Didrocal Didrocal is a common misspelling of Didronel (etidronate). To prevent constipation, eat dietary fiber, drink enough water, and exercise. It can modify the crystal growth of calcium Do not double the dose to catch up. Consult your doctor for more details. This is a summary and does NOT have all possible information about this product. Slowing bone loss and having the right amount of calcium is important for building and keeping strong bones, which in turn helps to reduce the risk of broken bones. Read the Patient Information Leaflet provided by your pharmacist before you start using this product. Etidronate and calcium carbonate are used in combination to treat and prevent osteoporosis in postmenopausal women. Properly discard this product when it is expired or no longer needed. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. The light blue calcium carbonate tablets are a conventional oral formulation used as a supplement to dietary calcium for the formation of normal bone. Constipation and upset stomach may occur with calcium. Otherwise, call a poison control center right away. Tell your dentist that you are taking this medication before you have any dental work done. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. If you have questions about side effects, call your doctor. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Etidronate is used to treat a certain type of bone disease called Paget's disease. This medication is removed by the kidneys. Skip the missed dose and go back to your normal time. Throw away unused or expired drugs. Talk with your doctor. You may report side effects to the FDA at 1-800-332-1088. Keep all medicines away from children and pets. Call your doctor for medical advice about side effects. Use this medication regularly to get the most benefit from it. This drug prevents many other drugs from getting into the body. Have your urine checked as you have been told by your doctor. Calcium Carbonate is the carbonic salt of calcium (CaCO3). For more resources, visit www.mskcc.org/pe to search our virtual library. Talk with the doctor. This information is not individual medical advice and does not substitute for the advice of your health care professional. mental/mood changes (e.g., confusion, depression), signs of infection (e.g., fever, persistent sore throat), itching/swelling (especially of the face/tongue/throat), decreased or no stomach acid (achlorhydria), esophagus problems (such as esophageal stricture, achalasia), a certain disease that causes swelling (sarcoidosis), difficulty absorbing nutrition from food (malabsorption syndrome), certain phosphate binders (e.g., calcium acetate). Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Ask your doctor or pharmacist about how long you should wait between doses and for help finding a dosing schedule that will work with all your medications. Your use of this information means that you agree to the Terms of Use. If you have jaw pain, tell your doctor and dentist right away. This medication contains two different medications to be taken at different times: etidronate and calcium carbonate. Calcium carbonate is a dietary supplement used when the amount of calcium taken in the diet is not enough. Etidronate and Calcium Carbonate | Memorial Sloan Kettering Cancer Center We're committed to providing you with the very best cancer care, and your safety continues to be a top priority. It’s simple, and it’s safe. Etidronate Disodium + Calcium Carbonate (Didrocal®/Didronel®) This includes your doctors, nurses, pharmacists, and dentists. Your doctor may also direct you to take additional supplements/vitamins (e.g., calcium, vitamin D). Any new or strange groin, hip, or thigh pain. Low blood cell counts have happened with this drug. Take your next dose at the regular time. * Each kit contains 14 tablets of Etidronate 400mg plus 76 tablets of Calcium Carbonate 500mg. Actonel® with Calcium (risedronate sodium with calcium carbonate) is a co-package product containing Actonel® (risedronate sodium tablets, 35 mg) for once weekly dosing and calcium carbonate tablets, USP (1250 mg, equivalent to 500 mg elemental calcium) for daily dosing for the … It is necessary for normal functioning of nerves, cells, muscle, and bone. Store in a dry place. Etidronic acid is a first generation bisphosphonate that inhibits the action of osteoclasts, preventing bone resporption. Use this blister card first, taking each dose of etidronate by mouth on an empty stomach (2 hours before or after eating), usually once daily or as directed by your doctor. Many drugs can do this. Discuss the risks and benefits with your doctor before starting treatment with etidronate. If you think there has been an overdose, call your poison control center or get medical care right away. The ACT ETIDROCAL therapy, calcium carbonate tablet portion, provides 500 mg elemental calcium per day. Calcium is needed by the body for healthy bones, muscles, nervous system, and heart. This product comes as a package with 5 separate blister cards meant to be taken for a 3-month cycle. If you are breast-feeding or plan to breast-feed. Calcium carbonate also is used as an antacid to relieve heartburn, acid indigestion, and upset stomach. Use this medication regularly to get the most benefit from it. Alberta residents can call PADIS (Poison and Drug Information Service) 24 hours a day at 1-800-332-1414. Talk to your pharmacist for more details. Keep all drugs in a safe place. