Calboral-DX 600 mg+400 IU (Tablet)

Unit Price: ৳ 16.00 (1 x 30: ৳ 480.00)

Medicine Details

Indications

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

Composition

  • Each tablet contains Calcium Carbonate USP 1250 mg (Coral source)
  • Each tablet contains Vitamin D USP 200 IU
  • Each DX tablet contains Calcium Carbonate USP 1500 mg (Coral source)
  • Each DX tablet contains Vitamin D USP 400 IU
  • Each effervescent tablet contains Calcium Carbonate USP 1500 mg (Coral source)
  • Each effervescent tablet contains Vitamin D3 400 IU as Cholecalciferol USP

Pharmacology

  • Adequate Calcium in the blood is vital for bodily functions
  • Clinical evidence suggests Calcium is useful for prevention and treatment of osteoporosis
  • Vitamin D aids in Calcium absorption and stimulates bone formation
  • Clinical studies show synergistic effects of Calcium and Vitamin D on bone growth and prevention of osteoporosis and fractures
  • Coral Calcium sourced from coral origin with a structure similar to human bone composition for better absorption
  • Vitamin D3 aids in Calcium absorption and helps in maintaining Calcium balance in the body

Dosage & Administration

One tablet once or twice daily with plenty of water or as directed by the physician

Interaction

  • Thiazide diuretics reduce urinary excretion of calcium
  • Systemic corticosteroids reduce calcium absorption
  • Ion exchange resins and laxatives may reduce gastrointestinal absorption of vitamin D
  • Calcium carbonate may interfere with absorption of tetracycline preparations
  • Hypercalcaemia may increase toxicity of cardiac glycosides during treatment with calcium and vitamin D
  • Concomitant use of bisphosphonate or sodium fluoride may reduce gastrointestinal absorption
  • Oxalic acid and phytic acid from specific 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

  • Oral administration of Calcium Carbonate may irritate the GI tract
  • May cause constipation, hypercalcemia, allergic reactions, irregular heartbeats, nausea, vomiting, decreased appetite, dry mouth, drowsiness
  • Vitamin D supplement may cause skin rash

Pregnancy & Lactation

  • Daily intake limitations during pregnancy
  • Reproductive toxicity observed with high dose of vitamin D in animals
  • Avoid overdoses as it may lead to adverse effects on the developing fetus
  • Calcium and vitamin D3 pass into breast milk

Precautions & Warnings

  • Monitoring of serum calcium levels and renal function during long-term treatment
  • Monitoring especially important for elderly patients on concomitant treatment with cardiac glycosides or diuretics
  • Renal function monitoring for patients with high tendency to calculus formation
  • Caution in patients with impaired renal function
  • Monitoring of serum calcium levels and urinary calcium excretion for immobilized patients with osteoporosis
  • Consideration of vitamin D dose when prescribing other drugs containing vitamin D

Overdose Effects

Can lead to hypervitaminosis D and hypercalcemia, symptoms may include anorexia, thirst, nausea, vomiting, constipation, muscle weakness, fatigue, mental disturbances, polydipsia, polyuria, bone pain, nephrocalcinosis, nephrolithiasis, cardiac arrhythmias, coma, and death

Therapeutic Class

Specific mineral & vitamin combined preparations

Storage Conditions

Store at temperature below 30°C, protect from light & moisture, keep out of reach of children

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