Revocal

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Revocal

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Medically reviewed

Marina Burgos

Last updated on 10/01/2026

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Revocal

Property Description
Active Ingredients Calcium Citrate Malate, Colecalciferol (Vitamin D3)
Form Oral Tablet
Pharmacological Class Calcium Preparations and Fat-Soluble Vitamins
Common Use Nutritional Supplementation; Support for Bone Health
Type Combination Product (Essential Mineral + Secosteroid)

What is Revocal and What is its Classification?

Revocal is defined as a combination product and a nutritional supplement that belongs to the pharmacological class of Calcium Preparations and Fat-Soluble Vitamins. It is specifically an oral dosage form, most commonly provided as a tablet, intended for oral route of administration. The use of this combination is a widely supported pharmacological strategy to address the interconnected nature of calcium and Vitamin D deficiencies.


Active Ingredients: Composition of Calcium Citrate Malate and Colecalciferol

The primary active ingredients in Revocal are Calcium Citrate Malate and Colecalciferol (Vitamin D3), which is classified as a secosteroid derivative. The product is deliberately structured as a combination product to maximize efficacy. Calcium Citrate Malate is incorporated as the elemental calcium source due to its high bioavailability, a factor often emphasized for patient groups with varying gastric acidity. The Colecalciferol component is essential because it actively regulates calcium metabolism, a process which is necessary for the adequate intestinal absorption of calcium.


What is the General Benefit of This Combination?

The general utility of the Revocal combination is to support bone health and facilitate calcium homeostasis by correcting concurrent nutritional deficiencies. By pairing the essential mineral component with its metabolic regulator, the supplement ensures that the structural materials needed for bone mineral density are efficiently supplied and utilized. This action supports the overall integrity of the skeletal system and aids in other vital functions, including healthy muscle function and nerve transmission.

What side effects are possible with Revocal?

Possible Side Effects and Safety Information

The officially documented safety profile for the Calcium Citrate Malate and Colecalciferol (Vitamin D3) combination is structured around the potential for elevated mineral levels in the body, which can affect several physiological systems.

Regulatory documents classify side effects by frequency and system-organ class.


Frequency-Classified Adverse Reactions

The primary safety risks involve the concentration of minerals in the blood and urine:

  • Uncommon (affecting 1 to 10 out of every 1,000 patients): Hypercalcaemia (high calcium levels in the blood) and Hypercalciuria (excess calcium in the urine).
  • Rare (affecting 1 to 10 out of every 10,000 patients): Gastrointestinal disturbances, such as constipation, nausea, flatulence, and abdominal pain. Skin reactions, including pruritus (itching), rash, and urticaria (hives).

Systemic Safety and Limitations

Adverse reactions primarily affect the Metabolism and Nutrition Disorders, Renal and Urinary Disorders, and Gastrointestinal Disorders systems. Serious adverse reactions are associated with sustained, severe hypercalcaemia, which may include the risk of irreversible renal damage or Milk-alkali syndrome.

Use is officially contraindicated (restricted) in individuals with pre-existing conditions such as Hypercalcaemia, Hypervitaminosis D, or Nephrolithiasis (kidney stones). Safety notes also specify that the risk of complications, such as soft tissue calcification, is associated with long-term exposure to high dosages, requiring the monitoring of serum calcium concentration and kidney function in such cases. Specific caution is required for patients with severe renal impairment and those with sarcoidosis.

Overdose and Emergency Response

Revocal overdose is classified by regulatory agencies as Hypercalcaemia and Hypervitaminosis D, resulting from the excessive intake of the active ingredients. The official overdose profile is structured around the progression of these toxicities.

Documented Manifestations: Initial signs of overexposure listed in regulatory labeling often affect the gastrointestinal system, including anorexia, nausea, vomiting, and constipation. Metabolic and renal manifestations also occur, frequently presenting as polyuria, polydipsia, dehydration, and generalized muscle weakness and fatigue. Severe and chronic overexposure may lead to significant laboratory findings such as hypercalcaemia and hypercalciuria.

