Product Information:

OSAM-D Tablets are a fixed-dose combination supplement containing:

1. Calcium Carbonate 1250mg (providing 500mg elemental calcium)
2. Vitamin D3 (Cholecalciferol) 200 IU

This formulation supports bone health, calcium absorption, and prevention of osteoporosis, particularly in populations at risk of calcium and vitamin D deficiency.

⚠️ Note: The "D" in OSAM-D refers to Vitamin D3, which enhances intestinal calcium absorption and bone mineralization.

Uses of (OSAM-D TABLETS):

1. Prevention and treatment of calcium and vitamin D deficiency
2. Adjunct therapy in osteoporosis and osteopenia
3. Support for postmenopausal women, elderly individuals, and growing adolescents
4. Prevention of bone loss during corticosteroid therapy
5. Nutritional support during pregnancy, lactation, and post-fracture recovery

Key Benefits of (OSAM-D TABLETS):

1. Optimized ratio of calcium and vitamin D for enhanced absorption
2. Supports bone density and reduces fracture risk
3. Helps maintain healthy teeth and muscle function
4. Once- or twice-daily dosing for convenience

How To Use (OSAM-D TABLETS):

1. Take one tablet once or twice daily, as directed by your physician.
2. Swallow whole with water—preferably with meals to improve calcium absorption and reduce GI upset.
3. Avoid taking with iron supplements or thyroid medications (separate by 2–4 hours).
4. For best results, ensure adequate dietary protein and physical activity.

When Not to Use (OSAM-D TABLETS):

Do not use if you have:

1. Hypercalcemia (high blood calcium)
2. Hypercalciuria (excess calcium in urine)
3. Kidney stones (calcium oxalate type)
4. Severe renal impairment
5. Hypersensitivity to any ingredient

Side Effects of (OSAM-D TABLETS):

Common: Constipation, bloating, gas, mild nausea.

Rare: Kidney stones (with long-term high-dose use), hypercalcemia (in susceptible individuals).

Serious (rare):

1. Milk-alkali syndrome (with excessive intake): confusion, headache, kidney dysfunction
2. Discontinue and seek medical help if signs of hypercalcemia occur (e.g., excessive thirst, frequent urination, abdominal pain).

Dosage: (OSAM-D TABLETS):

1. Adults: 1–2 tablets daily (providing 500–1000mg elemental calcium + 200–400 IU vitamin D)
2. Elderly/postmenopausal women: Often 2 tablets daily
3. Maximum recommended elemental calcium: ≤1200–1500mg/day from all sources
4. Duration: Long-term use is common under medical supervision

Who It’s For (OSAM-D TABLETS):

1. Postmenopausal women
2. Elderly individuals at risk of osteoporosis
3. Adolescents during growth spurts
4. Pregnant or lactating women with low dietary calcium
5. Patients on long-term corticosteroids

Warnings & Precautions:

1. Do not exceed recommended dose—high calcium intake may increase cardiovascular or kidney stone risk
2. Monitor serum calcium and renal function in long-term users
3. Vitamin D content (200 IU) is modest—higher doses may be needed in deficiency (as per doctor)
4. Avoid concurrent use with thiazide diuretics (↑ hypercalcemia risk)

Drug Interactions:

1. Thiazide diuretics: ↑ Risk of hypercalcemia
2. Levothyroxine, bisphosphonates, fluoroquinolones, tetracyclines: Calcium binds these—administer 2–4 hours apart
3. Iron supplements: Reduced absorption—separate dosing
4. Always inform your doctor about all medications.

Additional Information:

Store below 30°C in a dry place, protected from light and moisture. Keep out of reach of children. Do not use after the expiration date. Available over-the-counter in Pakistan.