Calcium Carbonate [Coral source] + Vitamin D3
Indications
This is indicated for the treatment &
prevention of osteoporosis, osteomalacia, tetany, hypoparathyroidism,
disorders of osteogenesis. Also used as supplement in case of inadequate
intake of Calcium in childhood diet, rickets, pregnancy &
lactation, elderly patients. Other indications include pancreatitis,
phosphate binder in chronic renal failure etc.
Pharmacology
This is a Calcium and Vitamin D3
preparation where Calcium Carbonate is sourced from coral origin. The
Calcium Carbonate from Coral has a chemical structure that is very
similar to the composition of human bone. Coral Calcium is similar to
other sources but ensures better absorption. Vitamin D3 aids in the
absorption of Calcium from GI tract and helps to maintain Calcium
balance in the body.
Dosage & Administration
One tablet once or twice daily with plenty
of water or as directed by the physician. Taking in full stomach ensures
better absorption.
Interaction
Oral Calcium can reduce the absorption of
tetracycline & fluoride preparations and minimum 3 hours time should
be allowed between ingestion of these medications. Thiazide diuretics
reduces the renal excretion of Calcium. Phenytoin, barbiturates,
glucocorticoids may induce metabolism of Vitamin D3. Concomitant
ingestion of certain foods like spinach, cereals, milk and its
derivatives may reduce the intestinal uptake of Calcium.
Contraindications
Hypersensitivity to any of the components,
hypocalcaemia resulting from overdose of Vitamin D3,
hyperparathyroidism, bone metastases, severe renal insufficiency, severe
hypercalciuria, renal calculi etc.
Side Effects
Flatulence, diarrhoea, constipation, upper
GI discomfort etc. are rare manifestation. Hypercalcaemia due to prolong
use has rarely been reported.
Pregnancy & Lactation
This can be given to pregnant and lactating mothers as per recommendation of physician.
Precautions & Warnings
In presence of mild hypercalciuria, careful
monitoring with reduction of dose may be needed. Plasma and serum
Calcium level should be monitored in mild to moderate renal impairment
and also in case of long-term use. Patients with renal stones or with
such previous history should also take precautions.
Overdose Effects
At high doses it may result in nausea,
vomiting, dizziness, anorexia, abdominal cramps, headache, constipation,
irritability etc. Treatment includes cessation of therapy and adequate
rehydration.
Therapeutic Class
Specific mineral & vitamin combined preparations
Storage Conditions
Store at temperature of below 30°C, protect from light & moisture. Keep out of reach of children.