Factors to consider in the selection of a calcium supplement.

Calcium supplements are widely used, yet many questions remain as to the absorption of various calcium salts. Because the solubility of many calcium salts is dependent upon pH, the type of salt used, the condition of the patient, and the time of administration should be considered. Studies show that many calcium supplements on the market today do not meet standards of quality established in the "U.S. Pharmacopeia" (USP). Consumers must be discerning about the products they purchase. Calcium supplements should be taken with meals to ensure solubility. Calcium carbonate, and particularly tribasic calcium phosphate tablets, are not recommended for patients with achlorhydria. Calcium tablets, like almost all drugs, should be taken with 8 ounces of water or other liquid.