{"id":55967,"date":"2024-02-07T05:47:50","date_gmt":"2024-02-07T05:47:50","guid":{"rendered":"https:\/\/medsname.com\/cipcal\/"},"modified":"2026-04-30T10:24:42","modified_gmt":"2026-04-30T10:24:42","slug":"cipcal","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/cipcal\/","title":{"rendered":"Cipcal"},"content":{"rendered":"<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<h3 style=\"margin-top:0;\">R\u0103spuns rapid<\/h3>\n<p><strong>Cipcal (carbonat de calciu 500 mg + multivitamine (Cipla))<\/strong> este un comprimat de carbonat de calciu plus multivitamine pentru prevenirea \u0219i tratamentul deficien\u021bei de calciu, s\u0103n\u0103tatea osoas\u0103 postmenopauz\u0103 \u0219i ca adjunct \u00een tratamentul osteoporozei.<\/p>\n<ul style=\"margin-bottom:0;\">\n<li>Carbonat de calciu 500 mg elementar + vitamine cofactor<\/li>\n<li>Lua\u021bi cu alimente (mediul acid \u00eembun\u0103t\u0103\u021be\u0219te absorb\u021bia carbonatului)<\/li>\n<li>Maximum 500\u2013600 mg pe doz\u0103 \u2014 \u00eemp\u0103r\u021bi\u021bi aportul zilnic \u00een dou\u0103<\/li>\n<li>Produc\u0103tor certificat WHO-GMP (Cipla)<\/li>\n<\/ul>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f6f8;border:1px solid #e0e4e7;padding:12px 16px;margin:18px 0;border-radius:4px;font-size:14px;color:#444;\">\n<strong>produc\u0103tor certificat WHO-GMP<\/strong> \u00b7 Ambalaj discret \u00b7 Livrare worldwide \u00b7 <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\" style=\"color:#2c7cb0;\">Peste 1.400 de recenzii verificate ale clien\u021bilor<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<p style=\"font-size:13px;color:#666;margin:4px 0 18px;\">Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\" style=\"color:#2c7cb0;\">Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a>.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Cipcal provine de la un produc\u0103tor certificat WHO-GMP. Fiecare comand\u0103 este expediat\u0103 \u00een ambalaj discret, f\u0103r\u0103 marc\u0103, \u00een \u00eentreaga lume \u0219i este acoperit\u0103 de Politica noastr\u0103 de Asigurare a Reexpedierii. Pl\u0103ti\u021bi \u00een siguran\u021b\u0103 cu card de credit, transfer bancar SEPA sau criptomoned\u0103. Consulta\u021bi <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">Peste 1.400 de recenzii verificate ale clien\u021bilor<\/a>.<\/p>\n<h2>Ce este Cipcal?<\/h2>\n<p>Cipcal este un comprimat de carbonat de calciu suplimentat cu vitamine cofactor care sus\u021bin s\u0103n\u0103tatea osoas\u0103. Carbonatul de calciu furnizeaz\u0103 40% calciu elementar \u00een greutate (un comprimat de carbonat de 1.250 mg = 500 mg calciu elementar). Pentru ionizare \u0219i absorb\u021bie este necesar\u0103 aciditate gastric\u0103, de aceea este recomandat s\u0103 fie luat \u00een timpul meselor.<\/p>\n<h2>Indica\u021bii<\/h2>\n<ul>\n<li><strong>Insuficien\u021b\u0103 de calciu \u00een diet\u0103<\/strong> \u2014 \u00een special \u00een dietele lactose-intolerante, vegane sau cu consum redus de lactate<\/li>\n<li><strong>S\u0103n\u0103tatea osoas\u0103 postmenopauz\u0103<\/strong> al\u0103turi de vitamina D<\/li>\n<li><strong>Adjunct la bisfosfona\u021bi<\/strong> \u00een tratamentul osteoporozei<\/li>\n<li><strong>Sarcina \u0219i al\u0103ptarea<\/strong> dac\u0103 aportul din diet\u0103 este insuficient<\/li>\n<li><strong>V\u00e2rful de mas\u0103 osoas\u0103 la adolescen\u021bi<\/strong> suport \u00een dietele s\u0103race \u00een calciu<\/li>\n<li><strong>Hipocalcemie<\/strong> (u\u0219oar\u0103, dietetic\u0103 \u2014 hipocalcemia sever\u0103 necesit\u0103 gestionare specializat\u0103)<\/li>\n<\/ul>\n<h3>Cum se administreaz\u0103<\/h3>\n<p>O tablet\u0103 o dat\u0103 sau de dou\u0103 ori pe zi la mese. Nu dep\u0103\u0219i\u021bi 500\u2013600 mg de calciu elementar pe doz\u0103 unic\u0103 \u2014 eficien\u021ba absorb\u021biei scade peste aceast\u0103 limit\u0103, iar excesul pur \u0219i simplu trece prin organism. Dac\u0103 sunt necesare dou\u0103 doze, distribui\u021bi-le pe parcursul zilei \u00een loc s\u0103 le lua\u021bi \u00eempreun\u0103.