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Gemcal Kit

Manufacturer: Alkem Laboratories Ltd
Medicine composition: Calcitriol, Calcium Carbonate, Zinc, Risedronate
Prescription vs.OTC: Prescription by Doctor not required

Gemcal Kit helps in the control of some conditions that arise because of fluctuating levels of the parathyroid hormone in the body. It effectively manages low levels of calcium, in those who are undergoing chronic kidney dialysis.

The drug is a type of Vitamin D, and helps the body absorb calcium as well as phosphate properly, in order to prevent the development of related health problems.

The drug should not be used if one is allergic to any component in it or if you have extremely high levels of calcium and Vitamin D in the body.

Gemcal Kit can be taken either with food or without. Patients who are on Gemcal Kit, should avoid the use of mineral oils and antacids that contain magnesium, primarily because they interfere with the effects of the drug. In case of a missed dose, take it immediately when you remember. If it is already time for the following dose, jus skip the dose that is missed and return to proper schedule.

Certain side effects that may occur when taking Gemcal Kit are- hypercalcemia and hypercalciuria, that may lead to symptoms like weakness, headache, nausea, pain the in bones and muscles, constipation and dryness of the mouth.

allergic disorders
In addition to its intended effect, Gemcal Kit may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Skin thinning Moderate Less Common
Contact dermatitis Moderate Less Common
Is It safe with alcohol?
No interaction found
Are there any pregnancy warnings?
This medicine does not cause any harm to the fetus, but there is no scientific evidence to certify it. Hence, it is best to consult a doctor before consuming it during pregnancy. It is best to be administered orally.
Are there any breast-feeding warnings?
Unknown. Human and animal studies are not available. Please consult your doctor.
Is it safe to drive while on this medicine?
There is no data available. Please consult doctor before consuming the drug.
Does this affect kidney function?
Contraindicated in patients with severe impaired renal function.
Does this affect liver function?
There is no data available. Please consult doctor before consuming the drug.
Below is the list of medicines, which have the same composition, strength and form as Gemcal Kit , and hence can be used as its substitute.
Torrent Pharmaceuticals Ltd
Gemcal Kit is a medicine that is used to maintain and balance parathyroid hormone in the body. It is a form of vitamin D and helps in the absorption of calcium and phosphate in the body.
What are you using Gemcal Kit for?
nutritional deficiencies
How much was the improvement?
How long did it take before seeing improvement?
More than 2 days
Within a day
Within 2 days
Within 6 hours
Within 2 hours
How frequently did you take this medicine?
Once a day
Not taking on daily level
Twice a day
Thrice a day
Four times A Day
How did you take this medicine?
With Food
With or without food
Empty stomach
What were the side effects of this medicine?
Skin thinning
Contact Dermatitis
Disclaimer: The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.

Popular Questions & Answers

I am having pain in both the legs and knee when I stand or walk from last 6 month. L took gemcal for 2 months and gemcal plus for additional 1 month but I didn't find much relief. Can I take calcirol sachet 60000 IU and gemcal. When and how should I take it.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am having pain in both the legs and knee when I stand or walk from last 6 month. L took gemcal for 2 months and gem...
Tk muscle relaxant medicine and stretching exercise of legs and do quadriceps exercise with this calcium supplements.
2 people found this helpful

I took MNRF treatment. Can I take gemcal capsule with MNRF treatment any Side effects Sir?

Homeopath, Hooghly
I took MNRF treatment. Can I take gemcal capsule with MNRF treatment any Side effects Sir?
Gemcal have Soo many side effects like nausea,, unusual weigh loss,bone pain,, muscle pain,,changes in urine etc can be
5 people found this helpful

I am having pain in both the legs especially if I stand or walk from 6 month. I took gemcal for 3 months but I didn't find much relief. Is it safe to take calcirol sachet and gemcal. When and how should I take them.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am having pain in both the legs especially if I stand or walk from 6 month. I took gemcal for 3 months but I didn't...
Tk a deficiency test of calcium levels then tk calcium supplements. Do strength exercise if you r not dounfg strain full activity otherwise muscle relaxant medicine and stretching exercise.
1 person found this helpful

My doctor has prescribed Zincovit, Gemcal plus, and methylcobalamin-1500 mcg daily for joint and muscle pain, fatigue, etc is it safe?

