid glands, and it is transported in the blood bound to vitamin D binding protein.
Protein BindingCalcitriol is highly bound to vitamin D binding protein and albumin in the blood. Calcium is partly bound to albumin and other plasma proteins.
MetabolismCalcitriol is metabolized in the liver and intestine to less active metabolites. Calcium itself is not metabolized; it is regulated by hormones such as parathyroid hormone and calcitonin.
Half-LifeThe elimination half-life of calcitriol is approximately 5 to 8 hours. Calcium is eliminated from the body through the kidneys and intestines.
ExcretionCalcium is excreted mainly in urine and feces. Calcitriol and its metabolites are excreted primarily in bile and feces, with a small amount in urine.
BioavailabilityThe bioavailability of calcium from Calcium Citrate Malate is good and is less dependent on stomach acid than calcium carbonate. The oral bioavailability of calcitriol is rapid and reliable when taken with food.
Onset of ActionCalcium absorption begins within hours of taking the tablet. Effects on parathyroid hormone and calcium balance develop over days to weeks.
Peak Plasma TimeCalcitriol reaches peak blood levels about 3 to 6 hours after oral intake. Calcium levels rise gradually over several hours.
Duration of ActionThe effect of a single dose on calcium absorption lasts about 24 hours. Bone and parathyroid effects build up over weeks of regular use.

How It Works

This medicine works through two complementary ingredients. Calcium Citrate Malate provides a soluble calcium salt that dissociates in the gut and is absorbed by both vitamin D dependent and independent pathways. Calcitriol is the active form of vitamin D3 and binds to vitamin D receptors in the intestine, bone, kidney, and parathyroid glands. This binding increases the production of calcium binding proteins in the gut, which improves calcium absorption. In bone, calcitriol helps regulate bone building and breakdown. In the kidney, it reduces calcium loss in urine. In the parathyroid gland, it reduces parathyroid hormone release when calcium levels are adequate. The result is better calcium balance and stronger bones.

Mechanism Steps

1
Calcium release in the gut: Calcium Citrate Malate dissolves in the stomach and releases calcium ions that are available for absorption.
2
Vitamin D receptor binding: Calcitriol binds to vitamin D receptors in the cells lining the intestine.
3
Calcium binding protein production: Activation of the vitamin D receptor increases the production of calcium binding proteins such as calbindin.
4
Increased calcium absorption: These proteins carry calcium across the intestinal cell and into the bloodstream.
5
Bone and kidney effects: Calcitriol also helps deposit calcium into bone and reduces calcium loss through the kidneys.
6
Parathyroid hormone suppression: When calcium levels rise, the parathyroid glands release less parathyroid hormone, which protects bone from excessive breakdown.

💡 How to Take rockbon tablet

Strength: Tablet containing Calcium Citrate Malate 250 mg and Calcitriol 0.25 mcg.

1Take the tablet with a full glass of water.
2Swallow it whole; do not crush or chew unless your doctor advises.
3Take it with a meal to improve absorption and reduce stomach upset.
4Do not take it at the same time as iron, thyroid, or certain antibiotics.
5Follow the prescribed schedule consistently.

Dosage Information

Adult DosageThe usual adult dose is one tablet once daily or as prescribed by your doctor. The exact dose depends on your calcium and vitamin D levels, kidney function, and the condition being treated. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not change the dose without medical advice.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageOlder adults may need lower doses and more frequent monitoring of calcium and kidney function. Dose must be individualized by a qualified clinician.
Renal ImpairmentUse with caution in kidney disease. Dose adjustment may be needed based on kidney function. Regular monitoring of calcium and creatinine is advised.
Hepatic ImpairmentUse with caution in severe liver disease. Dose adjustment may be needed. Consult your doctor.
Maximum Daily DoseDo not exceed the dose prescribed by your doctor. The maximum daily dose depends on your medical condition and blood test results.

Dosage Timeline

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

🍽️ Food Timing Guide

With meals
Take with food
Improves absorption and reduces stomach upset.
High fiber foods
Separate by two hours
Fiber can bind calcium and reduce absorption.
Spinach and rhubarb
Limit at the same time
Oxalates can bind calcium.
Caffeine
Moderate intake
High caffeine can increase calcium loss.