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Separa\u021bi de levotiroxin\u0103, fluorochinolone, tetracicline, fier \u0219i bisfosfona\u021bi cu 4 ore<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Calciul cheleaz\u0103 multe medicamente \u00een intestin \u0219i reduce absorb\u021bia lor \u00een grade clinic semnificative. Regula separ\u0103rii de 4 ore se aplic\u0103 \u00een AMBELE direc\u021bii \u2014 nu doar de la calciu la cel\u0103lalt medicament. Levotiroxina \u0219i bisfosfona\u021bii au nevoie \u00een special de o fereastr\u0103 pe stomacul gol, a\u0219a c\u0103 lua\u021bi Cipcal la pr\u00e2nz \u0219i cin\u0103, l\u0103s\u00e2nd diminea\u021ba liber\u0103 pentru medicamentele tiroidiene sau cele active pe os.<\/p>\n<\/div>\n<h2>Efecte secundare<\/h2>\n<ul>\n<li><strong>Constipa\u021bie<\/strong> \u2014 cea mai frecvent\u0103; cre\u0219te\u021bi aportul de lichide \u0219i fibre sau trece\u021bi la citrat de calciu (mai pu\u021bin constipant dar mai scump)<\/li>\n<li><strong>Eructa\u021bii, flatulen\u021b\u0103<\/strong> \u2014 carbonatul elibereaz\u0103 CO<sub>2<\/sub> la contactul cu acidul gastric<\/li>\n<li><strong>Hipercalcemia<\/strong> \u2014 neobi\u0219nuit la doze standard; riscul cre\u0219te cu diureticele tiazidice, boli granulomatoase sau administrarea concomitent\u0103 de vitamina D \u00een doze mari<\/li>\n<li><strong>Pietre la rinichi<\/strong> la pacien\u021bii predispu\u0219i \u2014 calciul total zilnic de 1.200 mg din diet\u0103 plus supliment reprezint\u0103 limita obi\u0219nuit\u0103<\/li>\n<\/ul>\n<h2>Interac\u021biuni medicamentoase<\/h2>\n<ul>\n<li><strong>Levotiroxin\u0103<\/strong> \u2014 chelare; separa\u021bi cu 4 ore<\/li>\n<li><strong>Fluorochinolone, tetracicline<\/strong> \u2014 chelare; separa\u021bi cu 4 ore<\/li>\n<li><strong>Fier oral<\/strong> \u2014 absorb\u021bie redus\u0103 pentru ambele; separa\u021bi cu 4 ore<\/li>\n<li><strong>Bifosfona\u021bi (alendronat, risedronat)<\/strong> \u2014 separa\u021bi absolut; bifosfona\u021bii necesit\u0103 o perioad\u0103 de 30\u201360 de minute cu stomacul gol \u00eenainte de m\u00e2ncare\/b\u0103utur\u0103<\/li>\n<li><strong>Diuretice tiazidice<\/strong> \u2014 excre\u021bie redus\u0103 de calciu; hipercalcemie cumulativ\u0103 posibil\u0103 la doze mari de suplimente<\/li>\n<li><strong>IPPs \u0219i blocante H2<\/strong> \u2014 reduc aciditatea gastric\u0103 \u0219i, prin urmare, absorb\u021bia carbonatului; trece\u021bi la citrat de calciu (absorb\u021bie independent\u0103 de acid) \u00een cazul tratamentului pe termen lung cu IBP<\/li>\n<li><strong>Digoxin\u0103<\/strong> \u2014 hipercalcemia amplific\u0103 toxicitatea<\/li>\n<\/ul>\n<h2>Contraindica\u021bii<\/h2>\n<ul>\n<li>Hipercalcemie, hipercalciurie<\/li>\n<li>Insuficien\u021b\u0103 renal\u0103 sever\u0103 f\u0103r\u0103 supraveghere specializat\u0103<\/li>\n<li>Sarcoidoz\u0103 activ\u0103 sau alte boli granulomatoase<\/li>\n<li>Pietre renale de calciu-oxalat (relativ; consult specializat)<\/li>\n<\/ul>\n<h2>Depozitare<\/h2>\n<p>Depozita\u021bi sub 25\u00b0C, \u00een ambalajul original, \u00eentr-un loc uscat.<\/p>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3>De c\u00e2t calciu am nevoie de fapt?