Is It Ok To Take Calcium Carbonate While Pregnant

Calcium Carbonate is an over-the-counter medication taken to raise calcium levels when a person does not get enough calcium from their diet. Calcium is needed in the body for bone, muscle, heart, and nervous system health. It is given to prevent osteoporosis. It is also used to relieve the symptoms of ulcers, heartburn, acid indigestion, and upset stomach.

This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information.

Calcium Carbonate may be found in some form under the following brand names:

• Advanced Formula Di-Gel

• Alka-Mints

• Alka-Seltzer Fruit Chews

• Alkets

• Alkums

• Amilac

• Amitone

• Antacid Extra Strength

• Bayer Aspirin Plus Calcium

• Cal Oys

• Cal-Gest

• Cal-Quick

• Calafol Rx

• CalCarb

• Calcarb with D

• Calci-Chew

• Calci-Mix

• Calcid

• Calcitab

• Calcium Antacid

• Calcium Antacid Ultra Strength

• Calcium Liquid Softgel

• Caltrate

• Caltrate 600 with Iron and Vitamin D

• Caltrate Gummy Bites

• Caltrate Plus D

• Caltro

• Caltro with Vitamin D

• Centrum Pro Nutrients

• Chooz

• Dicarbosil

• Encora AM Tablet

• Encora PM Tablet

• Equilet

• Extra Strength Mylanta Calci Tabs

• Fast Acting Mylanta

• Florical

• Folbecal

• Folgard OS

• FoliNatal Plus B

• Gas-X with Maalox

• Healthy Mama

• Maalox Antacid Barrier

• Maalox Children’s

• Maalox Junior Plus Antigas

• Maalox Max Quick Dissolve

• Maalox Quick Dissolve

• Maalox Quick Dissolve Maximum Strength

• MagneBind 250/300

• MagneBind 400 Rx

• Marblen

• Mi-Acid Double Strength

• Monocal

• Mylanta Child

• Mylanta Gelcap

• Mylanta Supreme

• Mylanta Ultra

• Nephro Calci

• Nutralox

• Os-Cal 500 with D

• OsCal 500

• Osteo-Poretical

• Ostercal-D

• Oysco 500

• Oysco 500 with D

• Oysco D with Calcium

• Oyst Cal

• Oyst Cal 500

• Oyst Calcium

• Pepcid Complete

• Pepto-Bismol Children’s

• Posture-D H/P

• Premesis Rx

• Prenatal Rx 1

• Rolaids

• Rolaids Multi-Symptom

• Rolaids Plus Gas Relief

• Rolaids Regular Strength

• Rolaids Sodium Free

• Rolaids Softchews

• Rx-Act Antacid Calcium Supplement

• Slow-Mag Reformulated Feb 2012

• Surpass

• Titralac

• Titralac Plus

• Tums

• Tums Chewy Delights

• Tums Dual Action

• Ultra Mylanta Calci Tabs

• Uni-Cal 500

• Uni-Mint

• Viactiv Calcium Plus D

Serious side effects have been reported with Calcium Carbonate. See the “Calcium Carbonate Precautions” section.

Common side effects of Calcium Carbonate include the following:

• constipation
• gas
• bloating
• belching
• dry mouth

This is not a complete list of Calcium Carbonate side effects. Ask your doctor or pharmacist for more information.

Tell your doctor if you have any side effect that bothers you or that does not go away.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. Especially tell your doctor if you take:

• Fluoroquinolone antibiotics such as ciprofloxacin (Cipro), gemifloxacin (Factive), levofloxacin (Levaquin), moxifloxacin (Avelox), ofloxacin (Floxin), and norfloxacin (Noroxin)
• Tetracycline antibiotics such as doxycycline (Doryx) and minocycline (Solodyn)
• Antifungal medicines ketoconazole (Nizoral) or itraconazole (Sporanox)
• Bisacodyl (Dulcolax)
• Calcitonin (Fortical)
• Sodium Bicarbonate
• Bisphosphonates such as alendronate (Fosamax), ibandronate (Boniva), risedronate (Actonel), and tiludronate (Skelid)
• Iron supplements such as ferrous sulfate, ferrous gluconate, and ferrous fumarate

This is not a complete list of Calcium Carbonate drug interactions. Ask your doctor or pharmacist for more information.

Serious side effects have been reported with Calcium Carbonate including the following:

• Hypercalcemia (blood calcium levels that are too high). Tell your healthcare provider right away if you have some or all of the following symptoms
  • ​nausea
  • headache
  • vomiting
  • confusion
  • weakness

Do not take Calcium Carbonate if you are allergic to Calcium Carbonate or to any of its ingredients.

Medications can interact with certain foods. In some cases, this may be harmful and your doctor may advise you to avoid certain foods. In the case of Calcium Carbonate, there are no specific foods that you must exclude from your diet when receiving this medication.

