Pfizer Consumer - Caltrate
Caltrate

Caltrate assists in preventing & treating osteoporosis

Evaluating Calcium Supplements

When evaluating a calcium supplement, one of the key issues to consider is the level of elemental calcium, rather than the amount of calcium salt. It is the level of elemental calcium that determines how many tablets will be needed to achieve your RDI.

The following table sets out the level of elemental calcium contained in some popular calcium salts.7 It can be seen from the table that calcium carbonate, as contained in Caltrate contains the most elemental calcium per 1000mg, making it the most concentrated form of calcium available.
Calcium Salt Elemental Calcium per 1000mg
Calcium carbonate 400mg
Calcium citrate (tetrahydrate) 211mg
Calcium lactate (pentahydrate) 130mg
Calcium gluconate (monohydrate) 89mg
The calcium carbonate dissolves readily under the acid conditions present in the stomach after a meal.8,9 Therefore, when taking a supplement containing calcium carbonate, it should be taken after a meal.

References
7. Sweetman SC (2002). Martindale, The Complete Drug Reference (33rd Edition), pp 1189. Pharmaceutical Press.
8. Heaney RP, et al (1989). Meal Effects on Calcium Absorption. Am J Clin Nutr 49: 372-376.
9. Moses G (2002). The Caltrate Debate – Is One Calcium Supplement Better Than Another? Pharmacist 21 (4): 245-246.
Always read the label. Use only as directed. Vitamin supplements should not replace a balanced diet.

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