<\/h3>\n<p>Obectivele de aport zilnic total (alimente + suplimente): adul\u021bi 19\u201350 = 1.000 mg\/zi; adul\u021bi 51+ = 1.200 mg\/zi; sarcin\u0103 \u0219i al\u0103ptare = 1.000\u20131.300 mg\/zi. Majoritatea adul\u021bilor consum\u0103 deja 600\u2013800 mg din alimente, a\u0219a c\u0103 o singur\u0103 tablet\u0103 Cipcal pe zi completeaz\u0103 de obicei diferen\u021ba.<\/p>\n<h3>De ce s\u0103 \u00eemp\u0103r\u021bi\u021bi doza?<\/h3>\n<p>Absorb\u021bia calciului este saturabil\u0103 \u2014 peste 500\u2013600 mg \u00eentr-o singur\u0103 doz\u0103, absorb\u021bia frac\u021bionat\u0103 scade brusc. Dou\u0103 doze de 500 mg asigur\u0103 o absorb\u021bie total\u0103 mai bun\u0103 dec\u00e2t o singur\u0103 doz\u0103 de 1.000 mg.<\/p>\n<h3>Carbonat de calciu vs citrat de calciu?<\/h3>\n<p>Carbonatul este ieftin, con\u021bine 40% calciu elementar (densitate ridicat\u0103), dar necesit\u0103 acid gastric \u2014 lua\u021bi cu mesele. Citratul este independent de acid (bun pentru utilizatorii de PPI \u0219i pentru v\u00e2rstnici), mai bl\u00e2nd pentru intestin, mai pu\u021bin constipant \u2014 dar mai scump \u0219i con\u021bine mai pu\u021bin calciu pe tablet\u0103 (21% elementar).<\/p>\n<h3>Va preveni Cipcal osteoporoza?<\/h3>\n<p>Calciul plus vitamina D plus exerci\u021bii cu greutate reduc riscul de fractur\u0103 la v\u00e2rstnici; singur, calciul are un efect mult mai slab. Pentru osteoporoza diagnosticat\u0103, interven\u021biile de tratament (bifosfona\u021bi, denosumab, teriparatid\u0103) sunt solu\u021bia real\u0103 \u2014 Cipcal le completeaz\u0103.<\/p>\n<h3>Exist\u0103 o leg\u0103tur\u0103 \u00eentre suplimentarea cu calciu \u0219i infarctul miocardic?<\/h3>\n<p>Unele studii observa\u021bionale au semnalat un risc cardiovascular u\u0219or crescut la doze mari de suplimente (&gt;1.000 mg\/zi doar din suplimente), dar dovezile sunt mixte, iar calciul din alimente nu prezint\u0103 acest risc. Recomandare practic\u0103: prioriza\u021bi calciul din alimente; folosi\u021bi suplimente doar pentru a completa diferen\u021ba, nu pentru a dep\u0103\u0219i 1.200\u20131.500 mg total\/zi.<\/p>\n<h3>Pot s\u0103 iau Cipcal cu mesele?<\/h3>\n<p>Da \u2014 este preferabil s\u0103 lua\u021bi carbonatul cu mese. Calciul concureaz\u0103 cu fierul, zincul, magneziul \u0219i alte minerale pentru absorb\u021bie, a\u0219a c\u0103 dac\u0103 con\u021binutul de minerale din alimente este important (de ex. sunte\u021bi anemici \u0219i lua\u021bi fier oral), separa\u021bi Cipcal de mesele bogate \u00een fier.<\/p>\n<h3>\u0218i despre pietrele la rinichi?<\/h3>\n<p>Calciul din alimente luat cu mese reduce riscul de pietre la rinichi prin legarea oxalatului \u00een intestin. Suplimentele de calciu luate departe de mese pot cre\u0219te riscul de pietre la pacien\u021bii susceptibili. Lua\u021bi Cipcal cu mese \u0219i men\u021bine\u021bi o hidratare corespunz\u0103toare.<\/p>\n<h3>Sarcin\u0103: c\u00e2t este prea mult?<\/h3>\n<p>Obiectivele \u00een sarcin\u0103 sunt 1.000\u20131.300 mg\/zi total. Evita\u021bi s\u0103 dep\u0103\u0219i\u021bi 2.500 mg\/zi. Majoritatea multivitaminelor prenatale con\u021bin deja 200\u2013300 mg calciu \u2014 nu dep\u0103\u0219i\u021bi obiectivele.<\/p>\n<h3>Trebuie s\u0103 o iau pentru totdeauna?<\/h3>\n<p>Reevalueaz\u0103 anual. Dac\u0103 dieta se \u00eembun\u0103t\u0103\u021be\u0219te (mai multe lactate, legume verzi, tofu, sardine), suplimentarea poate s\u0103 nu mai fie necesar\u0103. Dac\u0103 e\u0219ti pe terapie pe termen lung cu PPI, anticonvulsivante sau steroizi, suplimentarea continu\u0103 este de obicei recomandat\u0103.<\/p>\n<h3>Cum se compar\u0103 Cipcal cu Topcal M?