Acical-MX (Effervescent Tablet)

Unit Price: ৳ 20.00 (1 x 10: ৳ 200.00)
Strip Price: ৳ 200.00

Medicine Details

Category Details
Generic Calcium vitamin d3 multimineral
Company Aci limited

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 & lactation
  • Deficiency state of Calcium, Vitamin D3, Magnesium, Zinc, Copper, Manganese & Boron

Composition

  • Calcium Carbonate BP equivalent to 600 mg elemental Calcium
  • Vitamin D3 BP (as Cholecalciferol) 200 IU
  • Magnesium Oxide BP equivalent to 40 mg Magnesium
  • Manganese Sulfate Monohydrate BP equivalent to 1.8 mg Manganese
  • Cupric Oxide equivalent to 1 mg Copper
  • Boron Citrate equivalent to 250 mcg Boron
  • Zinc Oxide BP equivalent to 7.5 mg Zinc

Pharmacology

Importance of nutrition in preventing osteoporosis and bone-related diseases

Dosage & Administration

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

Interaction

  • Risk of hypercalcemia with thiazide diuretics
  • Hypocalcaemia in digitalized patients
  • Reduced absorption of calcium with certain foods
  • Decreased Vitamin-D3 effect with phenytoin or barbiturates
  • Decreased effect of Vitamin D3 with glucocorticoids
  • Reduced absorption of various medications with calcium

Contraindications

  • Hypercalcaemia resulting from malignant bone disease
  • Sarcoidosis
  • Primary hyperparathyroidism
  • Vitamin-D 3 overdosage
  • Severe renal failure
  • Hypersensitivity to any tablet ingredients
  • Relative contraindications such as renal stones and severe hypercalciuria

Side Effects

  • Mild gastro-intestinal disturbances
  • Constipation
  • Flatulence
  • Nausea
  • Gastric pain
  • Diarrhea
  • Skin rash from vitamin-D3 supplements
  • Hypercalciuria and rare cases of hypercalcaemia with long-term high-dose treatment

Pregnancy & Lactation

  • Increased calcium and vitamin-D3 requirements
  • Overdoses of vitamin-D3 can have teratogenic effects
  • Passage of vitamin-D3 and metabolites into breast milk

Precautions & Warnings

  • Careful supervision for mild to moderate renal failure
  • Periodic checks of plasma calcium levels and urinary calcium excretion
  • Measurement of urinary calcium excretion in patients with a history of renal stones
  • Monitoring of serum and urinary calcium levels and kidney function with long-term treatment
  • Reduction and temporary cessation of treatment if urinary calcium exceeds 7.5 mmol/24 hours

Overdose Effects

Symptoms may include nausea, vomiting, drowsiness, dry mouth, loss of appetite, metallic taste, stomach cramps, diarrhea, headache, and constipation

Therapeutic Class

Specific mineral & 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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