This study aimed to assess the changes occurring during the storage of tablets of three effervescent preparations available in Polish pharmacies containing calcium and quercetin from various manufacturers under stressful conditions (45 °C, UV radiation) using a hyperspectral Specim IQ camera (Finland), X-ray microtomography (Germany), and selected pharmacopoeial parameters. All measurements were made three times at the beginning of the experiment (day 0) and then on days 3 and 10. In general, for all analyzed preparations, the values of reflectance (within a range from visible light to near-infrared) were significantly higher on day 0 than after 10 days of heat and UV (p < 0.001 each). The hardness of the tablets of all analysed preparations was higher on days 3 and 10 compared to day 0. Significant differences were found in the density of the internal structure of the tested preparations (p < 0.001), but in Preparations 1 and 2 on day 10, the density was higher compared to the initial density. In contrast, the porosity was lower on day 10 than on day 0 for Preparations 1 and 2, while in Preparation 3, it remained the same. In conclusion, lower reflectance values indicate that more light passes through/into the tablet, and the increase in density and decrease in porosity may indicate changes in the microstructure of the tablets.