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Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice.
Brand Name
D-122
Generic Name
Tribasic Calcium Phosphate
Active Ingredient
TribasicCategory
Vitamin C [EPC]
Salt Form
Calcium Phosphate
Variants
1
Different strengths and dosage forms
| Strength | Form | Route | NDC |
|---|---|---|---|
| 6 [hp_X]/mL | SOLUTION | SUBLINGUAL | 58264-0128 |
Detailed information about D-122
References used for this content
This page is for informational purposes only and does not replace medical advice. Before using any prescription or over-the-counter medication for D-122, you must consult a qualified healthcare professional.
Tribasic (Tribasic Calcium Phosphate) is a mineral supplement and pharmaceutical ingredient used primarily to treat calcium deficiencies and as an antacid. It belongs to the pharmacological class of calcium salts and is essential for bone health and cellular function.
For general calcium supplementation, the standard adult dose of Tribasic Calcium Phosphate typically ranges from 500 mg to 1,500 mg daily, usually divided into two or three doses to maximize absorption. For use as an antacid, the typical dose is 500 mg to 1,000 mg as needed when symptoms occur, not to exceed the maximum daily limit specified on the product label (usually 7,000 mg for short-term use).
Pediatric dosing is strictly based on the Recommended Dietary Allowance (RDA) for age:
> Note: Pediatric use should always be supervised by a pediatrician to prevent accidental overdose.
Patients with impaired kidney function (GFR < 30 mL/min) require significant dosage reductions. There is a high risk of developing hypercalcemia (excessive blood calcium) and soft tissue calcification in these patients.
No dosage adjustment is generally required for patients with liver disease, as calcium is not metabolized by the liver.
Older adults should start at the lower end of the dosing range due to a higher prevalence of decreased renal function and constipation.
If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and resume your regular schedule. Do not double the dose to catch up.
Signs of a Tribasic overdose (hypercalcemia) include nausea, vomiting, loss of appetite, confusion, extreme thirst, and frequent urination. If an overdose is suspected, contact a Poison Control Center or seek emergency medical care immediately.
> Important: Follow your healthcare provider's dosing instructions. Do not adjust your dose without medical guidance.
> Warning: Stop taking Tribasic and call your doctor immediately if you experience any of these:
Chronic overuse of Tribasic Calcium Phosphate can lead to Milk-Alkali Syndrome, a condition characterized by high blood calcium, metabolic alkalosis, and kidney failure. Long-term excessive intake is also linked to vascular calcification, where calcium deposits form in the walls of the arteries.
No FDA black box warnings currently exist for Tribasic Calcium Phosphate as a standalone ingredient. However, when used as an excipient in complex drugs, patients must refer to the primary active ingredient's safety profile.
Report any unusual symptoms to your healthcare provider.
Tribasic is generally safe when used as directed, but it is not suitable for everyone. Patients with a history of kidney stones or sarcoidosis (an inflammatory disease) must use this medication with extreme caution.
No FDA black box warnings for Tribasic.
If you are taking Tribasic long-term, your doctor may order the following tests:
Tribasic does not typically cause drowsiness or impairment and is considered safe for drivers.
Alcohol can interfere with calcium absorption and increase the risk of osteoporosis. While there is no direct toxic interaction, limiting alcohol is recommended for optimal bone health.
Tribasic can usually be stopped without a tapering schedule. However, if you are taking it for a chronic deficiency, stopping suddenly may cause your calcium levels to drop (hypocalcemia).
> Important: Discuss all your medical conditions with your healthcare provider before starting Tribasic.
Tribasic may interfere with the results of certain imaging tests (like bone scans) or blood tests for parathyroid hormone levels.
> Important: Tell your doctor about ALL medications, supplements, and herbal products you are taking.
Tribasic must NEVER be used in the following situations:
Patients with known hypersensitivity to any calcium salt or phosphate product should avoid Tribasic. Allergic reactions are rare but can be severe.
> Important: Your healthcare provider will evaluate your complete medical history before prescribing Tribasic.
Tribasic is generally considered safe during pregnancy (FDA Category C/Generally Recognized as Safe at RDA levels). Adequate calcium is essential for the development of the fetal skeleton. However, pregnant women should not exceed the tolerable upper intake level (2,500 mg daily) to avoid maternal hypercalcemia.
Calcium is a natural component of breast milk. While Tribasic supplementation is safe for nursing mothers, it is important to maintain a balanced intake to ensure both maternal and infant health. No adverse effects have been observed in nursing infants when the mother takes standard doses.
Tribasic is approved for use in children to support bone growth. It is critical to follow age-specific RDA guidelines, as excessive calcium in children can lead to premature closure of growth plates or kidney issues.
Patients over 65 are at a higher risk for constipation and decreased renal clearance. Clinical guidelines recommend monitoring kidney function and ensuring adequate hydration in this population.
In patients with mild-to-moderate renal impairment, the dose should be reduced by 50%. In patients with a GFR below 30 mL/min, Tribasic should generally be avoided unless specifically directed by a nephrologist.
No specific adjustments are needed for patients with liver disease, though overall nutritional status should be monitored.
> Important: Special populations require individualized medical assessment.
Tribasic Calcium Phosphate acts as a chemical source of essential ions. Once dissociated in the acidic environment of the stomach, it releases Ca2+ and PO43-. The calcium ions bind to the Calcium-Sensing Receptor (CaSR) on the parathyroid gland, which inhibits the release of Parathyroid Hormone (PTH), thereby regulating bone resorption. In the bone, these ions are used by osteoblasts to form hydroxyapatite, the primary mineral component of bone tissue.