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. Talk with the doctor. Food (especially, calcium rich foods such as dairy products), antacids, vitamins with mineral supplements, and certain medications can interfere with the absorption of etidronate. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product. Do not lie down for at least 30 minutes after taking this medication. WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. If your doctor has recommended that you follow a special diet, it is very important to follow the diet to get the most benefit from this medication and to prevent serious side effects. To help prevent jawbone problems, have regular dental exams and learn how to keep your teeth and gums healthy. Do not share this medication with others. Worsening of asthma has happened in people taking drugs like this one. This medication may interfere with certain laboratory/medical tests (including bone scans), possibly causing false results. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first. This drug may cause jawbone problems. Do not flush down a toilet or pour down a drain unless you are told to do so. It looks like your browser does not have JavaScript enabled. Before having any surgery (especially dental procedures), tell your doctor and dentist about this medication and all other products you use (including prescription drugs, nonprescription drugs, and herbal products). If you have any questions about this drug, please talk with your doctor, nurse, pharmacist, or other health care provider. Etidronate and calcium carbonate are used in combination to treat and prevent osteoporosis in postmenopausal women. To help you remember, take it at the same time each day. Check with your pharmacist if you have etidronate + calcium carbonate give bisphosphonate 2h before oral calcium salts : combo may decr. Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: Calcium can decrease the absorption of other drugs such as tetracycline antibiotics (including doxycycline, minocycline), estramustine, strontium, levothyroxine, and quinolone antibiotics (e.g., ciprofloxacin, levofloxacin). Selected from data included with permission and copyright by First DataBank, Inc. Tell your pharmacist and doctor about the prescription and nonprescription medications you are taking, especially etidronate (Didronel), digoxin (Lanoxin), tetracycline (Sumycin), phenytoin (Dilantin), and vitamins. Throwing up blood or throw up that looks like coffee grounds. Do not take products that have magnesium like some laxatives within 2 hours of this drug. You may report side effects to Health Canada at 1-866-234-2345. Take this medication by mouth with food, usually once daily or as directed by your doctor. Ask for specific instructions about stopping or starting this medication. Do not store in the bathroom. If you have an allergy to etidronate, calcium, or any other part of this drug. Have a dental exam before starting this drug. Take with a full glass of water (8 ounces or 240 milliliters) unless your doctor directs you otherwise. Calcium will interfere with the absorption of the orally administered bisphosphonates alendronate, etidronate, ibandronate, risedronate, and tiludronate. Take this medication by mouth with food, usually once daily or as directed by your doctor. You may report side effects to your national health agency. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Seek immediate medical attention if any of these serious side effects occur: A very serious allergic reaction to this drug is rare. Therefore, elderly people may be at greater risk for side effects while using this drug. With this in mind, we’ve put in place many new procedures, including a limited visitor policy. Create a custom communication board for patients who are not able to use their voice. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away: These are not all of the side effects that may occur. Talk with your doctor before you drink alcohol. Etidronate and calcium carbonate are used in combination to treat and prevent osteoporosis in postmenopausal women. Take good care of your teeth. Keep all drugs out of the reach of children and pets. If you have any questions, consult your doctor or pharmacist. Some drugs may have another patient information leaflet. Your doctor or dentist may tell you to stop taking this medication before your surgery. Caution is advised if you are pregnant or planning to become pregnant in the future. Kidney function declines as you grow older. COVID-19 Vaccine Available to MSK Patients, If you have any questions, contact a member of your healthcare team directly. 7 Patients should be counselled regarding the risk of upper gastrointestinal adverse reactions. Fractures may It is available with or without a prescription. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Calcium Carbonate: (Moderate) Separating times of administration of the oral bisphosphonate from calcium-containing supplements and medications will maximize absorption and clinical benefit. Calcium is a mineral that is very important in the body. PHARMACOLOGY Disodium etidronate acts primarily on bone. If you take other drugs, check with your doctor or pharmacist to see if you need to take them at some other time than this drug. Change in eyesight, eye pain, or very bad eye irritation. