Starcal M (Tablet)

Unit Price: ৳ 6.50 (2 x 15: ৳ 195.00)
Strip Price: ৳ 97.50

Medicine Details

Indications

  • Prevention and treatment of osteoporosis
  • Maintain strong bone growth
  • Proper functioning of heart, muscle, and nerves
  • Nutritional supplement
  • Bone development and regeneration of bone
  • Pregnancy and lactation
  • 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 nutrition in preventing osteoporosis
  • Calcium, Magnesium and Vitamin D3 are macronutrients for bone health
  • Vitamin D3 plays a crucial role in Calcium absorption
  • Micronutrients like Copper, Manganese, Zinc and Boron are important for bone health

Dosage & Administration

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

Interaction

  • Consideration of hypercalcemia risk in patients taking thiazide diuretics
  • Potential reduction of Calcium absorption by certain foods
  • Interactions with phenytoin, barbiturates, glucocorticoids, and cardiac glycosides
  • Medical supervision needed in certain cases

Contraindications

  • Absolute contraindications: hypercalcaemia, primary hyperparathyroidism, Vitamin-D3 overdosage, severe renal failure
  • Relative contraindications: osteoporosis due to prolonged immobilisation, renal stones, severe hypercalciuria
  • Hypersensitivity to any tablet ingredients

Side Effects

  • Mild gastro-intestinal disturbances
  • Occasional skin rash with vitamin-D3 supplements
  • Hypercalciuria and rare cases of hypercalcaemia with long-term treatment at high doses

Pregnancy & Lactation

  • Increased requirements for calcium and vitamin-D3 during pregnancy and lactation
  • Caution with vitamin-D3 overdoses during pregnancy
  • Transfer of vitamin-D3 and its metabolites into breast milk

Precautions & Warnings

  • Careful supervision in patients with mild to moderate renal failure or mild hypercalciuria
  • Periodic checks of plasma calcium levels and urinary calcium excretion
  • Monitoring of serum and urinary calcium levels and kidney function with long-term treatment

Overdose Effects

  • Symptoms of overdosage include nausea, vomiting, drowsiness, dry mouth, loss of appetite, and more

Therapeutic Class

  • Specific mineral and vitamin combined preparations

Storage Conditions

  • Keep in a dry place away from light and heat
  • Keep out of the reach of children

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