Fossical D is a specialized mineral and vitamin supplement containing Calcium Carbonate (sourced from Coral) and Vitamin D3 (Cholecalciferol). It is primarily used to maintain bone density and treat conditions arising from calcium and vitamin D deficiencies. Produced by Aristopharma Ltd., this “Coral Calcium” formulation is known for better absorption compared to traditional calcium sources. Here is the updated guide for 2026.
What is Fossical D Used For?
Fossical D 500 mg + 200 IU is prescribed mainly for:
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Bone Health: Treatment and prevention of osteoporosis, osteomalacia, and rickets.
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Deficiency Management: Relief from tetany, hypoparathyroidism, and disorders of osteogenesis.
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Increased Demand: Nutritional supplementation during pregnancy, lactation, and for elderly patients.
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Secondary Support: Used as a phosphate binder in patients with chronic renal failure.
Key Reminder: For optimal results, Fossical D should be taken after a full meal to ensure maximum absorption of the calcium. For a deeper look at the clinical importance of bone minerals, you can review the pharmacology of Calcium and Vitamin D3 on DrugBank.
Dosage
For adults and adolescents, the standard dosage is one tablet once or twice daily, or as directed by a physician. It is highly recommended to take the tablet with a full glass of water and after meals to minimize gastrointestinal discomfort.
Common Side Effects
Fossical D is generally well-tolerated, though some users may experience:
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Flatulence or bloating
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Constipation or diarrhea
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Upper gastrointestinal discomfort
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Nausea or vomiting (rare)
Important 2026 Safety Update: Long-term use of high-dose calcium can lead to hypercalcemia (excessive calcium in the blood). Recent research emphasizes that patients with a history of kidney stones should be monitored closely. For comprehensive safety data, see the NIH guidelines on Calcium and Vitamin D.
Important Warnings & Precautions
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Kidney Stones: Use with caution if you have a history of renal calculi (kidney stones).
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Drug Spacing: Calcium can interfere with the absorption of certain antibiotics (Tetracyclines, Quinolones). Take these at least 2 hours before or 4-6 hours after Fossical D.
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Hypercalcemia: Do not use if you have high blood calcium levels or severe renal impairment.
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Heart Health: Patients on Digoxin should use calcium supplements only under strict medical supervision.
Fossical D vs. Fossical DX: Key Differences And Usage
Aristopharma produces two main variants of the Fossical range. The “DX” version is a higher-strength formulation designed for those with more severe deficiencies.
| Feature | Fossical D | Fossical DX |
| Elemental Calcium | 500 mg | 600 mg |
| Vitamin D3 | 200 IU | 400 IU |
| Primary Use | Daily maintenance | Intensive treatment |
| Source | Coral Fossil | Coral Fossil |
| Unit Price (2026) | ৳13.00 | ৳17.00 |
Fossical D Price in Bangladesh (January 2026 Update)
The following table provides the updated retail pricing for Fossical D and its higher-strength variant.
| Product Name | Strength | Unit Price (BDT) | Strip Price (10 Tablets) |
| Fossical D | 500 mg + 200 IU | ৳13.00 | ৳130.00 |
| Fossical DX | 600 mg + 400 IU | ৳17.00 | ৳170.00 |
Fossical D Alternative Brands & Prices
As of January 2026, here are the top 10 alternative “Coral Calcium + D3” brands available in Bangladesh.
| Brand Name | Company Name | Price per Unit (BDT) |
| CoralCal-D | Radiant Pharmaceuticals | ৳13.00 |
| Cora-D | ACI Limited | ৳12.00 |
| Rocal-D | Healthcare Pharmaceuticals | ৳12.00 |
| Acical-D | ACI Limited | ৳8.00 |
| Coral CD | Rangs Pharmaceuticals | ৳12.00 |
| Algeum-D | Radiant Pharmaceuticals | ৳10.00 |
| Calbon D | Aristopharma Ltd. | ৳8.00 |
| Phytocal D | Eskayef (SK+F) | ৳10.00 |
| Aquacal-D | Popular Pharmaceuticals | ৳11.00 |
| Boni D | Delta Pharma Ltd. | ৳6.00 |
Frequently Asked Questions (FAQ) About Fossical D
We’ve answered the most common questions regarding Fossical D (Coral Calcium + D3) usage in Bangladesh for 2026.
Q: What is the Fossical D price in Bangladesh?
As of January 2026, the retail price for Fossical D is ৳13.00 per tablet. A strip of 10 tablets costs ৳130.00.
Q: What is Fossical D used for?
It is used to prevent and treat calcium and vitamin D deficiencies, manage osteoporosis (weak bones), and support bone health during pregnancy and lactation.
Q: What are the common Fossical D side effects?
The most common side effects are mild and include constipation, flatulence (gas), and stomach upset. Drinking plenty of water helps reduce these risks.
Q: Is Fossical D safe during pregnancy?
Yes, Fossical D is frequently prescribed during pregnancy and breastfeeding to meet the increased demand for calcium. However, always follow the specific dose recommended by your gynecologist.
Q: What is the recommended Fossical D dose?
Typically, one tablet is taken once or twice daily. For better absorption, it is best to take it in the morning or evening after a meal.
Q: Is Fossical D better than normal calcium?
Fossical D uses Coral Calcium, which many clinical studies suggest has a higher absorption rate and better bioavailability compared to traditional Calcium Carbonate.
Q: Can I take Fossical D for back pain?
If the back pain is caused by bone density loss or calcium deficiency, Fossical D may help over time. However, it is not a painkiller for acute muscle injury.
Q: Does Fossical D cause kidney stones?
While calcium is essential, excessive intake can increase the risk of stones in susceptible individuals. Ensure you stay hydrated and do not exceed the prescribed dose.
Q: Are there any alternatives to Fossical D?
Yes, popular alternatives include CoralCal-D (Radiant), Cora-D (ACI), and Rocal-D (Healthcare). Most are priced between ৳8.00 and ৳13.00.
Disclaimer: This is educational information only (updated January 2026). Not a substitute for professional medical advice. Always consult a qualified physician before starting/stopping any medication.