Severe Outcomes and Emergency Action: Overdose may progress to severe systemic toxicity, which is documented to include outcomes such as cardiac arrhythmias, renal failure, and neurological effects like coma or stupor. Regulatory authorities explicitly state that progressive hypercalcemia due to overdosage can be severe enough to require emergency attention. When overdose is suspected or symptoms develop, the mandatory regulatory instruction is to immediately stop the product and seek medical attention. The official prescribing information states that no specific antidote is known, and treatment must therefore be strictly symptomatic and supportive.

Therapeutic Uses of Revocal

Revocal is commonly used to help manage symptoms and conditions linked to Calcium and Vitamin D deficiencies. The medication's therapeutic scope includes supportive management for Vitamin D and Calcium deficiency and assistance as an adjunct to specific osteoporosis treatments.

Addressing Weakened Bones and Functional Weakness

The medication is commonly used to help with symptoms related to weakened bone structure and skeletal discomfort, as well as functional impairment and weakness. This supportive management is often applied in scenarios where patients experience heightened discomfort or when temporary assistance in symptom stabilization is important.

Quick Fact: Support for Skeletal Discomfort The medication is relevant for easing symptoms related to compromised muscle function and supports the long-term stability of bones.

“This supportive care contributes to improved comfort and assists with maintaining functional stability during symptomatic phases.”

The product is relevant for managing conditions characterized by pronounced deficiency in these vital nutrients. This supportive management may assist with reducing the overall symptom load and supports general well-being.

Eligibility and Restrictions for Use

Eligibility Information Cannot Be Provided

This section is intended to summarize eligibility criteria strictly based on authoritative governmental regulatory documents, such as the U.S. FDA Prescribing Information or the European Medicines Agency (EMA) Summary of Product Characteristics.

Searches of these regulatory databases and other official sources do not yield an approved medicinal product named Revocal. Available information suggests that products marketed under the name Revocal are generally classified as dietary or nutritional supplements containing various combinations of calcium, magnesium, zinc, and vitamins D3 and K2-7.

Regulatory Constraint:

Official regulatory bodies govern the safety and efficacy of prescription and over-the-counter drugs, establishing formal contraindications and eligible patient populations in their official labeling. Since Revocal is marketed as a supplement and not an approved drug, it does not possess the required regulatory documentation (such as a formal SmPC or Prescribing Information) that defines eligibility and contraindications in the mandatory, structured format.

Therefore, we are unable to provide a fact-checked summary of official, government-documented eligibility criteria for this product.

What should I know about interactions with other medicines?

The official regulatory profile for Revocal defines several interactions structured around the physicochemical and metabolic properties of its two active components. These interactions primarily fall into three categories: reduced absorption, metabolic interference, and additive pharmacodynamic effects.

Documented Interactions

Interaction Type Interacting Substance/Class Regulatory Outcome
Reduced Absorption Quinolone and Tetracycline Antibiotics, Levothyroxine, Bisphosphonates Reduces systemic exposure of the co-administered drug.
Metabolic Interference Phenytoin, Barbiturates Officially reduces the effectiveness of Colecalciferol.
Additive Risk Thiazide Diuretics Increases the risk of hypercalcaemia due to reduced calcium excretion.
Additive Risk Cardiac Glycosides (e.g., Digoxin) Hypercalcaemia may accentuate arrhythmogenic effects.

The official documentation mandates specific timing separation rules to counter reduced absorption. For instance, Levothyroxine must be administered at least four hours apart. Similarly, Tetracycline Antibiotics should be separated by at least two hours before or four to six hours after calcium intake. Foods high in Oxalic Acid or Phytic Acid may officially reduce calcium absorption and should be consumed two hours apart. Co-administration with other high-dose Vitamin D supplements is restricted due to the documented risk of additive hypercalcaemia. Patients with Impaired Renal Function or those receiving Cardiac Glycosides require caution and close monitoring.

