Dietary and other sources of vitamin D should be evaluated to avoid excessive intake.
Should be given with care to patients with impaired renal function.
The following laboratory test and/or values may be modified during the use of the drug; serum calcium and serum gastrin concentration may increase; systemic and urinary pH may increase; serum phosphatase concentration may decrease.
Oxalic acid-containing food such as rhubarb and spinach, and phytic acid-containing food, such as bran and whole grain cereals, should be avoided since concurrent use may inhibit calcium absorption.
Pregnancy and lactation: Calcium with Vitamin D should be used with caution during pregnancy and lactation, as excessive doses may give rise to hypercalcemia in the offspring.