The onset of action for Tribasic as an antacid is rapid (within 15–30 minutes). Its effects on bone mineral density are slow and require consistent use over months or years. The duration of the acid-neutralizing effect is typically 1 to 3 hours.
| Parameter | Value |
|---|---|
| Bioavailability | 20% - 30% (Variable) |
| Protein Binding | 40% (to Albumin) |
| Half-life | N/A (Endogenous mineral) |
| Tmax | 2 - 4 hours |
| Metabolism | None (Inorganic salt) |
| Excretion | Renal (20%), Fecal (80%) |
Tribasic is a Calcium Salt and a Phosphate Supplement. It is therapeutically related to Calcium Carbonate and Calcium Citrate, though it provides both calcium and phosphorus, unlike the carbonate form.
Common questions about D-122
Tribasic, or Tribasic Calcium Phosphate, is primarily used as a dietary supplement to treat or prevent calcium deficiency in people who do not get enough calcium from their diet. It is also commonly used as an antacid to provide quick relief from heartburn, acid indigestion, and upset stomach. Additionally, healthcare providers may prescribe it to support bone health in patients with osteoporosis or those at risk of bone loss. Because it contains both calcium and phosphorus, it is particularly useful for maintaining the mineral balance required for healthy teeth and skeletal structure. Always use this medication under the guidance of a healthcare professional to ensure it is appropriate for your specific health needs.
The most frequent side effects associated with Tribasic include constipation, stomach gas, and bloating. These symptoms occur because calcium can slow down the movement of the digestive system and react with stomach acid to produce gas. Some users may also notice a chalky taste in their mouth, especially when using chewable tablet forms. While these effects are usually mild, they can be bothersome for some patients. Increasing your intake of water and dietary fiber can often help manage constipation. If these side effects persist or become severe, you should contact your doctor to discuss a possible dosage adjustment.
There is no direct, dangerous chemical interaction between Tribasic and alcohol; however, caution is still advised. Chronic alcohol consumption can interfere with the body's ability to absorb calcium and can deplete Vitamin D levels, which are necessary for calcium to work. Furthermore, alcohol can weaken bones over time, potentially worsening the conditions that Tribasic is intended to treat. For those using Tribasic as an antacid, alcohol can increase stomach acid production and irritate the digestive lining, making the treatment less effective. It is best to limit alcohol intake to support overall bone and digestive health.
Tribasic is generally considered safe and is often recommended during pregnancy to help meet the increased demand for calcium needed for fetal bone development. According to clinical standards, pregnant women require adequate calcium to prevent the depletion of their own bone minerals. However, it is vital to stay within the recommended daily allowance, as excessive calcium intake can lead to complications like kidney stones or interfere with the absorption of other essential minerals like iron. You should always consult your obstetrician before starting any new supplement during pregnancy. They will help determine the correct dose based on your diet and prenatal vitamin intake.
The time it takes for Tribasic to work depends on why you are taking it. If you are using it as an antacid for heartburn relief, you can expect to feel better within 15 to 30 minutes as the salt neutralizes stomach acid. If you are taking it as a supplement for calcium deficiency or bone health, the effects are not immediate and occur at a microscopic level over several weeks or months. Blood calcium levels may stabilize relatively quickly, but increasing bone mineral density is a long-term process. Consistency is key when taking Tribasic for chronic conditions. Your doctor may use periodic blood tests to monitor how well the medication is working for you.
In most cases, you can stop taking Tribasic suddenly without experiencing withdrawal symptoms, especially if you are using it occasionally as an antacid. However, if you have been prescribed Tribasic for a chronic calcium deficiency or a condition like osteoporosis, stopping abruptly could cause your calcium levels to fall back into an unhealthy range. This may lead to symptoms of hypocalcemia, such as muscle cramps or tingling in the fingers. It is always best to consult your healthcare provider before discontinuing a prescribed supplement. They can advise you on whether you need to replace it with another source of calcium or adjust your diet.
If you miss a dose of Tribasic, you should take it as soon as you remember, provided it is not too close to your next scheduled dose. If it is almost time for your next dose, simply skip the missed one and continue with your regular schedule. You should never take two doses at the same time to make up for a missed one, as this can increase the risk of side effects like constipation or nausea. To help you remember your doses, try taking the medication at the same time each day, such as with breakfast or dinner. If you frequently miss doses, talk to your pharmacist about using a pill organizer.
There is no clinical evidence to suggest that Tribasic Calcium Phosphate causes weight gain. In fact, some studies have explored the possibility that adequate calcium intake might support healthy weight management, although the results are not definitive. If you notice weight gain while taking Tribasic, it is likely due to other factors such as changes in diet, activity levels, or other medications you may be taking. Some patients might experience temporary bloating or gas, which can feel like weight gain but is actually just digestive discomfort. If you have concerns about your weight, discuss them with your healthcare provider to identify the underlying cause.
Tribasic can interact with several other medications, so it is important to be careful with your timing. It can significantly reduce the absorption of certain antibiotics, thyroid medications, and bone-strengthening drugs (bisphosphonates) if taken at the same time. To avoid this, most doctors recommend taking Tribasic at least 2 hours before or 4 to 6 hours after other medications. It can also increase the risk of toxicity with heart medications like digoxin. Always provide your doctor or pharmacist with a complete list of all the medicines and supplements you use. They can help you create a safe dosing schedule that prevents harmful interactions.
Yes, Tribasic Calcium Phosphate is widely available as a generic medication and is also sold under various store brands. Because it is a common mineral salt, generic versions are just as effective as brand-name supplements and are usually much more affordable. You can find it in the vitamin or antacid aisle of most pharmacies and grocery stores. When buying a generic version, check the label to ensure the amount of 'elemental calcium' meets your doctor's recommendation. Generic availability makes it easy for patients to maintain long-term supplementation without high costs. Talk to your pharmacist if you need help choosing a high-quality generic product.
Other drugs with the same active ingredient (Tribasic)