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Medicines > classes: [[:Category:Antacids|Antacid (carbonate)]] & fda max: ~2500 mg elemental/d combined diet + supplements (chronic; UL)

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generic:
Calcium (carbonate, citrate, gluconate, chloride salts) (1)
brand:
Tums, Caltrate, Os-Cal, Citracal; many generics (1)
classes: (Click arrow to add another value)
mechanism:
None (1)
uses:
'"`UNIQ--vote-000012B7-QINU`"', '"`UNIQ--vote-000012B8-QINU`"', '"`UNIQ--vote-000012B9-QINU`"', '"`UNIQ--vote-000012BA-QINU`"', '"`UNIQ--vote-000012BB-QINU`"' (1)
starting dose:
Oral: 1000-1500 mg elemental calcium/day in divided doses for supplementation; IV gluconate 1 g (4.65 mEq) over 5-10 min for hyperkalemia or symptomatic hypocalcemia (1)
preparations:
Carbonate 200, 400, 500, 600 mg elemental tablets and chewables; citrate 200, 250, 315 mg elemental; gluconate 1 g (94 mg elemental, 4.65 mEq) IV; chloride 1 g (270 mg elemental, 13.6 mEq) IV (1)
fda max: (Click arrow to add another value)
routes:
IV (gluconate or chloride for acute use) (1) · Oral (1)
onset:
Acute: minutes (IV); chronic: bone effect over months (1)
duration:
Variable (1)
halflife:
Not meaningfully described (electrolyte) (1)
bioavailability:
Carbonate ~30-40% (best with food and acid); citrate ~24% (absorbable without acid; preferred in achlorhydria, PPI use, post-bariatric) (1)
pregnancy:
Routinely supplemented in pregnancy; needs higher in pregnancy and lactation.<sup class="pcp-cn" title="This claim needs a citation.">&#91;[[Pharmacopedia:Citation needed|citation&nbsp;needed]]&#93;</sup> (1)
legal:
OTC (oral supplements) and [[USLegal:Prescription only|Rx-only]] (IV) in US (1)

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