⏰ 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 rockbon tablet

✅ Common Side Effects

Constipation (Common (5-10%))
Increase water and fiber intake. Consult your doctor if it persists.
Nausea (Common (5-10%))
Take the tablet with food. Consult your doctor if nausea continues.
Stomach upset (Common (5-10%))
Take with a meal and avoid lying down immediately after.
Dry mouth (Uncommon (1-5%))
Sip water regularly. Report if it becomes severe.
Increased thirst (Uncommon (1-5%))
Drink water and inform your doctor if it continues.

🚨 Serious Side Effects

Hypercalcemia (Rare (<0.1%))
Seek medical attention if you have confusion, severe weakness, or irregular heartbeat.
Kidney stones (Rare (<0.1%))
Report severe back or flank pain, blood in urine, or painful urination immediately.
Allergic reaction (Rare (<0.1%))
Stop the medicine and seek emergency care for rash, swelling, or difficulty breathing.
Reduced kidney function (Rare (<0.1%))
Get kidney function tests if you notice decreased urine output or swelling.

⚠️ Rare Side Effects

Calcium deposits in soft tissues
Requires medical evaluation and dose adjustment.
Severe abdominal pain
Seek immediate medical attention.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Thiazide diuretics Major
Digoxin Major
Iron supplements Moderate
Levothyroxine Moderate
Tetracycline antibiotics Moderate
Fluoroquinolone antibiotics Moderate
Bisphosphonates Moderate
Corticosteroids Minor
Aluminum antacids Minor
Vitamin D analogues Major

🚨 Major Interactions

  • Thiazide diuretics
  • Digoxin
  • Vitamin D analogues

⚡ Moderate Interactions

  • Iron supplements
  • Levothyroxine
  • Tetracycline and fluoroquinolone antibiotics
  • Bisphosphonates

🍷 Alcohol Interaction

Alcohol can reduce calcium absorption and interfere with vitamin D metabolism. It is best to avoid alcohol or limit it while taking this medicine, especially if you have bone or kidney problems.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["High blood calcium levels","High vitamin D levels","Known allergy to any ingredient","Active kidney stones","Severe kidney failure without specialist supervision"]

⚠️ Warnings & Precautions

["Do not take additional calcium or vitamin D supplements without medical advice.","Use with caution in patients with kidney stones or kidney disease.","Monitor calcium levels in patients with sarcoidosis or other granulomatous diseases.","Avoid in patients with hypercalcemia or hypercalciuria.","Inform your doctor if you are taking thiazide diuretics or digoxin.","Do not exceed the prescribed dose."]

🤱 Lactation Safety

Calcium and calcitriol are considered compatible with breastfeeding when used at prescribed doses. However, consult your doctor before use.

💊 Overdose Management

Overdose can cause high blood calcium with symptoms such as nausea, vomiting, confusion, weakness, and irregular heartbeat. Seek immediate medical attention. Treatment may include stopping the medicine, intravenous fluids, and medications to lower calcium levels.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not take two doses at the same time.

Additional Safety Advice

General Safety

Take this medicine exactly as your doctor prescribes, usually once daily with a meal. Do not take extra tablets to make up for a missed dose. Drink plenty of water throughout the day to help your kidneys handle the calcium load. Avoid taking this medicine at the same time as iron supplements, thyroid medicines, or certain antibiotics, because calcium can reduce their absorption; leave at least two hours between them. Tell your doctor if you have a history of kidney stones, kidney disease, high blood calcium, or sarcoidosis. Do not start any new supplement or medicine without checking with your doctor or pharmacist. Keep all follow-up appointments for blood tests of calcium, vitamin D, and kidney function. Store the tablet in its original container away from heat, light, and moisture. If you are pregnant, planning pregnancy, or breastfeeding, speak to your doctor before using this medicine.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Older adults may need lower doses and more frequent monitoring of calcium and kidney function. Falls prevention and bone health should be discussed with the doctor.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before using this medicine. Adequate calcium and vitamin D are important for both mother and baby, but doses must be individualized.