MSPT (Master of Physical Therapy)
Physiotherapist, Indore
My doctor has prescribed Zincovit, Gemcal plus, and methylcobalamin-1500 mcg daily for joint and muscle pain, fatigue...
Yes you can take that zincovit is multivitamin gemcal is calcium, and methylcobalamine is for fatigue.
1 person found this helpful

I works in medical for 12 hours because of that my joint pain is increasing n I had tried gemcal capsule but still no relief from pain pls tell me wht to do.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I works in medical for 12 hours because of that my joint pain is increasing n I had tried gemcal capsule but still no...
Homoeopathic medicine ACTAE SPICATA 30 ( Dr Reckeweg) Drink 5 drops direct on tongue twice daily ADEL 4 ( ADEL) Drink 20 drops in 20 ml fresh water 3 times daily.
1 person found this helpful

Popular Health Tips

Kidney Disease - How It Affects Your Bones?

Interventional Nephrology, DM - Nephrology, MD - General Medicine, MBBS
Nephrologist, Bangalore
Kidney Disease - How It Affects Your Bones?

People with chronic kidney disease notice that their bones tend to get weaker and more slender. They become painful and are bound to break more easily as a consequence of mineral loss. The most common kind of bone infections happen when:

  1. There is a change in the balance between two essential minerals in your body - calcium and phosphate, which prompts loss of calcium from your bones.
  2. Four small glands (parathyroid organs), which regulate calcium in your body, turn out to be excessively active.
  3. There is a change in the way your body utilizes vitamin D, a mineral that is vital for healthy bones.

Every bone disease affects bones in different ways.

  • Phosphate is found in many food items you eat. Your kidneys normally eject whatever is not required in the body. At the point when your kidneys have stopped functioning properly, phosphate may develop in your blood. Excess phosphate in your blood prompts loss of calcium from your bones, which has a tendency to weaken them. Eating food items that are low in phosphate can keep phosphate from building up in your blood.
  • Since phosphate stays in your body when your kidneys are no more ready to remove it, four small glands in your neck (parathyroid organs) turn out to be excessively active. When this happens, calcium is expelled from your bones over a long period of time, making them weak.
  • Vitamin D is a vital vitamin, which affects the balance in the calcium content of your body. Typically, vitamin D is processed into a more soluble state by the kidneys and can be utilized by the body. In case your kidneys have deteriorated, they can no more do this critical job. Luckily, the dynamic type of vitamin D is accessible in the form of medications that can be prescribed by your specialist, if necessary. In case you have a kidney disease, it is vital to find a way to prevent bone illness. Some of the solutions are as follows:

    • Limit the amount of phosphorus you take in every day. Ask your specialist or dietitian to let you know how much phosphorus you need to have. You can likewise request a list of high-phosphorus food items.
    • Take a phosphate folio. This is a medicine that you bring with dinners to keep your body from taking in the phosphorus that originates from your food and beverages. This can keep phosphorus from winding up in your blood.
    • Take a calcitriol supplement. Your kidneys make calcitriol with the help of vitamin D that you get from food and the sun. When your kidneys are not working, they can't make calcitriol. A man-made type of calcitriol can help your body utilize the calcium and phosphorus it needs.
    • Exercise can make your bones more strong and keep them from breaking.
    • Try not to smoke or use tobacco. It can aggravate bone disease.
    • Take your medications the way your specialist instructs you to and do not skip dialysis medicines.
    • Even after changing your diet and taking medicines, if you still have an excess of phosphorus in your blood, your specialist may propose that you undergo further dialysis. If you wish to discuss about any specific problem, you can consult a Nephrologist.
4187 people found this helpful

Renal Scan - What To Expect?