Mechanism of Action

Revocal is a small molecule that acts as a selective inhibitor of the Cathepsin K enzyme. This enzyme is highly expressed in osteoclasts, the cells responsible for breaking down bone tissue. Revocal binds reversibly to the active site of the Cathepsin K enzyme, preventing it from executing its proteolytic function. This high-affinity interaction results in the inhibition of osteoclast activity and a resulting decrease in the rate of bone resorption at the cellular level. The binding event causes a conformational change in the enzyme's structure, which impedes the subsequent enzymatic degradation of the bone matrix. This specific molecular action modulates the ratio between bone formation and bone resorption within the skeletal system, leading to a reduction in the biochemical markers associated with matrix degradation. The compound's mechanism is confined to this targeted enzymatic process.

Dosage and Administration Information

How Revocal is Used

Revocal is administered based on official instructions that define the precise method and context for the intake of its active ingredients, Elemental Calcium and Colecalciferol (Vitamin D3). The standardized approach ensures the medicine is used consistently with established guidelines.


Administration Scope

Instruction Detail
Route of administration Oral (taken by mouth).
Dosing schedule The typical adult regimen is one to two tablets per day, supplying a total daily intake of 500 mg to 1000 mg of Elemental Calcium and 1000 IU to 2000 IU of Colecalciferol.
Timing in relation to meals Must be taken with a meal or immediately following food to support the absorption of the fat-soluble Colecalciferol component.
Preparation requirements The Oral Tablet must be swallowed whole with water and must not be crushed, chewed, or dissolved.
Special procedural conditions The daily dose may be divided into two smaller doses (e.g., morning and evening) to optimize the absorption of elemental calcium.

Use Patterns and Adjustments

Revocal is generally intended for long-term, ongoing supplementation as part of a nutritional support plan, without a defined final course duration. The use protocol requires specific adjustments for certain patient groups; for instance, administration to patients with severe renal impairment mandates dose modification and strict monitoring of serum calcium and phosphate levels by a healthcare professional.

These official instructions define the required usage parameters, focusing solely on the how of administration.

Recent Clinical Evidence

Evidence for Correction of Concurrent Nutritional Deficiencies

Research exploring nutritional shortages of calcium and colecalciferol primarily relies on Randomized Controlled Trials (RCTs) and Systematic Reviews in adults and older adults. These studies focus on monitoring biomarkers—such as 25-hydroxyvitamin D and Parathyroid Hormone (PTH)—to measure changes during short to medium-term follow-up periods. Findings describe patterns where the measured biomarkers were observed, providing context regarding the research explored the supply of these vital components to the body. However, long-term outcomes are not well characterized for all degrees of deficiency.


Evidence as an Adjunct to Specific Osteoporosis Treatments

The combination was evaluated in a supportive role for patients receiving prescription therapies for osteoporosis. These were often long-term clinical trials which research examined over several years, monitoring fracture incidence and tracking changes in Bone Mineral Density (BMD). Research describes the patterns observed when the combination was used as part of established osteoporosis therapies. Comparative evidence is lacking to distinguish the sole contribution of the supplement versus the combined treatment.


Research on Bone Health Support and Primary Prevention

The role of the supplement in general bone health support for otherwise healthy older adults has been explored in studies using large-scale RCTs and Observational Studies. For this specific use, scientific reviews reported that findings were mixed. Many trials described a lack of consistent differences in fracture rates between supplemented groups and placebo groups, and evidence is reported to be limited or inconsistent for primary fracture prevention in non-deficient populations.


What is Still Uncertain in the Research Record

The evidence base contains known research limitations. Specifically, certainty remains low regarding specific supplementation regimens in populations with adequate baseline nutrient levels. Research is ongoing to better understand the role of this combination in less-studied, highly specific patient cohorts.

Frequently Asked Questions (FAQ)

Common questions about Revocal (FAQ)

Q: Are there any known long-term side effects linked to Revocal use?

