What is the amount of calcium in Tums (calcium carbonate)?

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Calcium Content in Tums

Tums contains 40% elemental calcium by weight, with standard Tums providing 300 mg of elemental calcium per tablet and Tums Extra Strength containing 300 mg of elemental calcium per 750 mg tablet. 1, 2

Calcium Content in Different Tums Formulations

  • Regular Tums tablets contain calcium carbonate 750 mg, which provides 300 mg of elemental calcium (40% of the calcium carbonate weight) 1
  • Tums Extra Strength (TUMS EX™) contains 750 mg of calcium carbonate, providing 300 mg of elemental calcium 3
  • Tums Ultra contains 1,000 mg of calcium carbonate, providing 400 mg of elemental calcium (40%) 3
  • Tums 500 contains 1,250 mg of calcium carbonate, providing 500 mg of elemental calcium (40%) 3

Understanding Calcium Carbonate as a Supplement

  • Calcium carbonate is the most common and cost-effective form of calcium supplementation, providing 40% elemental calcium by weight 2
  • To obtain 1,500 mg of elemental calcium (the amount sometimes recommended for therapeutic supplementation), one would need to take 5 regular Tums tablets 3
  • Calcium carbonate requires stomach acid for optimal absorption and should ideally be taken with meals 2

Clinical Considerations When Using Tums for Calcium Supplementation

  • The recommended dietary calcium intake varies by age and sex: 1,000 mg for adults 19-50 years and men 51-70 years; 1,200 mg for women over 50 and men over 70 3
  • When using calcium supplements, doses exceeding 500 mg of elemental calcium should be divided throughout the day to improve absorption 2
  • Calcium carbonate supplements like Tums may cause constipation and bloating more frequently than other calcium formulations 3, 2
  • Upper intake levels should not exceed 2,500 mg per day for adults 19-50 years and 2,000 mg per day for those over 50 years 3

Absorption Considerations

  • Calcium carbonate has been shown to have good bioavailability, particularly when taken with meals 4
  • For those with low stomach acid or on acid-reducing medications, calcium citrate may be better absorbed than the calcium carbonate in Tums 2
  • A single dose of 500 mg calcium appears to be the optimal amount for absorption, with only slight increases in absorption at higher doses 5

References

Guideline

Calcium Supplementation Guidelines

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Dose dependency of calcium absorption: a comparison of calcium carbonate and calcium citrate.

Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 1988

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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