Oracal M (Tablet)

Unit Price: ৳ 4.00 (15's pack: ৳ 60.00)

Medicine Details

Indications

  • Prevention and treatment of osteoporosis
  • Maintaining strong bone growth
  • Proper functioning of heart, muscle, and nerves
  • Nutritional supplement
  • Bone development and regeneration
  • Pregnancy & lactation support
  • Deficiency state of Calcium, Vitamin D3, Magnesium, Zinc, Copper, Manganese, and Boron

Composition

  • 600 mg elemental Calcium per film-coated tablet
  • 200 IU Vitamin D3 per film-coated tablet
  • 40 mg Magnesium per film-coated tablet
  • 1.8 mg Manganese per film-coated tablet
  • 1 mg Copper per film-coated tablet
  • 250 mcg Boron per film-coated tablet
  • 7.5 mg Zinc per film-coated tablet
  • 600 mg elemental Calcium per effervescent tablet
  • 400 IU Vitamin D3 per effervescent tablet
  • 40 mg Magnesium per effervescent tablet
  • 1.8 mg Manganese per effervescent tablet
  • 1 mg Copper per effervescent tablet
  • 250 mcg Boron per effervescent tablet
  • 7.5 mg Zinc per effervescent tablet

Pharmacology

  • Importance of Calcium, Magnesium, and Vitamin D3 for bone health
  • Role of micronutrients like Copper, Manganese, Zinc, and Boron in bone health

Dosage & Administration

  • Adult: 1 film-coated tablet twice daily
  • Best taken with or just after main meals with a full glass of water
  • Children 3-7 years: 1 effervescent tablet daily
  • Children 7 years and older: 1-2 effervescent tablets daily

Interaction

  • Interaction with thiazide diuretics
  • Interaction with foods containing oxalic acid, phosphate, or phytinic acid
  • Concomitant treatment with phenytoin or barbiturates
  • Concomitant use of glucocorticoids
  • Interaction with digitalis and other cardiac glycosides
  • Reduction of absorption of thyroxin, bisphosphonates, sodium fluoride, quinolone, or tetracycline antibiotics
  • Reduction of absorption of iron
  • Minimum period before taking calcium after certain medications

Contraindications

  • Absolute contraindications: hypercalcaemia, sarcoidosis, primary hyperparathyroidism, Vitamin-D 3 overdosage, severe renal failure, hypersensitivity to tablet ingredients
  • Relative contraindications: osteoporosis due to prolonged immobilization, renal stones, severe hypercalciuria

Side Effects

  • Mild gastrointestinal disturbances
  • Skin rash
  • Hypercalciuria
  • Hypercalcaemia with long term treatment at high doses

Pregnancy & Lactation

  • Increased requirements for calcium and vitamin-D 3 during pregnancy and lactation
  • Necessity for careful treatment under physician's direction
  • Teratogenic effects of vitamin-D 3 overdoses

Precautions & Warnings

  • Supervision for patients with mild to moderate renal failure or mild hypercalciuria
  • Periodic checks of plasma calcium levels and urinary calcium excretion
  • Monitoring in patients with a history of renal stones
  • Monitoring serum and urinary calcium levels and kidney function with long term treatment
  • Allowances for calcium and vitamin D3 supplements from other sources

Overdose Effects

  • Nausea
  • Vomiting
  • Severe drowsiness
  • Dry mouth
  • Loss of appetite
  • Metallic taste
  • Stomach cramps
  • Diarrhea
  • Headache
  • Constipation

Therapeutic Class

  • Specific mineral & vitamin combined preparations

Storage Conditions

  • Dry place
  • Away from light and heat
  • Keep out of the reach of children

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