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{{DrugProjectFormSinglePage
{{DrugProjectFormSinglePage
|authorTag={{KS}}
|authorTag={{KS}}
|genericName=calcium carbonate
|aOrAn=an
|drugClass=antacid
|indication=[[heartburn]], sour stomach, acid indigestion, upset stomach associated with these symptoms
|blackBoxWarningTitle=<b><span style="color:#FF0000;">TITLE</span></b>
|blackBoxWarningTitle=<b><span style="color:#FF0000;">TITLE</span></b>
|blackBoxWarningBody=<i><span style="color:#FF0000;">Condition Name:</span></i> (Content)
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|fdaLIADAdult===Indications==
* Heartburn
* Sour stomach
* Acid indigestion
* Upset stomach associated with these symptoms
|offLabelAdultGuideSupport=There is limited information regarding <i>Off-Label Guideline-Supported Use</i> of Calcium carbonate in adult patients.
|offLabelAdultGuideSupport=There is limited information regarding <i>Off-Label Guideline-Supported Use</i> of Calcium carbonate in adult patients.
|offLabelAdultNoGuideSupport=There is limited information regarding <i>Off-Label Non–Guideline-Supported Use</i> of Calcium carbonate in adult patients.
|offLabelAdultNoGuideSupport=There is limited information regarding <i>Off-Label Non–Guideline-Supported Use</i> of Calcium carbonate in adult patients.
|offLabelPedGuideSupport=There is limited information regarding <i>Off-Label Guideline-Supported Use</i> of Calcium carbonate in pediatric patients.
|offLabelPedGuideSupport=There is limited information regarding <i>Off-Label Guideline-Supported Use</i> of Calcium carbonate in pediatric patients.
|offLabelPedNoGuideSupport=There is limited information regarding <i>Off-Label Non–Guideline-Supported Use</i> of Calcium carbonate in pediatric patients.
|offLabelPedNoGuideSupport=There is limited information regarding <i>Off-Label Non–Guideline-Supported Use</i> of Calcium carbonate in pediatric patients.
|warnings='''Ask a doctor before use if you have'''
* Kidney stones
* A calcium-restricted diet
'''Ask a doctor or pharmacist before use if you are'''
* Now taking a prescription drug. Antacids may interact with certain prescription drugs.
'''When using this product'''
* Do not take more than 10 tablets in 24 hours
* Do not use the maximum dosage for more than 2 weeks
'''Keep out of reach of children'''.
|alcohol=Alcohol-Calcium carbonate interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.
|alcohol=Alcohol-Calcium carbonate interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.
}}
}}

Revision as of 13:25, 17 December 2014

Calcium carbonate
Adult Indications & Dosage
Pediatric Indications & Dosage
Contraindications
Warnings & Precautions
Adverse Reactions
Drug Interactions
Use in Specific Populations
Administration & Monitoring
Overdosage
Pharmacology
Clinical Studies
How Supplied
Images
Patient Counseling Information
Precautions with Alcohol
Brand Names
Look-Alike Names

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]

Disclaimer

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Overview

Calcium carbonate is an antacid that is FDA approved for the {{{indicationType}}} of heartburn, sour stomach, acid indigestion, upset stomach associated with these symptoms. Common adverse reactions include {{{adverseReactions}}}.

Adult Indications and Dosage

FDA-Labeled Indications and Dosage (Adult)

Indications

  • Heartburn
  • Sour stomach
  • Acid indigestion
  • Upset stomach associated with these symptoms

Off-Label Use and Dosage (Adult)

Guideline-Supported Use

There is limited information regarding Off-Label Guideline-Supported Use of Calcium carbonate in adult patients.

Non–Guideline-Supported Use

There is limited information regarding Off-Label Non–Guideline-Supported Use of Calcium carbonate in adult patients.

Pediatric Indications and Dosage

FDA-Labeled Indications and Dosage (Pediatric)

There is limited information regarding Calcium carbonate FDA-Labeled Indications and Dosage (Pediatric) in the drug label.

Off-Label Use and Dosage (Pediatric)

Guideline-Supported Use

There is limited information regarding Off-Label Guideline-Supported Use of Calcium carbonate in pediatric patients.

Non–Guideline-Supported Use

There is limited information regarding Off-Label Non–Guideline-Supported Use of Calcium carbonate in pediatric patients.

Contraindications

There is limited information regarding Calcium carbonate Contraindications in the drug label.

Warnings

Ask a doctor before use if you have

  • Kidney stones
  • A calcium-restricted diet

Ask a doctor or pharmacist before use if you are

  • Now taking a prescription drug. Antacids may interact with certain prescription drugs.