🏥 Post-Surgery Considerations

After surgery, especially bone surgery, your doctor may prescribe this medicine to support healing. Follow your surgeon's instructions and do not self-medicate.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine. It is generally safe for dental procedures, but your dentist may need to know for medication interactions.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce stress on bones and joints.
🥗
Do regular weight-bearing exercises like walking or light strength training.
😴
Get adequate sunlight exposure for natural vitamin D.
💧
Avoid smoking and limit alcohol.
🧘
Eat a balanced diet rich in calcium and vitamin D.
🌞
Stay hydrated to support kidney health.

🏋️ Exercise Considerations

Weight-bearing exercises are good for bone health, but avoid high-impact activities if you have osteoporosis or joint pain. Consult your doctor before starting a new exercise routine.

🥗 Diet Recommendations

Include dairy products, leafy greens, and fortified foods.
Eat fatty fish for vitamin D.
Limit caffeine and alcohol.
Stay well hydrated.

💼 Impact on Daily Work & Life

This medicine generally does not affect your ability to drive or work. However, if you experience dizziness or weakness, avoid driving or operating heavy machinery until you feel better.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. Stopping suddenly may worsen your calcium and vitamin D levels. Your doctor will decide when to stop based on your test results and condition.

📅 Long-Term Use Effects

Long-term use can be safe when monitored properly. Regular blood tests for calcium, vitamin D, and kidney function are needed. High calcium levels over time can lead to kidney stones or soft tissue calcification. Your doctor may adjust the dose based on test results.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Dietary calcium and vitamin D

Increasing intake of calcium-rich foods and safe sun exposure can help maintain levels.

Evidence: Well-established
Other calcium and vitamin D supplements

Different forms like calcium carbonate with cholecalciferol may be used based on your needs.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are established. Continue routine vaccinations 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 you are traveling across time zones, continue taking your dose at the same time each day as prescribed. Keep enough supply for your entire trip. Check customs rules for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 58-year-old woman with osteoporosis
She was prescribed this medicine along with a bisphosphonate. After three months, her bone density test showed improvement and her muscle cramps reduced. She took the tablet with breakfast every day and kept her follow-up appointments.
💡 Lesson: Consistent use with food and regular monitoring can lead to better bone health.
👤 A 65-year-old man with chronic kidney disease
He was started on this medicine for low calcium and high parathyroid hormone. His doctor monitored his calcium and kidney function every month. He avoided taking it with his iron tablets and felt more energetic after two months.
💡 Lesson: In kidney disease, regular monitoring and separating medicines are key to safe use.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Calcium absorption begins within hours, but effects on bone and parathyroid hormone develop over weeks. Follow your doctor's advice for the duration.

Q: Can I take this medicine with food?

A: Yes, it is best taken with a meal to improve absorption and reduce stomach upset.

Q: What should I do if I miss a dose?

A: Take it as soon as you remember. If it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not double dose.

🤔 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 take it with other supplements?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for rockbon tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can be taken without any blood tests.
    Fact: Regular blood tests for calcium and kidney function are important to prevent complications.
  • Myth: More calcium always means stronger bones.
    Fact: Too much calcium can be harmful and cause kidney stones or high blood calcium.
  • Myth: This medicine can replace a healthy diet.
    Fact: It supplements but does not replace a balanced diet rich in calcium and vitamin D.

🔄 Alternative Options

Generic Alternatives

  • Calcium Citrate Malate and Calcitriol tablets from other manufacturers

Brand Alternatives

  • Other brands containing Calcium Citrate Malate and Calcitriol

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Calcium Citrate Malate 250 mg + Calcitriol 0.25 mcg","key_feature":"Active vitamin D with highly absorbable calcium"},{"medicine":"Calcium carbonate + vitamin D3","composition":"Calcium carbonate + cholecalciferol","key_feature":"Requires stomach acid for absorption"},{"medicine":"Calcitriol alone","composition":"Calcitriol","key_feature":"No calcium supplement included"}]

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