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. Each tablet contains the equivalent of 500 mg of elemental calcium. You may also need to take a laxative. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: This is not a complete list of possible side effects. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This medication should not be used if you have certain medical conditions. Throw away unused or expired drugs. Store at room temperature between 59-86 degrees F (15-30 degrees C) away from light and moisture. Canada residents can call a provincial poison control center. Do not share your drugs with others and do not take anyone else’s drugs. The first blister card contains a 14-day supply of etidronate. You must check to make sure that it is safe for you to take this drug with all of your drugs and health problems. Use this medication regularly to get the most benefit from it. Ask your pharmacist about using those products safely. Start taking the calcium after you finish the 14-day supply of etidronate. This information does not assure that this product is safe, effective, or appropriate for you. Check with your pharmacist if you have questions about the best way to throw out drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect: All drugs may cause side effects. This drug works best when used with calcium/vitamin D and weight-bearing workouts like walking or PT (physical therapy). Etidronate and Calcium Carbonate 5/7. DESCRIPTION. Talk with the doctor. Consult your doctor before breast-feeding. Doing so may reduce the amount of drug that is absorbed by your body. Symptoms of overdose for calcium may include: nausea/vomiting, loss of appetite, mental/mood changes, weakness, tiredness. If you have trouble swallowing, the tablet may be crushed or chewed and swallowed with a drink of water. Take this medication by mouth with food, usually once daily or as directed by your doctor. The other 4 blister cards contain calcium carbonate. Call your doctor for medical advice about side effects. Read all information given to you. Etidronate and calcium carbonate are used in combination to treat and prevent osteoporosis in postmenopausal women. This medication contains two different medications to be taken at different times: etidronate and calcium carbonate. Didrocal is also an Australian and Canadian trade name for medicine containing a combination of etidronate and calcium carbonate and is used treat and prevent osteoporosis in postmenopausal women. The information in not intend to cover all possible uses, directions, precautions, drug interactions or adverse effects nor should it be construed in indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. However, if left untreated it can result in broken bones (fractures). If you are pregnant or you get pregnant while taking this drug, call your doctor right away. It is used to prevent or treat soft, brittle bones (osteoporosis). Calcium Carbonate: (Moderate) Separating times of administration of the oral bisphosphonate from calcium-containing supplements and medications will maximize absorption and clinical benefit. It can also be used to prevent steroid-induced osteoporosis (osteoporosis caused by taking corticosteroids such as prednisone for long periods of time). Before going to take calcium carbonate, Tell your pharmacist and doctor if you feel allergic to calcium carbonate or to any other drugs. Make sure laboratory personnel and all your doctors know you use this drug. Always ask your health care professional for complete information about this product and your specific health needs. etidronate and calcium carbonate tablets in Didrocal is used to treat osteoporosis. Etidronate and calcium carbonate are used in combination to treat and prevent osteoporosis in postmenopausal women. Have a bone density test as you have been told by your doctor. Do not eat or drink dairy products or take iron; vitamins with minerals; or products that have aluminum, calcium, or magnesium in them like some antacids within 2 hours before or 2 hours after this drug. If you have questions about missing a dose or you don't have more medication, contact your healthcare provider or pharmacist. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. 