Calcium, vitamin D3 and minerals.
See Table 1.
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This medicine contains a combination of Calcium, Vitamin D, Magnesium, Zinc, and Manganese which are nutrients known to help protect against osteoporosis and promote optimum bone health. (See Table 2.)
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A medicine to help maintain optimum bone function and reduce the risk of osteoporosis later in life.
Orally, once daily.
Or, as directed by a doctor.
Missed Dose: If the patient misses a dose, just take the next dose and the subsequent doses at the usual recommended schedule, i.e., once a day.
Do not double the dose unless recommended by a doctor.
Calcium: No data available on overdosage when taken in the recommended dose. However, in particularly susceptible individuals (i.e., patients with kidney failure), doses greater than 2 g elemental calcium per day may cause high levels of calcium in the urine and lead to kidney stones, which may result to kidney damage.
Vitamin D: Chronic ingestion of 50,000 - 100,000 IU (1.25 - 2.5 mg) of vitamin D daily may result in hypervitaminosis D. Signs and symptoms include hypercalcemia, hypercalciuria, anorexia (loss of appetite), nausea, vomiting, polyuria (frequent urination), polydipsia (excessive thirst), weakness and lethargy (fatigue).
Zinc: Rare occurrences of acute zinc poisoning have been reported. The toxicity signs observed after ingestion of high zinc doses (4 - 8 grams) include nausea, vomiting, diarrhea, fever, metallic taste, and lethargy.
If the patient has taken more than the recommended dosage, consult a doctor or contact a Poison Control Center right away.
If the patient is allergic to any component in the product.
If the patient has hypercalcemia (excess calcium in the blood), kidney impairment, or any disease associated with hypercalcemia.
Do not use more than the recommended dose unless recommended by a doctor.
Consult a doctor: If any undesirable effect occurs.
Women who are pregnant should have regular prenatal check-up with their doctor.
Calcium: Hypercalcemia, hypercalciuria (excess calcium in the urine), vascular and soft tissue calcification (deposition of calcium in blood vessels and soft tissue) and nephrolithiasis (kidney stones) have been reported with high doses of calcium. Minor gastrointestinal disturbances such as bloating, constipation, flatulence, and nausea have also been reported with calcium supplements.
Zinc: Gastrointestinal side effects such as nausea and vomiting are seen with doses of elemental zinc greater than 30 mg.
Calcium: Bisphosphonates (e.g., alendronate, etidronate, risedronate) should be taken at least 30 minutes before taking this medicine since calcium may reduce absorption of bisphosphonates.
Quinolones (e.g., ciprofloxacin, norfloxacin, levofloxacin, ofloxacin) should be taken at least three hours before taking this medicine since calcium may reduce absorption of quinolones.
Tetracyclines should be taken at least three hours before taking this medicine to avoid reduced absorption of tetracyclines. Tetracyclines are not recommended in children below 8 years old.
Concomitant intake of calcium and foods rich in oxalic acid (e.g., spinach, sweet potatoes, and beans) or phytic acid (unleavened bread, raw beans, seeds, nuts, and grains) may decrease calcium absorption.
Vitamin D: Concomitant intake of other products containing high dose vitamin D may result in excessive doses of vitamin D.
Concomitant use of mineral oils, olestra, orlistat, and bile acid sequestrants (e.g., cholestyramine, colestipol) may reduce the absorption of vitamin D.
Concomitant use of anticonvulsants, cimetidine and thiazides may decrease the effect of vitamin D.
Store at temperatures not exceeding 30°C.
A12AX - Calcium, combinations with vitamin D and/or other drugs ; Used as dietary supplements.
Tab (orange, biconvex, elliptical-shaped coated with product name on one side and plain on the other side) 12's, 30's, 100's.