When using this product

  • Do not take more than 10 tablets in 24 hours
  • Do not use the maximum dosage for more than 2 weeks

Keep out of reach of children.

Adverse Reactions

Clinical Trials Experience

There is limited information regarding Calcium carbonate Clinical Trials Experience in the drug label.

Postmarketing Experience

There is limited information regarding Calcium carbonate Postmarketing Experience in the drug label.

Drug Interactions

There is limited information regarding Calcium carbonate Drug Interactions in the drug label.

Use in Specific Populations

Pregnancy

Pregnancy Category (FDA): There is no FDA guidance on usage of Calcium carbonate in women who are pregnant.
Pregnancy Category (AUS): There is no Australian Drug Evaluation Committee (ADEC) guidance on usage of Calcium carbonate in women who are pregnant.

Labor and Delivery

There is no FDA guidance on use of Calcium carbonate during labor and delivery.

Nursing Mothers

There is no FDA guidance on the use of Calcium carbonate in women who are nursing.

Pediatric Use

There is no FDA guidance on the use of Calcium carbonate in pediatric settings.

Geriatic Use

There is no FDA guidance on the use of Calcium carbonate in geriatric settings.

Gender

There is no FDA guidance on the use of Calcium carbonate with respect to specific gender populations.

Race

There is no FDA guidance on the use of Calcium carbonate with respect to specific racial populations.

Renal Impairment

There is no FDA guidance on the use of Calcium carbonate in patients with renal impairment.

Hepatic Impairment

There is no FDA guidance on the use of Calcium carbonate in patients with hepatic impairment.

Females of Reproductive Potential and Males

There is no FDA guidance on the use of Calcium carbonate in women of reproductive potentials and males.

Immunocompromised Patients

There is no FDA guidance one the use of Calcium carbonate in patients who are immunocompromised.

Administration and Monitoring

Administration

There is limited information regarding Calcium carbonate Administration in the drug label.

Monitoring

There is limited information regarding Calcium carbonate Monitoring in the drug label.

IV Compatibility

There is limited information regarding the compatibility of Calcium carbonate and IV administrations.

Overdosage

There is limited information regarding Calcium carbonate overdosage. If you suspect drug poisoning or overdose, please contact the National Poison Help hotline (1-800-222-1222) immediately.

Pharmacology

There is limited information regarding Calcium carbonate Pharmacology in the drug label.

Mechanism of Action

There is limited information regarding Calcium carbonate Mechanism of Action in the drug label.

Structure

There is limited information regarding Calcium carbonate Structure in the drug label.

Pharmacodynamics

There is limited information regarding Calcium carbonate Pharmacodynamics in the drug label.

Pharmacokinetics

There is limited information regarding Calcium carbonate Pharmacokinetics in the drug label.

Nonclinical Toxicology

There is limited information regarding Calcium carbonate Nonclinical Toxicology in the drug label.

Clinical Studies

There is limited information regarding Calcium carbonate Clinical Studies in the drug label.

How Supplied

There is limited information regarding Calcium carbonate How Supplied in the drug label.

Storage

There is limited information regarding Calcium carbonate Storage in the drug label.

Images

Drug Images

{{#ask: Page Name::Calcium carbonate |?Pill Name |?Drug Name |?Pill Ingred |?Pill Imprint |?Pill Dosage |?Pill Color |?Pill Shape |?Pill Size (mm) |?Pill Scoring |?NDC |?Drug Author |format=template |template=DrugPageImages |mainlabel=- |sort=Pill Name }}

Package and Label Display Panel

{{#ask: Label Page::Calcium carbonate |?Label Name |format=template |template=DrugLabelImages |mainlabel=- |sort=Label Page }}

Patient Counseling Information

There is limited information regarding Calcium carbonate Patient Counseling Information in the drug label.

Precautions with Alcohol

Alcohol-Calcium carbonate interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.

Brand Names

There is limited information regarding Calcium carbonate Brand Names in the drug label.

Look-Alike Drug Names

There is limited information regarding Calcium carbonate Look-Alike Drug Names in the drug label.

Drug Shortage Status

Price

References

The contents of this FDA label are provided by the National Library of Medicine.

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Experimental / Informatics

List of terms related to Calcium carbonate

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [3]

Overview

Calcium carbonate is a chemical compound, with the chemical formula CaCO3. It is a common substance found as rock in all parts of the world, and is the main component of shells of marine organisms, snails, and eggshells. Calcium carbonate is the active ingredient in agricultural lime, and is usually the principal cause of hard water. It is commonly used medicinally as a calcium supplement or as an antacid.