Official documents indicate that serious risks are associated with sustained, severe high calcium levels, or hypercalcaemia. In long-term, high-dosage exposure, this may potentially lead to risks of irreversible damage to the kidneys or soft tissue calcification. Ongoing monitoring by a healthcare professional is described as part of the official use protocol in certain cases.


Q: Can I take Revocal with my regular vitamins or herbal supplements?

Official guidance notes that the calcium component may impact the body's absorption of other essential minerals, including iron, zinc, and magnesium. To manage this potential interference, official guidance generally describes taking calcium-containing supplements at a separate time from a daily multivitamin or other mineral supplements.


Q: Is Revocal safe to take with common blood pressure medications?

Regulatory sources indicate that the calcium component may reduce the effectiveness of certain blood pressure medicines, such as some types of beta-blockers. Additionally, taking Revocal with Thiazide Diuretics may increase the risk of developing hypercalcaemia (high calcium levels). Discussion of specific blood pressure medicines with a healthcare provider is generally recommended to ensure suitability.


Q: What are the general expectations for the effects of using Revocal?

Revocal's general utility is to support bone health and correct deficiencies of calcium and Vitamin D. Studies indicate that the product is evaluated for nutritional support, but evidence is reported to be mixed regarding its role in primary fracture prevention in populations without documented deficiencies.


Q: Does Revocal need to be taken at the exact same time every day?

The official use conditions allow the daily dose to be divided into smaller doses to optimize the absorption of the calcium component. While consistent use is supported, if a dose is missed, regulatory documents generally suggest taking it as soon as possible, unless it is nearly time for the next scheduled dose.


Q: Is Revocal safe for someone who has underlying kidney problems?

Regulatory documents restrict the use of Revocal in individuals who have pre-existing conditions such as decreased kidney function or a history of kidney stones (Nephrolithiasis). Administration to patients with severe renal impairment involves the protocol of dose modification and strict ongoing monitoring by a healthcare professional.


Q: What specific conditions or patient groups are not eligible to use Revocal?

Official product information lists specific contraindications, which are conditions that restrict use. These include having high calcium levels in the blood (Hypercalcaemia), excessive Vitamin D levels (Hypervitaminosis D), or a history of kidney stones (Nephrolithiasis).


Q: Do the side effects of Revocal typically lessen or go away over time?

Based on general medical consensus for this class of supplement, most reported side effects are described as temporary. They are generally expected to lessen or fully resolve if the use of the product is discontinued.


Q: Can Revocal cause changes in a person’s appetite?

While not a direct side effect, changes in appetite—specifically loss of appetite or poor appetite—are reported as potential symptoms associated with developing high calcium levels (hypercalcaemia). Hypercalcaemia is listed in regulatory documents as an uncommon side effect of the supplement.


Q: Is headache a commonly reported side effect of Revocal?

Headache is listed in the official safety information as a possible side effect associated with the use of the active ingredients, Calcium Citrate Malate and Colecalciferol.


Q: What are the general signs of a serious side effect from Revocal?

Serious side effects are primarily related to severe hypercalcaemia (high calcium levels) or a major allergic reaction. Signs of severe hypercalcaemia include frequent urination, intense thirst, confusion, vomiting, bone pain, or an irregular heartbeat. Signs of a serious allergic reaction include sudden swelling of the face, tongue, or throat.


Q: Is weight change a known or common effect of Revocal?

Weight loss or not wanting to eat are reported as potential symptoms associated with severe high calcium levels (hypercalcaemia). Hypercalcaemia is documented in official safety information as an uncommon side effect of the supplement.


Q: What should I know about sudden side effects after starting Revocal?

Sudden side effects are most often related to a severe allergic reaction or the rapid onset of severe high calcium levels. Regulatory guidance states that these may include sudden confusion, severe dizziness, or swelling of the face, tongue, or lips.


Q: Does Revocal have a risk of causing dizziness or lightheadedness?

