Calcium Carbonate: What It Is and Why You Might Need It
Calcium carbonate shows up in many vitamins, antacids, and even toothpaste. It’s basically the mineral form of calcium you get from chalk or limestone. Most people use it to boost bone health, fix a low calcium level, or settle an upset stomach. If you’re reading this, you probably have a question about the right dose or whether it’s safe to mix with other meds.
What Calcium Carbonate Is and How It Works
When you swallow a calcium carbonate tablet, your stomach acid breaks it down into calcium ions. Those ions are then absorbed in the small intestine and used to build strong bones, help muscles contract, and support nerve signals. Because it’s cheap and widely available, it’s a popular choice for people who need extra calcium without a prescription. It also neutralizes stomach acid, which is why you’ll find it in over‑the‑counter antacids.
When to Take It and How Much Is Safe
A typical adult dose for bone health is 1,000 mg of elemental calcium per day, split into two or three doses. One 500 mg calcium carbonate tablet usually provides about 200 mg of elemental calcium, so you’ll need a few pills to hit your target. Take the tablets with food to improve absorption and lower the chance of stomach upset.
If you’re using calcium carbonate as an antacid, the dose is different – you might take 1,250 mg to 5,000 mg at once, depending on the product label. Don’t exceed the total daily amount listed on the bottle, and avoid taking more than 2,500 mg of elemental calcium per day unless your doctor says otherwise.
Common side effects include gas, constipation, or a feeling of fullness. Drinking plenty of water and adding fiber to your diet can help. People with kidney stones, especially calcium‑oxalate stones, should talk to a healthcare professional before adding a calcium supplement.
Calcium carbonate can interact with several medications. It may lower the effectiveness of certain antibiotics like tetracycline and fluoroquinolones, and it can affect thyroid hormone absorption. Space out these meds by at least two hours from your calcium dose.
Quick tips: check the label for “elemental calcium” – that’s the amount your body actually uses. Keep your total calcium from food and supplements below 2,000 mg per day unless a doctor recommends more. If you experience persistent stomach pain or notice blood in your stool, stop the supplement and seek medical advice.
Overall, calcium carbonate is a simple, affordable way to support bone health and manage occasional heartburn. Use it responsibly, stay within the recommended limits, and you’ll get the benefits without the hassle.

Calcium Carbonate: Uses, Dosage, Side Effects, and Best Form (2025 Guide)
Clear, up-to-date guide on calcium carbonate: what it is, when to use it, dosage, side effects, and carbonate vs citrate. Practical tips, checklists, and NZ context.