Product image of Mastical D (Colecalciferol, Calcium) supplied by GNH India

Mastical D

Active Ingredient:
Colecalciferol, Calcium
Origin:
EU

Mastical D (Colecalciferol, Calcium)

Colecalciferol, the active ingredient in Mastical D, is a vitamin D and calcium supplement presented as an oral tablet for oral use. It supports bone mineralization and helps correct vitamin D and calcium deficiencies in children and adults, particularly for individuals at risk of osteoporosis or low bone mass.

GNH India supplies Mastical D as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory‑approved batches to meet global demand.

Manufacturer / TM Owner

Cheplapharm Arzneimittel Gmbh

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Indications & Clinical Uses

Mastical D provides vitamin D3 and calcium to address conditions related to bone health and mineral deficiency.

  • Osteoporosis: helps maintain bone density and reduces fracture risk.
  • Vitamin D deficiency: restores normal serum 25‑hydroxyvitamin D levels.
  • Hypocalcemia: supports normal calcium concentrations in blood.
  • Rickets: assists bone mineralization in children with deficient vitamin D and calcium.

How It Works

  • Colecalciferol (vitamin D3) is converted in the liver to 25‑hydroxyvitamin D and subsequently in the kidney to the active hormone 1,25‑dihydroxyvitamin D, which binds to nuclear vitamin D receptors to increase transcription of calcium‑binding proteins, enhancing intestinal calcium absorption. The supplied calcium provides the mineral substrate required for bone mineralization and metabolic functions.

Side Effects

Mastical D may cause adverse reactions, most of which are mild and reversible.

Common Side Effects

  • Nausea
  • Constipation
  • Abdominal discomfort
  • Headache
  • Dry mouth
  • Mild hypercalcemia (elevated calcium levels)

Serious or Rare Side Effects

  • Severe hypercalcemia leading to kidney stones or cardiac arrhythmia
  • Hypervitaminosis D with systemic toxicity
  • Allergic reactions such as rash, pruritus or angioedema
  • Calcification of soft tissues (e.g., blood vessels)
  • Acute renal failure in extreme cases

Precautions & Warnings

Before using Mastical D, consider the following safety measures.

  • Baseline assessment: evaluate serum calcium and 25‑hydroxyvitamin D levels.
  • Renal monitoring: check kidney function periodically, especially in patients with renal impairment.
  • Concomitant supplements: avoid taking additional high‑dose calcium or vitamin D without medical advice.
  • Specific conditions: use cautiously in sarcoidosis, granulomatous diseases, or hyperparathyroidism.
  • Pregnancy and lactation: consult a healthcare professional before use.
  • Store at ambient temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

Mastical D can interact with several medicines; awareness helps prevent complications.

Major Interactions (Avoid)

  • Thiazide diuretics: increase risk of hypercalcemia.
  • High‑dose vitamin A: may precipitate hypervitaminosis D.
  • Lithium: can raise calcium levels.

Moderate Interactions (Monitor Closely)

  • Corticosteroids: may reduce calcium absorption.
  • Anticonvulsants (e.g., phenytoin, phenobarbital): accelerate vitamin D metabolism.
  • Orlistat: may decrease absorption of fat‑soluble vitamins including vitamin D.

Frequently Asked Questions

Mastical D is a nutritional supplement that provides vitamin D3 (colecalciferol) and calcium. It is used to correct vitamin D and calcium deficiencies, support bone mineralization, and help manage conditions such as osteoporosis, hypocalcemia, and rickets under medical supervision.

Colecalciferol is converted first to 25‑hydroxyvitamin D in the liver and then to the active hormone 1,25‑dihydroxyvitamin D in the kidney. This active form binds to vitamin D receptors, enhancing the expression of calcium‑binding proteins in the intestine, which increases calcium absorption and promotes bone mineralization.

The appropriate dose of Mastical D is determined by a prescriber based on the patient’s age, clinical condition, baseline vitamin D and calcium levels, and any concurrent therapies. Patients should follow the specific dosing instructions provided by their healthcare professional.

Pregnant or breastfeeding individuals should only use Mastical D after consulting a healthcare professional. Vitamin D and calcium are essential nutrients during these periods, but dosing must be individualized to avoid excess intake that could affect maternal or fetal health.

To place an order, submit an enquiry on the Mastical D product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements), and import documentation.

Mastical D combines both colecalciferol (vitamin D3) and elemental calcium in a single oral tablet, whereas many vitamin D products contain only the vitamin. This dual formulation can simplify therapy for patients who need both nutrients, but clinicians may choose separate products based on individual dosing requirements or specific patient conditions.

Mastical D should be stored at ambient temperature, preferably below 25 °C. Keep the tablets in the original packaging, protect them from moisture and direct sunlight, and ensure the container is tightly closed to maintain product stability throughout its shelf life.

Mastical D is taken orally, usually with water. The tablet should be swallowed whole and not chewed or crushed unless a healthcare professional advises otherwise. It can be taken with or without food, but consistent administration with meals may improve calcium absorption.

The most serious risks include severe hypercalcemia, which can lead to kidney stones, cardiac arrhythmias, or soft‑tissue calcification, and hypervitaminosis D, which may cause nausea, vomiting, weakness, and in extreme cases, renal failure. Patients should be monitored for symptoms and have serum calcium checked regularly.

Mastical D should be avoided in individuals with known hypersensitivity to colecalciferol, calcium, or any excipients, as well as patients with untreated hypercalcemia, severe renal impairment, or conditions such as sarcoidosis where vitamin D metabolism is altered, unless a physician determines it is appropriate.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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