Інструкція із застосування NATEKAL D3
Зміст інструкції
NATECAL D3 600 mg + 400 U.I. chewable tablets
calcium + cholecalciferol
Read this leaflet carefully before taking this medicine as it contains
important information for you.
- Keep this leaflet. You may need to read it again.
- If you have any questions, ask your doctor, pharmacist or nurse.
- This medicine is only to be used in adult patients.
- This medicine has been prescribed only for you. Do not give it to other people, even if their symptoms are the same as yours, as it could be harmful.
- If any side effects occur, including those not listed in this leaflet, tell your doctor, pharmacist or nurse. See section 4.
Contents of this leaflet:
- 1. What Natecal D3 is and what it is used for
- 2. What you need to know before you take Natecal D3
- 3. How to take Natecal D3
- 4. Possible side effects
- 5. How to store Natecal D3
- 6. Contents of the pack and other information
1. What is NATECAL D3 and what is it used for
Natecal D3 chewable tablets contain two active ingredients, calcium carbonate and cholecalciferol
(vitamin D) which are normally taken with the diet; furthermore, vitamin D is produced in the
skin after sun exposure.
Natecal D3 chewable tablets may be prescribed by your doctor for the treatment and prevention
of Vitamin D and calcium deficiencies.
NATECAL D3 is used:
- for the correction of calcium and vitamin D deficiency in the elderly.
- in association with the treatment of osteoporosis when calcium and vitamin D levels are too low or in the presence of a high risk of them becoming too low.
2. What you need to know before taking NATECAL D3
Do not take Natecal D3
- if you are allergic to calcium, vitamin D or any of the excipients of Natecal D3 (particularly to soybean oil);
- if you have high levels of calcium in the blood (hypercalcemia) or in the urine (hypercalciuria);
- if you have severe kidney problems;
- if you have kidney stones;
- if you have high levels of vitamin D in the blood (hypervitaminosis D).
Warnings and precautions
Talk to your doctor or pharmacist before taking Natecal D3.
- If you have had kidney stones or other kidney problems (your doctor will carefully monitor treatment with Natecal D3 if your kidneys are not working properly, to prevent the calcium in the blood from reaching too high levels);
- if you are bedridden for a long period (months) and suffer from osteoporosis (fragile bones) as you may have high levels of calcium in the blood;
- if you are taking other medicines containing calcium or vitamin D (your doctor or pharmacist will tell you what to do); if you have sarcoidosis (your doctor will tell you what to do).
Other medicines and Natecal D3
Tell your doctor or pharmacist if you are taking:
- any other medicine containing vitamin D;
- the following medicines for the heart: digoxin or other cardiac glycosides;
- tetracycline and fluoroquinolone antibiotics; it is recommended to wait at least 3 hours after taking them before taking Natecal D3 chewable tablets.
- thiazide diuretics;
- if you are using other medicines for the treatment of bone diseases, such as bisphosphonates or sodium fluoride, it is recommended to wait at least 3 hours after taking them before taking Natecal D3 chewable tablets.
- phenytoin (medicine for epilepsy) and barbiturates (medicines used for epilepsy or to promote sleep), as they decrease the action of vitamin D.
- rifampicin, as it makes vitamin D less effective
- orlistat (medicine for the treatment of obesity), colestyramine, laxatives such as paraffin oil, as they may reduce the absorption of vitamin D.
- estramustine (medicine used in chemotherapy), thyroid hormones or medicines based on iron, zinc or strontium ranelate, as the amount absorbed may be reduced. These medicines should be taken at least 2 hours before or after taking Natecal D3.
Natecal D3 with food and drink
This medicine may interact with certain foods, for example those containing oxalic acid
(such as spinach, rhubarb, sorrel, cocoa, tea, etc.), phosphate (such as ham, sauces, processed cheese,
etc) or phytic acid (such as legumes, whole grains, chocolate, etc). Therefore, it is recommended to take
Natecal D3 two hours before or after a meal based on these foods.
Pregnancy and breastfeeding
Natecal D3 chewable tablets should be used during pregnancy and breastfeeding only if
recommended by your doctor.
