Calcical D tablet: Each tablet contains calcium carbonate BP 1250 mg equivalent to 500 mg of elemental calcium and cholecalciferol (vitamin D3) BP 200 IU equivalent to 5 mcg.
Description: Calcium is an essential elements and plays vital role in the body. It helps body’s framework stronger by building bones. Vitamin D3 is also essential for healthy bones as it aids in calcium absorption from GI tract.
- Treatment of osteoporosis, rickets, osteomalacia, tetany and hypoparathyroidism.
- In pregnancy and lactation due to increase demand.
- In kidney diseases and pancreatitis.
- During therapy with antiseizure medications.
- The prevention and treatment of calcium deficiency/vitamin-D3 deficiency especially in the housebound and institutionalized elderly subjects.
Dosage and administration: Adult and children above 12 years of age: 2 tablets per day, preferably one tablet each morning and evening with a full glass of water. Children: Not recommended for children under 12 years.
Side effect: The use of calcium supplements given rise to mild gastro intestinal disturbance such as constipation, flatulence, nausea, gastric pain, and diarrhea. Following administration of vitamin D3 supplements occasional skin rash has been reported. Hypercalciurea and in rare cases hypercalcaemia have been seen with long term treatment at high dosages.
Precaution: Patients with mild to moderate renal failure or mild hypercalciurea should be supervised carefully. In patients with a history of renal stones urinary calcium excretion should be measured to exclude hypercalciurea. With long term treatment it is advisable to monitor serum and urinary calcium levels and kidney function, and reduce or stop treatment temporarily if urinary calcium exceeds 7.5 mmol/24 hours.
Contra indication: Absolute contraindications are hypercalcaemia resulting for example from myeloma, bone metastases or other malignant bone diseases, sarcoidosis; primary hyperparathyroidism and Vitamin-D3 overdose. Several renal failures. Hypersensitivity to any of the tablet ingredients.
Relative contraindications are osteoporosis due to prolonged immobilization, renal stone, severe hypercalciurea.
Use in pregnancy and lactation: During pregnancy and lactation treatment should always be under the direction of a physician. During pregnancy and lactation, requirements for calcium and vitamin-D3 are increased but in deciding on the required supplementation allowance should be made availability of these agents from others sources. If calcium and iron supplements are both required to be administered to the patients, they should be taken at different time. Overdose of vitamin-D3 have shown teratogenic effects in pregnant animals. In humans long term hypercalcaemia can lead to physical and mental retardation, Vitamin D3 and its metabolites pass into the breast milk.
Drug interaction: The risk of hypercalcaemia should be considered in patient taking Thiazide diuretics. Concomitant treatment with phenytoin or Barbiturates can decrease the effect of Vitamin D because of metabolic activation. Concomitant use of Glucocorticoids can decrease the effect of vitamin D. The effect of digitalis and other Cardiac glycosides may be accentuated with the oral administration of calcium combined with vitamin D. Calcium salts may reduce the absorption of Thyroxin. Sodium fluride, quinolone or Tetracycline antibiotics or Iron. It is advisable to allow a minimum period of four hours before taking the calcium products.
Storage: Store below 25 ̊̊c in a cool and dry place. Protect from light.
Calcical D tablet: Box containing 5×6s tablet in blister pack.