<\/h3>\n<p>Cipcal con\u021bine calciu + cofactori de vitamine. Topcal M adaug\u0103 \u00een mod explicit magneziu \u0219i vitamina D \u2014 util c\u00e2nd aportul de magneziu este sc\u0103zut sau c\u00e2nd se dore\u0219te un produs axat pe s\u0103n\u0103tatea osului. Ambele sunt op\u021biuni rezonabile; alegerea depinde de preferin\u021b\u0103.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Alte Vitamine &amp; Minerale<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/cipcal\/\">Cipcal<\/a> \u2014 carbonat de calciu + multivitamine<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/topcal-m\/\">Topcal M<\/a> \u2014 calciu + magneziu + vitamina D<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/calcirol\/\">Calcirol<\/a> \u2014 colecalciferol 60.000 IU plic<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/alphadol\/\">Alphadol<\/a> \u2014 alfacalcidol pentru deficien\u021be asociate BCR<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/osteofos\/\">Osteofos<\/a> \u2014 acid alendronic pentru osteoporoz\u0103<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/arachitol-6l-injection\/\">Arachitol 6L Injectabil<\/a> \u2014 colecalciferol depo IM<\/li>\n<\/ul>\n<h2>Declinare de responsabilitate medical\u0103<\/h2>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;font-size:14px;color:#444;\">\nAceast\u0103 pagin\u0103 are scop strict informativ \u0219i nu \u00eenlocuie\u0219te sfatul medical profesionist. Suplimentarea cu vitamine \u0219i minerale ar trebui s\u0103 fie ghidat\u0103, ideal, de teste de laborator atunci c\u00e2nd se suspecteaz\u0103 deficien\u021be. Suplimentarea cu doze mari nu este benign\u0103 \u2014 vitamina A este teratogen\u0103, vitamina E cre\u0219te riscul de s\u00e2nger\u0103ri, beta-carotenul cre\u0219te riscul de cancer pulmonar la fum\u0103tori, iar calciul \u00een doze mari are un semnal cardiovascular. Pacientele gravide sau care al\u0103pteaz\u0103 trebuie s\u0103 urmeze recomand\u0103rile obstetrice pentru suplimentarea prenatal\u0103. Pacien\u021bii sub tratament cu warfarin trebuie s\u0103 men\u021bin\u0103 o aport constant de vitamina K. Pacien\u021bii care iau levotiroxin\u0103, fluoroquinolone sau tetracicline trebuie s\u0103 separe administrarea de fier \u0219i calciu cu 4 ore. Dezv\u0103lui\u021bi \u00eentotdeauna toate suplimentele medicului prescriptor \u0219i farmacistului.\n<\/div>","protected":false},"excerpt":{"rendered":"<p>\u2705 \u00cembun\u0103t\u0103\u021be\u0219te s\u0103n\u0103tatea oaselor<br \/>\n\u2705 Previne osteoporoza<br \/>\n\u2705 Sus\u021bine func\u021bia muscular\u0103<br \/>\n\u2705 Spore\u0219te bun\u0103starea general\u0103<br \/>\n\u2705 Combat deficien\u021bele de vitamine<\/p>\n<p>Cipcal con\u021bine calciu \u0219i multivitamine.<\/p>","protected":false},"featured_media":55968,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3342,3863],"product_tag":[4019,4020,4021],"class_list":{"0":"post-55967","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-general-health","8":"product_cat-vitamins-and-minerals","9":"product_tag-calcium","10":"product_tag-cipcal","11":"product_tag-multivitamin","13":"first","14":"instock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/55967","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=55967"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/55968"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=55967"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=55967"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=55967"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=55967"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}