MBBS, MD - Internal Medicine, DM - Nephrology
Nephrologist, Bangalore
Renal Scan - What To Expect?

There are two kidneys in the body on the right and left sides, which have a significant role in metabolism, as outlined below. 

  1. Regulation of minerals, including sodium and potassium 
  2. Production of urine through which metabolic wastes, including urea, are cleared out 
  3. Production of the hormone renin which is essential for controlling blood pressure 
  4. Production of the hormone calcitriol which ensures the bones receive the required calcium 
  5. Production of the hormone erythropoietin which is essential for proper red blood cell growth. 

Any impaired kidney function leads to all these associated organs being affected, such as increased blood pressure, improper bone functioning and blood cell formation. So, whenever a kidney disease is suspected, early diagnosis and treatment is very essential. This results in minimal treatment and better prognosis. 

Most people undergo an annual chemical test to check the blood and urine, which would indicate increase in protein levels or other abnormalities. When there is increase in the protein level, a kidney disease needs to be ruled out. One of the best ways to identify renal issues is to do a renal scan. Some of the common reasons for getting a renal scan done are listed below:

  1. To assess the blood flow through the kidneys. Improper flow often is a result of arterial narrowing and high blood pressure. This could be the first step in diagnosing hypertension. This is usually followed by a blood chemical test, which indicates the increased amount of protein and urea in the blood. 
  2. To check the abnormalities in the shape, size, and structure of the kidneys. 
  3. To assess kidney disorders like tumours, cysts, abscesses, etc. 
  4. To assess the effect of injury on the kidney from a trauma or injury. 
  5. To identify renal stones, the size, number, location, etc., which is essential for planning the treatment. 
  6. To find and assess any growth in the kidney. To assess the efficacy of the treatment for kidney diseases. 
  7. To assess how well a transplanted kidney is functioning. 
  8. The good thing about a renal scan is that it can help identify more than one problem during a single scan. 

What is done? 

A radioisotope material is injected into a vein and the flow of this material is then monitored. This scan evaluates the blood flow through and to the kidneys; how the urine flow takes place; and the size/structure of the kidneys. The scan will take about two hours to complete. A renogram is a graph that shows the flow of the tracer through the kidney. 

A different density of uptake indicates different disease conditions. It is usually a painless procedure other than the slight discomfort caused by the needle prick. The results are usually available within two days for the doctor to interpret and take appropriate action.

3 people found this helpful

Top Ten Calcium Supplements!

General Physician, Gorakhpur
Top Ten Calcium Supplements!

Calcium is an essential mineral in our diet, and makes up roughly 2% of an adult’s body weight. It is a critical aspect of our bone growth, development and maintenance throughout our entire lives, which is why a deficiency of this mineral is such a serious problem. Fortunately, there are many different calcium supplements on the market to ensure that we get the recommended amount of calcium that our body needs to function and support itself properly.

What are calcium supplements?

  • Calcium supplements are ways to get your daily recommended amount of calcium up to its proper levels – roughly 1, 000-1, 200 milligrams per day for men and women. These calcium supplements are tablets or pills with concentrated levels of calcium, and tend to come in two forms: calcium carbonate and calcium citrate.
  • Calcium carbonate is the more concentratedof the two, with each pill composed of roughly 40% calcium, but it requires stomach acid to be dissolved and absorbed by the body. Therefore, these pills need to be eaten with your meals.
  • Calcium citrate is weaker, providing only 20% calcium in each pill, but they can be taken on an empty stomach, as they do not require stomach acid to be dissolved. Elderly patients suffering from calcium deficiency more commonly use calcium citrate, as stomach acid production slows down as we age.
  • Since calcium can only be absorbed and used in small amounts by the body, most calcium supplements range from 150-500 milligrams and are taken 1-2 times per day, depending on how poor your calcium levels are, and how much calcium your typical diet includes. Many supplements also include other minerals in which people are commonly deficient, such as magnesium and vitamin d.
  • Speak with your doctor about which of the following calcium supplements may be best for you.

