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Calcium carbonate

Brand: Tums, Os-Cal

Antacid / calcium supplementUsed for: Heartburn, calcium supplementationGastrointestinal

No boxed warning on the current FDA label.

Caution
Binds levothyroxine, tetracyclines, and fluoroquinolones (separate by 4 hours); high calcium and kidney stones with excessive use.

Common side effects

  • Constipation
  • Gas and belching
  • High calcium with excessive use

Key interactions

  • Binds levothyroxine (separate by 4 hours), tetracyclines, and fluoroquinolones (separate by at least 2 hours)
  • Reduces iron absorption

Counseling points

  • Separate from levothyroxine by at least 4 hours
  • Chew tablets thoroughly
  • Works within minutes, unlike a proton pump inhibitor
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