Cal. Gluconate 500 mg/5 ml (IM/IV Injection)

5 ml ampoule: ৳ 13.00 (2 x 5: ৳ 130.00)

Medicine Details

Category Details
Generic Calcium gluconate
Company Edruc limited

Indications

  • Treatment of calcium gluconate deficiency states
  • Dietary supplement for inadequate intake of calcium gluconate
  • Severe hypoglycemic tetany
  • Hypoparathyroidism
  • Vitamin D-deficiency
  • Osteoporosis
  • Extreme hypercalcemia

Pharmacology

  • Prevention or treatment of negative calcium balance
  • Facilitation of nerve and muscle performance
  • Normal cardiac function

Dosage & Administration

  • 1-2 ampoules of Ca+ Gluconate IM daily or every alternate day
  • Children require 1/2 of adult dose
  • IM injection should be given deep to gluteus medius muscle using a long needle
  • Acute hypocalcemia dose: 10-20 ml (2.32-4.64 mmol) per kg
  • Fluoride or lead poisoning dose: 0.3 ml per kg body weight
  • Neonatal tetany dose: 0.3 (0.7 mmol) per kg body weight

Interaction

  • Co-administration of high calcium doses with thiazide diuretics may result in milk-alkali syndrome and hypercalcemia
  • Potentiation of digoxin toxicity
  • Decreased effects of calcium-channel blockers
  • Enhanced absorption with calcitriol

Contraindications

  • Patients receiving cardiac glycosides
  • Patients with renal failure
  • Patients with severe hypercalciuria
  • Patients with hypercalcemia

Side Effects

  • Nausea
  • Vomiting
  • Hot flushes
  • Sweating
  • Hypotension
  • Vasomotor collapse
  • Possibly fatal if administered too rapidly

Pregnancy & Lactation

  • Pregnancy Category C
  • Adverse effects in animal studies
  • Potential benefit justifies the potential risk to the fetus

Precautions & Warnings

  • Impaired renal function
  • Cardiac disease
  • Hypercalcemia-associated diseases
  • Pregnancy
  • Storage below 30°C temperature
  • Storage away from light & moisture
  • Keep out of the reach of children

Therapeutic Class

  • Minerals in bone formation
  • Specific mineral preparations

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