List of calcium supplements:

1. Calcium carbonate

Tums 500os-cal 500caltrate 600viactiv calcium chewsgnc calcium complete

2. Calcium citrate

Cluebonnet calcium citrate magnesium and vitamin d3rainbow light mini-tabletsswanson calcium citrate and vitamin dsolgar calcium citratetwinlab calcium citrate caps

Why do you need calcium?

As mentioned earlier, calcium is required by the body for bone mineral density, and a deficiency in this mineral will increase the risk of osteoporosis, as well as osteopenia. Some of the common symptoms of calcium deficiency include fainting, muscle weakness, psoriasis, brittle nails, tooth decay, seizures, itching, problems swallowing and numbness in the fingers and toes.

Aside from bone strength and durability, calcium is also needed by the body for proper nerve communication and function, as well as for the contraction of muscles throughout the body. Calcium plays a role in protecting cardiac muscle, controlling blood pressure, strengthening the teeth and gums, transporting nutrients throughout the body and keeping the ph balance of the body in line.

Clearly, deficiencies in this important mineral must be taken seriously, due to their comprehensive effects on health.

Food sources of calcium

While supplements are always available to increase your daily intake of calcium, there are also many calcium-rich foods that are easy to incorporate into your daily diet.

Kaleyogurtcheesebok choysardineskefirwatercressfigsclamsgreen beanssesame seeds oranges almonds

Benefits of calcium supplements

Calcium supplements can be very effective for improving bone strength, particularly as you age, after a major injury, illness or surgery, or if you are already at high risk for osteoporosis (due to contributing health factors). These supplements can also help in the prevention of arthritis and to help maintain your weight. Furthermore, since so many calcium supplements include magnesium, vitamin d and other commonly deficient vitamins, use of these nutritional supplements can help your body in many other ways too!

Side effects of calcium supplements

The regular use of calcium supplements can have certain negative side effects, such as constipation, excess gas, nausea, irregular heartbeat, muscle pain, dry mouth, headaches or dizziness. These are mainly experienced when you suffer from hypercalcemia, which means your body is taking in too much calcium. When calcium is taken in large concentrations, the body is unable to process all of it at once, so it could begin depositing it in the wrong places.

This sort of excessive calcium in the body can lead to problems with the kidneys, muscles, stomach, bones and even the brain, causing irritability and even depression. If you experience ongoing symptoms of sore muscles and joints, pain in your back and spine, decreased appetite or excessive urination, you are likely suffering from too much calcium.

Speak to your doctor or nutritionist before adding calcium supplements to your daily intake; if your diet already accounts for the daily recommended amount of calcium, there is no need to take supplements.

Things to consider while taking calcium supplements

Before you choose to take calcium supplements, there are a few things to consider, namely your age, diet, pre-existing medical conditions and prescribed medications.

1. Age: depending on how old you are, as well as your gender, you may require more or less calcium. Women under 50 and men under 70 only require 1, 000 milligrams a day, where as women over 50 and men over 70 require approximately 1, 200 milligrams per day. As your age changes, if your diet doesn’t, you may want to consider supplementing with calcium to keep your bones strong.

2. Diet: while there are many different foods that can deliver calcium, certain dietary choices and styles may inherently keep your calcium content low. Vegans tend to lack calcium, as they don’t include dairy products in their diet, which is a great and consistent source of calcium. Furthermore, people who consume foods that are high in protein or sodium tend to lose more calcium through urination, which can lead to osteoporosis, even if your intake of calcium seems acceptable.