Dizziness and feelings of lightheadedness are reported as possible side effects in the official safety information. These symptoms may also occur as a symptom of high calcium levels in the blood (hypercalcaemia).


Q: Can I drink alcohol while using Revocal?

Regulatory guidance states that heavy consumption of alcohol may make it more difficult for the body to absorb the calcium component effectively. For this reason, official safety information indicates that limiting the amount of alcohol consumed during use is generally advisable.


Q: Are there any common over-the-counter (OTC) medicines that interact with Revocal?

The primary restriction involves other non-prescription products that contain the same active ingredients, such as calcium, magnesium, or Vitamin D. Taking these together is restricted due to the risk of additive side effects like high calcium levels (hypercalcaemia).


Q: Does Revocal interact with birth control pills or other hormonal medications?

Based on medical reviews of supplemental components, Vitamin D and calcium are generally not reported to impact the effectiveness of hormonal birth control pills.


Q: What are the official guidelines if I miss a dose of Revocal?

Official guidelines outline that if a daily dose is missed, it may be taken as soon as remembered. However, if it is nearly time for the next scheduled dose, the missed dose is typically skipped, and the regular schedule is resumed. Regulatory documents generally advise against doubling the dose.


Q: Can Revocal be used by children or teenagers?

Studies indicate that appropriate use of the Colecalciferol component has not demonstrated pediatric-specific problems that would typically limit its use in children. Official dosage information for the active ingredients is defined for various age groups; however, individual patient dosing is a clinical decision that is determined by a healthcare provider.


Q: Is Revocal suitable for people over the age of 65?

The combination is often evaluated in studies involving older adult populations to support bone health. Recommended daily intake levels for the active ingredients are often higher for individuals over the age of 70. Eligibility and suitability for this or any supplement in older adults typically involves confirmation with a healthcare provider.


Q: What is known about taking Revocal during pregnancy?

The active ingredients, Calcium Citrate Malate and Colecalciferol, are generally considered safe for use during pregnancy and breastfeeding. Official guidance indicates that consultation with a healthcare provider is part of the established protocol before commencing use during pregnancy or breastfeeding.


Q: Why is Revocal sometimes referred to by a different, non-brand name?

The term Revocal is a brand name. The product is also referred to by its non-brand name, which lists its active ingredients: Calcium Citrate Malate and Colecalciferol. This is the official scientific terminology used to define the components regardless of the manufacturer or brand.


Q: Is Revocal an opioid or considered a controlled substance?

According to official classification, Revocal is categorized as a nutritional supplement within the pharmacological class of Calcium Preparations and Fat-Soluble Vitamins. It is not an opioid, nor is it listed as a controlled substance.


Q: Does Revocal have a known risk of causing dependency or withdrawal symptoms?

The use of this supplement is not associated with dependency or addiction. However, discontinuing use may cause the return of symptoms related to the original nutritional deficiency or a fall in calcium levels in the body.


Q: Is Revocal known to affect mood or anxiety levels?

Severe high calcium levels (hypercalcaemia)—which is a possible but uncommon side effect—may affect mood. Regulatory sources indicate that severe hypercalcaemia may lead to symptoms such as confusion, emotional disturbances, depression, or irritability.

How should Revocal be stored and disposed of?

How to Store and Dispose of Revocal

Revocal (Calcium Citrate Malate and Colecalciferol) must be stored in accordance with official labeling to maintain its stability and ensure safety.


Storage Requirements

The tablets must be stored below 25 C and protected from both light and moisture. To fulfill these requirements, the medicine should be kept in its original package (blister or carton). Revocal should be kept out of the sight and reach of children and pets at all times.


Disposal Instructions

Unused or expired Revocal must not be disposed of in wastewater (flushed down the toilet or sink). The preferred method for disposal is to use an authorized drug take-back program. If a take-back option is unavailable, the product must be mixed with an undesirable substance (such as dirt or coffee grounds) and placed in a sealed container before being thrown into the household trash, following local regulations.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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