7 Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat. Be ready to tell or show what was taken, how much, and when it happened. Your risk of developing osteoporosis increases as you grow older, after menopause due to lower levels of natural estrogen hormones, and when you are taking corticosteroid medications (e.g., prednisone) for long periods. Etidronate Disodium Calcium Carbonate Bone Metabolism Regulator. Some drugs may have another patient information leaflet. Your doctor should check your mouth before you start this medication. It contains 2 medications. Therefore, etidronate should be taken on an empty stomach 2 hours before or … Have blood work checked as you have been told by the doctor. Please turn on JavaScript and try again. If you are pregnant or may be pregnant. Check with your pharmacist. © 2021 UpToDate, Inc. and its affiliates and/or licensors. If it is near the time of the next dose, skip the missed dose. For help between 5 p.m. and 9 a.m., call 1-800-332-1414 and press 2 for the Medication and Herbal Preparation Advice Line. It can also be used to prevent steroid-induced… This medication contains two different medications to be taken at different times: etidronate and calcium carbonate. Laboratory and/or medical tests (e.g., bone mass, calcium/phosphate levels, kidney function) should be performed periodically to monitor your progress or check for side effects. Check the labels on all your prescription and nonprescription/herbal products (e.g., antacids, vitamins) because they may contain calcium. Etidronate may stay in your body for many years. Follow your doctor's instructions closely, and do not take any other supplements/vitamins unless ordered by your doctor. This drug may affect certain lab tests. Conditions of use: The information in this database is intended to supplement, not substitute for the expertise and judgment of healthcare professionals. In Canada - Call your doctor for medical advice about side effects. Action And Clinical Pharmacology: The Didrocal therapy is a nonhormonal treatment consisting of etidronate disodium administered for 14 days followed by calcium carbonate administered for the next 76 days. It can also be used to prevent steroid-induced osteoporosis (osteoporosis caused by taking corticosteroids such as prednisone for long periods of time). Learn how we develop our content. Talk with your doctor if any of these apply to you, or if you have questions. Keep all drugs out of the reach of children and pets. Pronunciation: e-ti-DROE-nate/KAL-see-um KAR-bo-nate. Log in to create and save frequently used communication boards. If there is not enough calcium in the blood, then the body will take calcium from bones, thereby weakening bones. From radiation therapy to clinical trials to check-ins with your doctor, your care is made as convenient as possible. Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. If your symptoms or health problems do not get better or if they become worse, call your doctor. To help you remember, take it at the same time each day. Lifestyle changes that help promote healthy bones include increasing weight-bearing exercise, stopping smoking, limiting alcohol, and eating well-balanced meals that contain adequate calcium and vitamin D. Since you may also need to take calcium and vitamin D supplements and make lifestyle changes, consult your doctor for specific advice. This copyrighted material has been downloaded from a licensed ata provider and is not for distribution, except as may be authorized by the applicable terms of use. Etidronate Disodium Tablets USP 400 mg and Calcium Carbonate Tablets USP 1,250 mg calcium carbonate per tablet (equivalent 500 mg elemental calcium) Bone Metabolism Regulator Teva Canada Limited Date of Preparation: 30 Novopharm Court July 27, 2017 Toronto, Ontario M1B 2K9 Etidronate and calcium carbonate are used in combination to treat and prevent osteoporosis in postmenopausal women. Calcium will interfere with the absorption of the orally administered bisphosphonates alendronate, etidronate, ibandronate, risedronate, and tiludronate. If you have any questions about this drug, please talk with your doctor, nurse, pharmacist, or other health care provider. Symptoms of overdose for etidronate may include: vomiting, numbness/tingling of the hands/feet, severe diarrhea, change in the amount of urine, broken bone, easy bruising/bleeding. Take on an empty stomach. This is only a brief summary of general information about this medicine. It works by decreasing the activity of cells that break down bone. Follow all instructions closely. Avoid taking etidronate within 2 hours of food or any products containing iron, magnesium, calcium, or aluminum (e.g., antacids, laxatives, certain supplements, milk). This information is not specific medical advice and does not replace information you receive from the healthcare provider. This compound, also known as EHDP, regulates bone metabolism. MSK cancer experts are here to help. Before taking this medication, tell your doctor or pharmacist if you are allergic to etidronate; or to other bisphosphonates (e.g., alendronate); or if you have any other allergies. US residents can call their local poison control center at 1-800-222-1222. Sign up for MyMSK to send your questions and receive answers to your most pressing concerns. Do not take the etidronate and the calcium at the same time. Etidronate disodium tablets, USP contain either 200 mg or 400 mg of Etidronate disodium, the disodium salt of (1-hydroxyethylidene) diphosphonic acid, for oral administration. The other 4 blister cards contain calcium carbonate. If you miss a dose, take it as soon as you remember. It may also be higher if you have dental work, chemo, radiation, or take other drugs that may cause jawbone problems. Tell all of your health care providers and lab workers that you take this drug. Each cycle provides 14 white 400 mg etidronate disodium tablets to be taken once daily for 14 days, followed by 76 blue calcium carbonate tablets to be taken once daily for the next 76 days.