Before taking Calcium Carbonate, tell your doctor about all of your medical conditions. Especially tell your doctor if you:

• are allergic to Calcium Carbonate or to any of its ingredients
• have or have had kidney disease
• have or have had stomach conditions
• are pregnant or breastfeeding

Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements.

Tell your doctor if you are pregnant or plan to become pregnant.

Normal daily intake of Calcium Carbonate appears to be safe and effective to use during pregnancy. Use of Calcium Carbonate above the recommended dietary allowance during pregnancy should be avoided.

Tell your doctor if you are breastfeeding or plan to breastfeed.

Calcium Carbonate appears to be safe and effective to use during breast-feeding.

Take Calcium Carbonate exactly as prescribed.

Calcium Carbonate comes in tablet, chewable tablet, capsule, liquid, soft chew, and gummies form and is taken 1 to 4 times a day, depending on the formulation.

The chewable tablets are usually taken with a meal. They should be chewed thoroughly before being swallowed.

The soft chews and gummies are taken with or without food.

Drink a glass of water after taking the regular or chewable tablets or capsules.

If you are taking Calcium Carbonate on a regular schedule and forget to take a dose, take it as soon as you remember it. If it is almost time for the next dose, skip the missed dose and take your next dose at the regular time. Do not take two doses of Calcium Carbonate at one time.

Take this medication exactly as prescribed by your doctor. Follow the directions on your prescription label carefully.

The dose your doctor recommends may be based on the following:

• the condition being treated
• other medical conditions you have
• other medications you are taking
• your age
• your gender

If you take too much Calcium Carbonate, call your healthcare provider or local Poison Control Center, or seek emergency medical attention right away.

If Calcium Carbonate is administered by a healthcare provider in a medical setting, it is unlikely that an overdose will occur. However, if overdose is suspected, seek emergency medical attention.

• Keep this and all medicines out of the reach of children.
• Store at room temperature

I take Calcium Carbonate. Can it make it harder for me to become pregnant?

Taking Calcium Carbonate at recommended levels is not expected to make it harder to become pregnant.

Does taking Calcium Carbonate increase the chance for miscarriage?

Miscarriage can occur in any pregnancy. Based on the studies reviewed, taking Calcium Carbonate at recommended levels is not expected to increase the chance for miscarriage.

Does taking Calcium Carbonate increase the chance of birth defects?

Every pregnancy starts out with a 3-5% chance of having a birth defect. This is called the background risk. Based on studies reviewed, taking Calcium Carbonate at recommended levels is not expected to increase the chance for birth defects above the background risk.

Could taking Calcium Carbonate increase the chance of other pregnancy related problems?

When taken as directed, Calcium Carbonate is not expected to increase the chance of other pregnancy related problems such as preterm delivery (birth before week 37) or low birth weight (weighing less than 5 pounds, 8 ounces [2500 grams] at birth).

Does taking Calcium Carbonate in pregnancy affect future behavior or learning for the child?

Studies have not been done to see if Calcium Carbonate can cause behavior or learning issues for the child.

What if I take higher than recommended levels of Calcium Carbonate?

The use of Calcium Carbonate in more than the recommended amount might cause low birth weight (weighing less than 5 pounds, 8 ounces [2500 grams] at birth). In addition, taking more Calcium Carbonate than recommended has been associated with milk-alkali syndrome. Milk-alkali syndrome is caused by high levels of calcium in the blood. This might lead to the breakdown of calcium in other body tissues and could cause kidney failure. There have been a few case reports of newborns with seizures when high doses of Calcium Carbonate were used near the end of pregnancy. Case reports have limited value as they may not include important information that could also explain the outcomes reported

Breastfeeding while taking Calcium Carbonate:

There are Recommended Daily Allowance (RDA) guidelines for calcium (elemental calcium). For people who are breastfeeding and are over the age of 18 years, the RDA is 1,000 mg. For people who are pregnant and are ages 14 to 18 years old, the RDA of calcium is 1,300 mg.

Calcium is found in breastmilk. When Calcium Carbonate is taken at recommended doses, it is unlikely to be harmful to a nursing baby. Be sure to talk to your healthcare provider about all of your breastfeeding questions.

If a male takes Calcium Carbonate, could it affect fertility (ability to get partner pregnant) or increase the chance of birth defects?

Studies have not been done to see if Calcium Carbonate could affect male fertility or increase the chance of birth defects. In general, exposures that fathers or sperm donors have are unlikely to increase risks to a pregnancy. For more information, please see the MotherToBaby fact sheet Paternal Exposures at https://mothertobaby.org/fact-sheets/paternal-exposures-pregnancy/.

Please click here for references.

OTIS/MotherToBaby recognizes that not all people identify as “men” or “women.” When using the term “mother,” we mean the source of the egg and/or uterus and by “father,” we mean the source of the sperm, regardless of the person’s gender identity.