Excipients
This medicine contains: sorbitol (E 420), aspartame (E 951), lactose, hydrogenated soybean oil,
sucrose, sodium saccharin (E 954) and sodium croscarmellose (E 468 ).
This medicine contains sorbitol. Sorbitol is a source of fructose. If your doctor has told you that
you are intolerant to some sugars, or if you have a diagnosis of hereditary fructose intolerance, a rare
genetic disease in which patients cannot metabolize fructose, talk to your doctor before
taking this medicine.
This medicine contains 5 mg of aspartame per chewable tablet, equivalent to 0.007 mg/kg.
Aspartame is a source of phenylalanine. It may be harmful if you have phenylketonuria, a rare
genetic disease that causes a build-up of phenylalanine because the body cannot eliminate it
correctly.
This medicine contains lactose and sucrose. If your doctor has diagnosed you with an intolerance to
some sugars, contact him before taking this medicine. Sucrose may be harmful to
teeth.
This medicine contains hydrogenated soybean oil. If you are allergic to peanuts or soy, do not take
this medicine.
This medicine contains less than 1 mmol of sodium (23 mg) per tablet, i.e. essentially
"sodium-free".
3. How to take NATECAL D3
Always take NATECAL D3 exactly as your doctor has instructed. If you have any doubts, consult your
doctor.
The recommended dose for adults and elderly patients is one chewable tablet twice a day (e.g. one in the
morning and one in the evening), preferably taken after meals.
The tablets must be chewed or allowed to dissolve in the mouth, they must not be swallowed
whole.
If you take more NATECAL D3 than you should
Contact your doctor. If you cannot do so, go to the nearest emergency room, bringing
with you the remaining tablets and the package.
If you forget to take NATECAL D3
Take the tablet as soon as possible. Afterwards, take your next dose at the usual time.
However, if it is almost time for your next dose, do not take the forgotten dose and continue as usual.
Never take a double dose to make up for a missed dose.
4. Possible side effects
Like all medicines, Natecal D3 can cause side effects, although not everybody gets them.
The following side effects are uncommon (present in 1-10 patients per 1,000):
- hypercalcemia (too much calcium in the blood) - symptoms are nausea, vomiting, loss of appetite, constipation, stomach pain, bone pain, excessive thirst, a need to urinate more than usual, muscle weakness, drowsiness and confusion;
- hypercalciuria (too much calcium in the urine);
The following side effects are rare (present in 1-10 patients per 10,000):
- nausea;
- stomach pain;
- constipation;
- diarrhoea;
- flatulence
- itching
- skin rash
- urticaria
The frequency of the following side effects is not known (the frequency cannot be estimated on the basis of
the available data):
- serious allergic reactions (hypersensitivity) such as, for example, swelling of the face, lips or tongue.
Special populations
Patients with kidney impairment: there is a potential risk of hyperphosphataemia, nephrolithiasis and
nephrocalcinosis.
Reporting of side effects
If you get any side effects, even those not listed in this leaflet, please tell your doctor or pharmacist. You can also report side effects directly through the national reporting system at https://www.aifa.gov.it/content/segnalazioni-reazioni-avverse .
By reporting side effects you can help provide more information on the safety of this
medicine.
5. How to store NATECAL D3
- Keep NATECAL D3 out of sight and reach of children.
- Store in the original container to protect the product from moisture.
- Do not take NATECAL D3 after the expiry date which is stated on the pack after the abbreviation “Scad.”. The expiry date refers to the last day of the month.
- Medicines should not be disposed of via wastewater or household waste. Askyour pharmacist how to dispose of medicines you no longer use. This will help toprotect the environment.
6. Contents of the pack and other information
What Natecal D3 contains
- Each tablet contains the active ingredients: calcium carbonate (1500 mg equivalent to 600 mg of calcium) and cholecalciferol (vitamin D) (400 IU equivalent to 0.01 mg).
