Reef-D 500 mg+200 IU (Tablet)

Unit Price: ৳ 11.00 (5 x 10: ৳ 550.00)
Strip Price: ৳ 110.00

Medicine Details

Category Details
Generic Coral calcium vitamin d3
Company Healthcare pharmaceuticals ltd
Also available as
Reef dx 600 mg tablet Reef d vita 600 mg tablet

Indications

  • Prevention of osteoporosis
  • Treatment of osteomalacia
  • Prevention of tetany
  • Treatment of hypoparathyroidism
  • Prevention of disorders of osteogenesis
  • Supplement for inadequate calcium intake in childhood diet
  • Treatment of rickets
  • Supplement for pregnancy & lactation
  • Treatment of pancreatitis
  • Phosphate binder in chronic renal failure

Composition

  • Each tablet contains: Calcium Carbonate USP 1250 mg (Coral source) equivalent to 500 mg of elemental Calcium & Vitamin D USP 200 IU
  • Each DX tablet contains: Calcium Carbonate USP 1500 mg (Coral source) equivalent to 600 mg of elemental Calcium & Vitamin D USP 400 IU
  • Each effervescent tablet contains: Calcium Carbonate (Coral source) USP 1500 mg equivalent to 600 mg of elemental Calcium and Vitamin D3 400 IU as Cholecalciferol USP

Pharmacology

  • Adequate calcium for bodily functions
  • Useful for preventing & treating osteoporosis and associated fractures
  • Essential for healthy bones
  • Stimulates bone formation
  • Coral Calcium sourced from coral origin for better absorption
  • Vitamin D3 aids in absorption from GI tract and maintains Calcium balance

Dosage & Administration

  • One tablet once or twice daily with plenty of water or as directed by the physician
  • Dissolve 1 effervescent tablet in a glass of water and drink orally
  • Taking with a full stomach ensures better absorption

Interaction

  • Thiazide diuretics reduce urinary excretion of calcium
  • Systemic corticosteroids reduce calcium absorption
  • Simultaneous treatment with ion exchange resins and laxatives may reduce gastrointestinal absorption of vitamin D
  • Calcium carbonate may interfere with the absorption of concomitantly administered tetracycline preparations
  • Hypercalcemia may increase the toxicity of cardiac glycosides during treatment with calcium and vitamin D
  • Oxalic acid and phytic acid found in certain foods may inhibit calcium absorption

Contraindications

  • Hypercalcemia and hyperparathyroidism
  • Hypercalciuria and nephrolithiasis
  • Hypersensitivity to the component of this preparation
  • Severe renal insufficiencies
  • Concomitant digoxin therapy

Side Effects

  • Orally administered Calcium Carbonate may be irritating to the GI tract
  • May cause constipation
  • Rarely produces hypercalcemia when given in large doses to patients with chronic renal failure
  • May cause allergic reactions, irregular heartbeats, nausea, vomiting, decreased appetite, dry mouth, and drowsiness
  • Vitamin D Supplements may cause skin rash

Pregnancy & Lactation

  • Daily intake should not exceed 1500 mg calcium and 600 IU cholecalciferol
  • Overdoses of calcium and vitamin D should be avoided in pregnant women
  • No indications that vitamin D at therapeutic doses is teratogenic in humans
  • Elemental Calcium & Vitamin D3 tablet can be used during pregnancy and breastfeeding

Precautions & Warnings

  • During long-term treatment, serum calcium levels should be followed and renal function monitored
  • Caution in elderly patients on concomitant treatment with cardiac glycosides or diuretics
  • Vitamin D should be used with caution in patients with impairment of renal function
  • Caution in patients suffering from sarcoidosis
  • Caution in immobilized patients with osteoporosis
  • Dose of vitamin D should be considered when prescribing other drugs containing vitamin D

Overdose Effects

  • Can lead to hypervitaminosis D and hypercalcemia
  • Symptoms of hypercalcemia may include anorexia, thirst, nausea, vomiting, constipation, abdominal pain, muscle weakness, fatigue, mental disturbances
  • Treatment involves discontinuation of calcium and other implicated medications, rehydration, and monitoring of electrolytes and renal function

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

Common Questions about Reef-D 500 mg Tablet

  • Reef-D 500 mg Tablet is a combination of calcium carbonate and vitamin D3
  • Benefits include prevention and treatment of calcium and vitamin D deficiency, osteoporosis, rickets, osteomalacia, and improvement of bone health in the elderly
  • Not to be taken by individuals with high levels of calcium or vitamin D in the blood, kidney stones, sarcoidosis, and allergic reactions to the ingredients
  • Common side effects are constipation, nausea, vomiting, diarrhea, headache, drowsiness, and dry mouth
  • The tablet should be taken with food, and dosing should be discussed with a doctor

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