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Tums
calcium carbonate
Uses .
- [ calcium carbonate ]
- antacid for relieving heartburn, upset stomach; calcium for dietary supplementation and reducing the risk of osteoporosis
Dosing .
dyspepsia
- [ 12 yo and older ]
- Dose: 2-4 tabs PO prn; Max: 15 tabs/24h; Info: max 10 tabs/24h if pregnant
osteoporosis prevention, postmenopausal (off-label)
- [ adults ]
- Dose: 2 tabs PO tid; Info: give w/ food
dietary supplementation (off-label)
- [ individualize dose ]
- Info: see Dietary Reference Intakes, Calcium table
renal dosing
- [ peds ]
- CrCl <25: consider dose adjustment based on calcium levels
- HD/PD: not defined
- [ adults ]
- renal impairment: no adjustment
- HD/PD: not defined
hepatic dosing
- [ not defined ]
Formulations .
chewable tablet
- [active ingredients per tab]
- calcium carbonate 500 mg (equivalent to 200 mg elemental Ca)
- [flavors/selected other ingredients]
- peppermint flavor contains sugar, no alcohol, no dye, no phenylalanine, no saccharin, no sucralose
Contraindications / Cautions .
- hypersensitivity to drug or ingredient
- hypercalcemia
- hypophosphatemia
- nephrolithiasis
- caution: hypercalciuria
- caution: dehydration
- caution: renal impairment
- caution: hyperparathyroidism
- caution: vitamin D toxicity
- caution: GI bleeding
- caution: GI obstruction
- caution: botulism
Drug Interactions .
Overview
calcium carbonate
calcium salt (antacid)
- gastric pH modulator
- hypercalcemia
- hypophosphatemia
- polyvalent cation
- urine alkalinizer
Avoid/Use Alternative
- baloxavir marboxil
- dextroamphetamine
- dicyclomine
- erdafitinib
- erlotinib
- lisdexamfetamine
- mefenamic acid
- mesalamine
- methamphetamine
- methenamine
- methylphenidate
- mexiletine
- nirogacestat
- potassium acid phosphate
- potassium phosphate
- raltegravir
- selpercatinib
- sodium acid phosphate
- sodium phosphate (supplement)
- sotorasib
- trientine
Monitor/Modify Tx
- abaloparatide
- alendronate
- aluminum hydroxide
- atazanavir
- belumosudil
- bictegravir
- bisacodyl
- bosutinib
- cabotegravir
- calcipotriene topical
- calcitriol
- calcitriol topical
- calcium chloride
- captopril
- cefpodoxime
- cefuroxime axetil
- chloroquine
- chlorothiazide
- chlorthalidone
- cholecalciferol (vitamin D3)
- ciprofloxacin
- cysteamine
- dasatinib
- defactinib
- deferiprone
- delafloxacin
- demeclocycline
- diflunisal
- digoxin
- dolutegravir
- domperidone
- doxercalciferol
- doxycycline
- eltrombopag
- elvitegravir
- ergocalciferol (vitamin D2)
- ferrous gluconate
- ferrous sulfate
- fosinopril
- gabapentin enacarbil
- gefitinib
- glipizide
- hydrochlorothiazide
- hyoscyamine
- ibandronate
- indapamide
- itraconazole
- ketoconazole
- ledipasvir
- levofloxacin
- levoketoconazole
- levothyroxine
- lithium
- magnesium carbonate
- magnesium hydroxide
- metolazone
- minocycline
- mycophenolate mofetil
- naproxen
- neratinib
- nilotinib
- octreotide
- ofloxacin
- omadacycline
- palopegteriparatide
- paricalcitol
- pazopanib
- penicillamine
- peppermint
- pexidartinib
- phenytoin
- potassium citrate
- rifampin
- rilpivirine
- risedronate
- sarecycline
- sodium bicarbonate
- sodium citrate
- sparsentan
- sulfasalazine
- teriparatide
- testosterone
- tetracycline
- thyroid
- tipranavir
- triazolam
- vadadustat
- velpatasvir
Caution Advised
- amantadine
- amphetamine
- fosamprenavir
- lactulose
- memantine
- pseudoephedrine
- quinidine (CYP2D6 inhibitor)
- sodium polystyrene sulfonate
Adverse Reactions .
Serious Reactions
- hypercalcemia
- nephrolithiasis
- milk-alkali syndrome (prolonged high-dose use)
Common Reactions
- hypercalcemia
- hypercalciuria
- nephrolithiasis
- hypomagnesemia
- constipation
- nausea
Pregnancy/Lactation .
Pregnancy
Clinical Summary
may use during pregnancy; no known risk of fetal harm based on human data
Lactation
Clinical Summary
may use while breastfeeding; no human data available, though risk of infant harm not expected based on drug properties; no human data available to assess effects on milk production
Pharmacology .
Metabolism: other; CYP450: unknown
Excretion: feces 80%, urine 20%; Half-life: unknown
Subclass: Antacids ; Calcium Disorders ; Minerals ; Osteoporosis: Calcium/Vitamin D ; Parathyroid Disorders: Hypoparathyroidism
Mechanism of Action: essential component and participant in physiologic systems and reactions; neutralizes esophageal or gastric acidity
Alternatives .
Search for Alternative Products by:
- Other OTCs w/ Same Active Ingredient(s)
- Alka-Seltzer Extra Strength Heartburn ReliefChews: chewable
- Pepto Kids: chewable tablet
- Tums Chewy Bites: chewable
- Tums Chewy Bites Cooling Sensation: chewable
- Tums Chewy Delights: chewable
- Tums Extra: chewable tablet
- Tums Naturals: chewable tablet
- Tums Smoothies: chewable tablet
- Tums Ultra: chewable tablet
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