- The excipients are: sorbitol (E 420), maltodextrins, sodium croscarmellose (E 468), aspartame (E 951), sodium saccharin (E 954), lactose monohydrate, anise flavour, mint flavour, molasses flavour, magnesium stearate, DL- -tocopherol (E 307), hydrogenated soybean oil, gelatin, sucrose, corn starch.
Description of the appearance of Natecal D3and contents of the pack
The tablets have a circular shape with beveled edges, are white or almost white in colour with
the inscription “D” on one side.
Bottle containing 12 or 60 chewable tablets.
Marketing authorisation holder and manufacturer
ITALFARMACO S.p.A. – Viale F. Testi, 330 – 20126 Milano.
Tel. + 39 02 64431 Fax. + 39 02644346
e-mail:[email protected]

- Країна реєстрації
- Лікарська формаChewable tablet, 600 MG + 400 IU
- Потрібен рецептТак
- Виробник
- Ця інформація надана лише для ознайомлення і не є медичною порадою. Рішення щодо лікування завжди приймає лікар.
- Альтернативи до NATEKAL D3Лікарська форма: Coated tablet, 1000 MGДіюча речовина: Карбонат кальцияВиробник: THERAMEX IRELAND LIMITEDПотрібен рецептЛікарська форма: Injectable solution, 10 %Діюча речовина: глюконат кальцияВиробник: B. BRAUN MELSUNGEN AGПотрібен рецептЛікарська форма: Injectable solution, 500 MG/5 MLДіюча речовина: глюконат кальцияПотрібен рецепт
Аналоги NATEKAL D3 в інших країнах
Препарати з тією самою діючою речовиною, доступні в інших країнах.
Аналог NATEKAL D3 у Польща
Аналог NATEKAL D3 у Україна
Аналог NATEKAL D3 у Іспанія
Лікарі онлайн щодо NATEKAL D3
Застосування, безпека та можливість призначення рецепта — за результатами медичної оцінки.
Отримайте рецепт на NATEKAL D3 онлайн
Заповніть форму за 2 хвилини
Розкажіть про симптоми, історію хвороби та потрібний препарат.
Оберіть лікаря або ми призначимо
Оберіть спеціаліста або ми підберемо найближчого доступного лікаря.
Лікар розглядає ваш випадок
Зазвичай протягом 30 хвилин. Може ставити уточнювальні запитання в чаті.
Отримайте в будь-якій аптеці
Електронний рецепт надсилається на вашу пошту — дійсний по всій Польщі.
Часті запитання
NATEKAL D3 потребує рецепта в Італія. Ви можете обговорити з лікарем онлайн, чи підходить цей лікарський засіб для вашої ситуації.
NATEKAL D3 виробляється компанією ITALFARMACO S.P.A.. Назва бренду та упаковка можуть відрізнятися залежно від дистрибʼютора.
Лікарі, зокрема Сімейні лікарі, Психіатри, Дерматологи, Кардіологи, Ендокринологи, Гастроентерологи, Пульмонологи, Нефрологи, Ревматологи, Гематологи, Інфекціоністи, Алергологи, Геріатри, Педіатри, Онкологи, можуть оцінити доцільність застосування NATEKAL D3 з урахуванням вашого стану та місцевих правил. Ви можете записатися на онлайн-консультацію, щоб обговорити симптоми та можливі подальші кроки.
Польща має добре розвинену систему охорони здоров'я у великих містах, таких як Варшава, Краків, Вроцлав і Гданськ. Аптеки широко доступні та працюють відповідно до чинного законодавства, забезпечуючи доступ до рецептурних препаратів.
Ви можете придбати NATEKAL D3 у Варшаві, Кракові, Вроцлаві або Гданську в будь-якій аптеці за наявності дійсного рецепта.
Щоб отримати рецепт, ви можете скористатися Oladoctor:
Інші препарати з тією самою діючою речовиною () включають KAKIT, KALKIO LUKONATO B. BRAUN, KALKIO LUKONATO BIOINDUSTRIA L.I.M.. Вони можуть відрізнятися торговою назвою або формою випуску, але містять той самий терапевтичний компонент. Перед зміною або початком прийому нового препарату варто проконсультуватися з лікарем.
















