Marcal Tablets

Marcal Tablets

Description:

Marcal Tablets (Marcal 30 Tabs) are an oral calcium supplement containing calcium acetate, manufactured by Marcyrl Pharmaceutical Industries (MPI). They are primarily used to control high blood phosphate levels in patients with chronic kidney disease on dialysis by binding dietary phosphate in the gut. By helping to maintain a healthier balance of calcium and phosphate, Marcal Tablets support bone health and reduce the risk of complications associated with hyperphosphatemia. This product is classified as a supplement/medicine and should be used under medical supervision, especially in patients with kidney disease.

Indications:

• Management of hyperphosphatemia (high blood phosphate levels) in patients with chronic kidney disease, particularly those on hemodialysis or peritoneal dialysis.
• Adjunct in protecting bone health in patients with renal osteodystrophy associated with chronic kidney failure, as part of a comprehensive treatment plan.
• Support in maintaining a balanced calcium–phosphate ratio when prescribed by a healthcare professional.

Active Ingredients / Key Components:

• Calcium acetate – exact strength per tablet is not specified in the available information (For full ingredient information, please check the product leaflet or the manufacturer’s official website.). Typical strengths vary by manufacturer; please refer to the product pack or leaflet for precise mg per tablet.

Dosage & Administration / How to Use:

• Use only as directed by a physician, especially in patients with kidney disease or those on dialysis.
• Usual administration: taken orally with meals to allow calcium acetate to bind dietary phosphate in the gastrointestinal tract. The exact dose (number of tablets per meal) must be individualized by the doctor based on serum phosphate levels.
• Swallow tablets with a sufficient amount of water. Do not exceed the prescribed dose.
• If a dose is missed, take it as soon as you remember with food unless it is almost time for the next dose. Do not double the dose to make up for a missed one.
• Regular monitoring of serum calcium and phosphate levels is essential during treatment to adjust dosage and avoid hypercalcemia.

Clinical Benefits:

• Helps reduce elevated blood phosphate levels in patients with chronic kidney disease on dialysis.
• Supports bone health by contributing to a more balanced calcium–phosphate metabolism when used as part of a comprehensive renal care plan.
• Reduces the risk of complications linked to chronic hyperphosphatemia, such as vascular and soft tissue calcifications, when used appropriately.
• Provides a targeted phosphate-binding effect in the gut without systemic phosphate removal procedures.

Warnings & Contraindications:

• Contraindicated in patients with hypercalcemia (high blood calcium levels) or a history of calcium-containing kidney stones, unless specifically directed and closely monitored by a physician.
• Use with extreme caution in patients with severe renal impairment who are not on dialysis, or those with conditions predisposing to hypercalcemia (e.g., hyperparathyroidism, sarcoidosis).
• Regular monitoring of serum calcium and phosphate is mandatory to prevent hypercalcemia and related complications.
• Inform your doctor about all medicines and supplements you are taking, especially vitamin D, other calcium supplements, antacids containing calcium or magnesium, and certain heart medications (e.g., digitalis), as interactions may occur.
• Consult your doctor before use if pregnant, nursing, taking other medications, or having medical conditions such as kidney disease, heart disease, or a history of kidney stones.
• Not intended to diagnose, treat, cure, or prevent any disease without medical supervision.
• Keep out of reach of children.
• Do not use after the expiry date printed on the pack. Do not use if the blister is damaged or shows signs of tampering.

Side Effects:

• Common side effects may include nausea, vomiting, constipation, diarrhea, abdominal discomfort, or indigestion.
• Hypercalcemia (high blood calcium) may occur, with symptoms such as weakness, fatigue, headache, confusion, increased thirst, frequent urination, bone pain, or irregular heartbeat.
• Allergic reactions are rare but may include rash, itching, swelling of the face, lips, or tongue, or difficulty breathing. Seek immediate medical attention if these occur.
• Stop use and contact your doctor promptly if you experience persistent gastrointestinal symptoms, signs of hypercalcemia, or any unusual or severe symptoms.

Storage Instructions:

Store in a cool, dry place away from direct sunlight. Keep container tightly closed. Keep out of reach of children.

Specifications:

• Form: Tablet (oral use)
• Pack size: 30 tablets per pack (Marcal 30 Tabs)
• Active ingredient: calcium acetate (exact mg per tablet not available in the provided information; refer to package insert)
• Intended use: phosphate binder and calcium supplement under medical supervision, especially in chronic kidney disease patients on dialysis

Disclaimer:
All pharmacy products are intended for general use only and do not replace professional medical advice, diagnosis, or treatment. Always consult a healthcare provider before use. Results may vary, and no specific outcomes are guaranteed. Products are not intended to diagnose, treat, cure, or prevent any disease unless stated. Follow label instructions carefully, as misuse may cause adverse effects. Compliance with local laws is the customer’s responsibility.