Occurrence

Calcium carbonate is found naturally as the following minerals and rocks: Aragonite, Calcite, Vaterite or (μ-CaCO3), Chalk, Limestone, Marble and Travertine

To test whether a mineral or rock contains calcium carbonate, strong acids, such as hydrochloric acid, can be added to it. If the sample does contain calcium carbonate, it will fizz and produce carbon dioxide and water. Weak acids such as acetic acid will react, albeit less vigorously. All of the rocks/minerals mentioned above will react with acid.

Chemical properties

See also: Carbonate

Calcium carbonate shares the typical properties of other carbonates. Notably:

  1. it reacts with strong acids, releasing carbon dioxide:
    CaCO3 + 2HCl → CaCl2 + CO2 + H2O

Calcium carbonate will react with water that is saturated with carbon dioxide to form the soluble calcium bicarbonate.

CaCO3 + CO2 + H2O → Ca(HCO3)2

Preparation

The vast majority of calcium carbonate used in industry is extracted by mining or quarrying. Pure calcium carbonate (e.g. for food or pharmaceutical use), can be produced from a pure quarried source (usually marble).

Alternatively, calcium oxide is prepared by calcining crude calcium carbonate. Water is added to give calcium hydroxide, and carbon dioxide is passed through this solution to precipitate the desired calcium carbonate, referred to in the industry as precipitated calcium carbonate (PCC):[1]

CaCO3 → CaO + CO2
CaO + H2O → Ca(OH)2
Ca(OH)2 + CO2 → CaCO3 + H2O

Uses

Health and dietary applications

Calcium carbonate is widely used medicinally as an inexpensive dietary calcium supplement or antacid.[2] It may be used as a phosphate binder for the treatment of hyperphosphatemia (primarily in patients with chronic renal failure) when lanthanum carbonate is not prescribed. It is also used in the pharmaceutical industry as an inert filler for tablets and other pharmaceuticals.[3]

As a food additive, it is used in some soy milk products as a source of dietary calcium; one study concludes that calcium carbonate is as bioavailable as ordinary cow's milk.[4]

Solubility

With varying pH

We now consider the problem of the maximum solubility of calcium carbonate in normal atmospheric conditions (<math>\scriptstyle P_{\mathrm{CO}_2}</math> = 3.5 × 10−4 atm) when the pH of the solution is adjusted. This is for example the case in a swimming pool where the pH is maintained between 7 and 8 (by addition of NaHSO4 to decrease the pH or of NaHCO3 to increase it). From the above equations for the solubility product, the hydratation reaction and the two acid reactions, the following expression for the maximum [Ca2+] can be easily deduced:

<math>[\mathrm{Ca}^{2+}]_\mathrm{max} = \frac{K_\mathrm{sp}k_\mathrm{H}} {K_\mathrm{h}K_\mathrm{a1}K_\mathrm{a2}} \frac{[\mathrm{H}^+]^2}{P_{\mathrm{CO}_2}}</math>

showing a quadratic dependence in [H+]. The numerical application with the above values of the constants gives

Template:Chembox header width="170" align="center" |pH 7.0 7.2 7.4 7.6 7.8 8.0 8.2 8.27 8.4
Template:Chembox header width="170" align="center" |[Ca2+]max (10-4mol/L or °F) 1590 635 253 101 40.0 15.9 6.35 4.70 2.53
Template:Chembox header width="170" align="center"|[Ca2+]max (mg/L) 6390 2540 1010 403 160 63.9 25.4 18.9 10.1

Comments:

  • decreasing the pH from 8 to 7 increases the maximum Ca2+ concentration by a factor 100
  • note that the Ca2+ concentration of the previous table is recovered for pH = 8.27
  • keeping the pH to 7.4 in a swimming pool (which gives optimum HClO/OCl ratio in the case of "chlorine" maintenance) results in a maximum Ca2+ concentration of 1010 mg/L. This means that successive cycles of water evaporation and partial renewing may result in a very hard water before CaCO3 precipitates. Addition of a calcium sequestrant or complete renewing of the water will solve the problem.

Solubility in a strong or weak acid solution

Solutions of strong (HCl) or weak (acetic, phosphoric) acids are commercially available. They are commonly used to remove limescale deposits. The maximum amount of CaCO3 that can be "dissolved" by one liter of an acid solution can be calculated using the above equilibrium equations.