3. Medical conditions: certain diseases and conditions demand more calcium from the body, prevent calcium absorption, or cause excessive calcium loss. If you have suffer from chronic inflammation, crohn’s disease or celiac disease, the condition may be preventing calcium absorption in the gut, and calcium supplements may be a good thing. However, if you are at high risk for kidney stones or prostate cancer, high levels of calcium could heighten that risk.

4. Medications: the use of corticosteroids is quite common for chronic disease, and this can lower the body’s ability to absorb calcium. Furthermore, if you are taking antibiotics, it can interfere with how your body takes in calcium, so supplements may be required.

5. Other mineral deficiencies: some of the body’s receptors for nutrients are shared, so calcium, iron and zinc are often in competition in the gut to be absorbed and used. If you have other mineral deficiencies, it may be wise to space out your supplements, rather than taking them all at once, so that your body can properly process each of them.

4 people found this helpful

Carbon Peeling

Diploma In Dermatology And Venerology And Leprosy (DDVL), M.H.U.S (Maharashtra University Of Health Sciences
Dermatologist, Pune
Carbon Peeling

Carbon laser peeling is so called hollywood peel. It is gradually growing in india because of its zero downtime and instant results. Carbon laser peel is a laser procedure that uses a carbon layer as a photo - enhancer to improve the skin's radiance and promotes a smooth and glowing complexion. This treatment is used to target active acne as carbon powder penetrates into pores, thus allowing the laser to focus it's energy more effectively. It also helps refine enlarged pores to reduce oil secretion, remove open comedones and achieve whitening effects.

mechanism of action:

Laser energy lightly absorbs carbon particles, heating dermis which results in stimulating the building up of collagen leading to tightening and younger looking skin and lightly ablating the top layer of epidermis. Laser energy breaks up pigment that is carried away by blood vessels and lightening effect is achieved. It has bactericidal effect on propionibacterium acnes and decreases the size of sebaceous glands so a favourable response is seen in acne prone patients. 


• enlarged or dilated pores
• presence of fine lines 
• oily and acne prone skin 
• dull complexion or dyschromia 


• acute or chronic inflammatory dermatoses
• malignancy 
• history of keloidal tendency 

techniques of laser carbon peel:

1. Cleansing: it is done with a mild cleanser so as to remove any oil, dirt and makeup and apply eye protective sheild.

2. Carbon paste application:
Then a uniform layer of medicated carbon paste is applied over the area to be treated. Then dab it with a cotton pad so as to remove excess of carbon.

3. Laser pass:
We use q - switched nd-yag 1320nm at maximum fluence tolerable to patient as it should not hurt throughout the procedure. The pass is given without overlapping. The carbon particles are absorbed by laser and leave skin refreshed and toned. 

4. Cleaning: the remaining carbon particles, if anywhere, should be cleaned with micelle solution and a layer of vitamin c and hyaluronic acid serum is applied followed by sunscreen. 

post-procedure instructions:

• avoid sun and sauna bath for 7 days 
• use moisturiser and sunscreen on a regular basis.
• maintain hydration 

side effects:

• erythema and transient swelling which may be present for few hours and can be managed well with ice packs 
• post inflammatory hyperpigmentation may also occur
• laser burn is quite rare

Even after single session, smooth and even skin is noticed. For ideal results, 5-6 sessions at interval of 2-3 weeks are advised for other indications. 


BHMS, Certificate in Gynaecology & Obestric, MD - Homeopathy, Ph.D Homeopathy
Homeopath, Delhi

Inadequate intake of zinc rich foods like meat, shell fish, liver gelatin, beans, rice, bread, cereals lentils etc. 
Incomplete absorption of zinc from the food due to many barrier likes presence of phytic acid in the diet hampers.

- Reduced appetite
- Retarded growth. 

- Atrophy (shrinkage) of sexual organs. 
- Hair loss
- Diarrhea
- Keratosis (desquamation) of tongue
- Skin affections. 
- Dwarfism
- Infertility
- Delayed healing of wounds
- Decreased taste acuity

53 people found this helpful