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Citracal D Review

Citracal D is a popular calcium citrate supplement marketed by Bayer Healthcare.  Calcium carbonate and calcium citrate brands compete ferociously on supermarket shelves. Citracal® D is typically more expensive than its carbonate competitors such as Tums®, Oscal ® or Caltrate ® on an equivalent dose basis.  Citracal is not typically sold in health food stores.

Absorption Rate Discrepancies
For years, the manufacturers of Citracal D and Oscal+D argued over absorption rates. Researchers Citracal-D-Review | Review Articlefrom Creighton University presented data showing the two supplements to be equally absorbable.  Clinicians from the University of Texas found Citracal to be more absorbable. Ultimately, a hearing was held in front of the National Advertising Division (NAD) of the Better Business Bureau of New York. The NAD generally sided with the research done by Creighton University. In most advertising today, Citracal does not suggest that it is better absorbed than calcium carbonate supplements.

Citracal D  Possible Side Effects
WebMD.com lists the following possible side effects and precautions for people taking Citracal D:

“Constipation or stomach upset may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

If your doctor has directed you to use this medication, remember that he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor immediately if any of these unlikely but serious side effects occur: nausea/vomiting, loss of appetite, unusual weight loss, mental/mood changes, change in the amount of urine, bone/muscle pain, headache, increased thirst, increased urination, weakness, tiredness, fast/pounding heartbeat.

A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
Before taking this medication, tell your doctor if you have any allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems.
This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: high calcium/vitamin D levels (hypercalcemia/hypervitaminosis D), difficulty absorbing nutrition from food (malabsorption syndrome).

Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart/blood vessel disease, kidney stones, kidney disease, certain immune system disorder (sarcoidosis), liver disease, certain bowel diseases (Crohn's disease, Whipple's disease), little or no stomach acid (achlorhydria), low levels of bile, untreated phosphate imbalance.
Chewable tablets may contain sugar or aspartame. Caution is advised if you have diabetes, phenylketonuria (PKU), or any other condition that requires you to limit/avoid these substances in your diet. Ask your doctor or pharmacist about using this product safely.

Tell your doctor if you are pregnant before using this medication. During pregnancy, doses of vitamin D greater than the recommended dietary allowance should be used only when clearly needed. Discuss the risks and benefits with your doctor.”

Like AdvaCAL calcium supplements, Citracal D is a partner of the National Osteoporosis Foundation. Citracal-D-Review | Review ArticleBoth brands have good solubility.  The recommended minimum daily serving for Citracal D contains 630 mg of calcium and 500 IU of Vitamin D.  The recommended minimum daily serving of AdvaCAL 1000 has 1000 mg of calcium (as unique AAACa calcium) and 1000 IU of Vitamin D3. Unlike AdvaCAL, titanium dioxide, a dye, is present in Citracal D.