Flocal D

• This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
• If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet

1. What FLORENCE FLOCAL-D is and what it is used for
   FLORENCE FLOCAL-D contains calcium and vitamin D3 which are both essential for healthy bones and teeth.
   FLORENCE FLOCAL-D provides extra calcium and vitamin D3 to your diet. It is therefore used in conditions where your body’s calcium and vitamin D levels need to be increased.
   FLORENCE FLOCAL-D can be prescribed by doctors for certain bone conditions, for example, osteoporosis.
   Studies show that taking calcium and vitamin D3 over a long time can prevent hip and other non- vertebral bone fractures in later life.
2. What you need to know before you take FLORENCE FLOCAL-D
   Do not take FLORENCE FLOCAL-D:
   − if you are allergic to calcium carbonate, vitamin D3 or any of the other ingredients of this
   medicine (listed in section 6)Warnings and precautions:
   Talk to your doctor or pharmacist before taking FLORENCE FLOCAL-D.
   Tell your doctor or pharmacist if you:
   − Have high levels of calcium in your blood (hypercalcaemia) or high levels of calcium in your
   urine (hypercalciuria). If you are unsure your doctor will advise you.
   − Have problems with your kidneys, for example kidney stones.
   − Have sarcoidosis (inflammation that produces lumps of cells in various organs in the body),
   your doctor will be able to tell you if you do.

− Have previously been told by your doctor that you have an intolerance to some sugars.
− Are taking any other medication, even those you may have bought for yourself without
prescription.

Other medicines and FLORENCE FLOCAL-D
Tell your doctor if you are taking calcium supplements or antacids for indigestion, digitalis drugs (eg.
Lanoxin), diuretics or corticosteroids.
If you are taking thyroxine, bisphosphonates, iron or fluoride medicines, tetracycline or quinolone antibiotics make sure your doctor knows this. When taking these medicines leave a period of about 4 hours before taking your FLORENCE FLOCAL-D tablets. Do not take them at the same time. Tell your doctor or pharmacist if you are taking, have recently taken or might take any other
medicines.

Pregnancy and breast-feeding
In pregnancy or when breast feeding, FLORENCE FLOCAL-D should only be used under medical supervision. Ask your doctor or pharmacist for advice before taking any medicine.
FLORENCE FLOCAL-D with food
This medicine should not be taken within 2 hours of eating foods rich in oxalic acid (e.g. spinach and rhubarb), phosphate (e.g. bran), or phytic acid (e.g. whole cereals).

3. How to take FLORENCE FLOCAL-D
Always take this medicine exactly as described in this leaflet or as your doctor has told you. Check with your doctor or pharmacist if you are not sure.
Adults, elderly and children over 12 years of age:
2 tablets daily, ideally one tablet taken in the morning and one in the evening.

Children under 12:
FLORENCE FLOCAL-D must not be given to children under 12 years old.
If you take more FLORENCE FLOCAL-D than you should
You should only take what your doctor recommends. If you take too many FLORENCE FLOCAL-D tablets contact your doctor or pharmacist if you can do so. If not, go to the nearest hospital casualty department immediately, taking the FLORENCE FLOCAL-D pack and remaining tablets with you.

If you forget to take FLORENCE FLOCAL-D
If you forget to take your tablet, take it as soon as possible and continue to take the tablets as normal.
Do not take a double dose to make up for a forgotten tablet.
If you stop taking FLORENCE FLOCAL-D
Always talk to your doctor or pharmacist before stopping using FLORENCE FLOCAL-D.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects
   Like all medicines, this medicine can cause side effects, although not everybody gets them.
   Frequency not known (frequency cannot be estimated from the available data):
   • Allergic reactions – symptoms include itching, wheezing, rash, swelling of the tongue or throat.
   If you have an allergic reaction stop taking the tablets and seek medical attention
   immediately.
   Rare side effects (may affect up to 1 in 1,000 people):
   − Constipation, wind, feeling sick, stomach ache, diarrhoea.
   − Skin rash.
   − Hypercalcaemia (too much calcium in your blood) or hypercalciuria (too much calcium in your
   urine).5. How to store FLORENCE FLOCAL-D

• Keep this medicine out of the sight and reach of children.
• Do not store above 25˚C.
• Do not use this medicine after the expiry date.The expiry date refers to the last day of that month.
• Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help to protect the environment.

6. Contents of the pack and other information

What FLORENCE FLOCAL-D contains
− The active substances are calcium carbonate and vitamin D3.
What FLORENCE FLOCAL-D looks like and contents of the pack
− The tablets are white, flat faced and oval in shape.
− FLORENCE FLOCAL-D tablets are provided in packs of 30 or 60 tablets.