  • In the case of a strong monoacid with decreasing concentration [A] = [A], we obtain (with CaCO3 molar mass = 100 g):
width="160" Template:Chembox header |[A] (mol/L) 1 10−1 10−2 10−3 10−4 10−5 10−6 10−7 10−10
width="160" Template:Chembox header |Initial pH 0.00 1.00 2.00 3.00 4.00 5.00 6.00 6.79 7.00
width="160" Template:Chembox header |Final pH 6.75 7.25 7.75 8.14 8.25 8.26 8.26 8.26 8.27
width="160" Template:Chembox header |Dissolved CaCO3 (g per liter of acid) 50.0 5.00 0.514 0.0849 0.0504 0.0474 0.0471 0.0470 0.0470

where the initial state is the acid solution with no Ca2+ (not taking into account possible CO2 dissolution) and the final state is the solution with saturated Ca2+. For strong acid concentrations, all species have a negligible concentration in the final state with respect to Ca2+ and A so that the neutrality equation reduces approximately to 2[Ca2+] = [A] yielding <math>\scriptstyle[\mathrm{Ca}^{2+}] \simeq \frac{[\mathrm{A}^-]}{2}</math>. When the concentration decreases, [HCO3] becomes non negligible so that the preceding expression is no longer valid. For vanishing acid concentrations, we recover the final pH and the solubility of CaCO3 in pure water.

  • In the case of a weak monoacid (here we take acetic acid with pKA = 4.76) with decreasing concentration [A] = [A]+[AH], we obtain:
width="160" Template:Chembox header |[A] (mol/L) 1 10−1 10−2 10−3 10−4 10−5 10−6 10−7 10−10
width="160" Template:Chembox header |Initial pH 2.38 2.88 3.39 3.91 4.47 5.15 6.02 6.79 7.00
width="160" Template:Chembox header |Final pH 6.75 7.25 7.75 8.14 8.25 8.26 8.26 8.26 8.27
width="160" Template:Chembox header |Dissolved CaCO3 (g per liter of acid) 49.5 4.99 0.513 0.0848 0.0504 0.0474 0.0471 0.0470 0.0470

We see that for the same total acid concentration, the initial pH of the weak acid is less acid than the one of the strong acid; however, the maximum amount of CaCO3 which can be dissolved is approximately the same. This is because in the final state, the pH is larger that the pKA, so that the weak acid is almost completely dissociated, yielding in the end as many H+ ions as the strong acid to "dissolve" the calcium carbonate.

  • The calculation in the case of phosphoric acid (which is the most widely used for domestic applications) is more complicated since the concentrations of the four dissociation states corresponding to this acid must be calculated together with [HCO3], [CO32−], [Ca2+], [H+] and [OH]. The system may be reduced to a seventh degree equation for [H+] the numerical solution of which gives
width="160" Template:Chembox header |[A] (mol/L) 1 10−1 10−2 10−3 10−4 10−5 10−6 10−7 10−10
width="160" Template:Chembox header |Initial pH 1.08 1.62 2.25 3.05 4.01 5.00 5.97 6.74 7.00
width="160" Template:Chembox header |Final pH 6.71 7.17 7.63 8.06 8.24 8.26 8.26 8.26 8.27
width="160" Template:Chembox header |Dissolved CaCO3 (g per liter of acid) 62.0 7.39 0.874 0.123 0.0536 0.0477 0.0471 0.0471 0.0470

where [A] = [H3PO4] + [H2PO4] + [HPO42−] + [PO43−]. We see that phosphoric acid is more efficient than a monoacid since at the final almost neutral pH, the second dissociated state concentration [HPO42−] is not negligible (see phosphoric acid ).

References

  1. "Solvay Precipitated Calcium Carbonate: Production". Solvay S. A. 2007-03-09. Retrieved 2007-12-30.
  2. "Calcium Carbonate". Medline Plus. National Institutes of Health. 2005-10-01. Retrieved 2007-12-30.
  3. Herbert A. Lieberman, Leon Lachman, Joseph B. Schwartz (1990). Pharmaceutical Dosage Forms: Tablets. p. 153. ISBN 0824780442.
  4. Y. Zhao, B. R. Martin and C. M. Weaver (2005). "Calcium Bioavailability of Calcium Carbonate Fortified Soymilk Is Equivalent to Cow's Milk in Young Women". J. Nutr. 135 (10): 2379–2382.

External links

Template:Mineral supplements

ar:كربونات كالسيوم cs:Uhličitan vápenatý da:Calciumcarbonat de:Calciumcarbonat et:Kaltsiumkarbonaat it:Carbonato di calcio he:סידן פחמתי lv:Kalcija karbonāts hu:Kalcium-karbonát nl:Calciumcarbonaat no:Kalsiumkarbonat nn:Kalsiumkarbonat simple:Calcium carbonate sk:Uhličitan vápenatý sl:Kalcijev karbonat sr:Калцијум карбонат fi:Kalsiumkarbonaatti sv:Kalciumkarbonat th:แคลเซียมคาร์บอเนต uk:Карбонат кальцію


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