6.6.1. Calcium and vitamin D
|Adcal-D3® Caplets (300mg calcium and 200IU vitamin D)
|Dose: Two tablets to be taken twice a day
|Accrete D3® tablets (600mg calcium and 400IU vitamin D)
|Dose: One tablet twice a day
|Accrete D3® One a Day (1000mg calcium and 880 IU viamin D) Chewable Tablets
|Dose: One tablet daily
Reserve for swallowing difficulties
|Adcal-D3® Dissolve effervescent tablets(1500mg calcium carbonate/ 400 IU vitamin D)
|Dose: One tablet twice a day- dissolve in a glass of water (approx. 200ml) and drink immediately
- Supplementation with calcium and vitamin D alone has been shown to reduce fracture rates in housebound elderly patients without previous fracture. Evidence in other patient groups is lacking.
- Those with, or at risk of, osteoporosis should maintain adequate supply of calcium and vitamin D. If deficiency is suspected, this should be corrected by increasing dietary intake or taking supplements.
- Dietary sources of calcium are the preferred option, see Royal Osteoporosis Society website for information on calcium rich food and a calcium calculator.
- With the introduction of licensed vitamin D preparations, many clinicians are moving away from the use of combined calcium and vitamin D preparations in favour of single agent vitamin D preparations (in patients who are calcium replete).
- For vitamin D guidance, see section 9.6.4 and for single agent calcium supplements, see section 126.96.36.199.