Reefcal-D 500 mg+200 IU (Tablet)

Unit Price: ৳ 10.00 (5 x 10: ৳ 500.00)
Strip Price: ৳ 100.00

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 in case of inadequate intake of Calcium in childhood diet
  • Supplement in case of inadequate intake of Calcium in pregnancy & lactation
  • Supplement in case of inadequate intake of Calcium in elderly patients
  • Supplement in case of Rickets
  • Used for pancreatitis
  • Used as a 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 in the blood is vital to a wide variety of bodily functions
  • Clinical evidence supports the use of Calcium for the prevention and treatment of Osteoporosis and associated fractures
  • Vitamin D is essential for healthy bones and aids in Calcium absorption from the GI tract
  • Vitamin D stimulates bone formation and has synergistic effects on bone growth
  • Coral Calcium sourced from coral origin has a chemical structure similar to the composition of human bone
  • Vitamin D3 aids in the absorption of Calcium from the GI tract and helps maintain Calcium balance in the body

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 to drink orally, stirring the solution with a spoon before drinking

Interactions

  • Thiazide diuretics reduce the urinary excretion of calcium
  • Systemic corticosteroids reduce calcium absorption
  • Simultaneous treatment with ion exchange resins such as cholestyramine or laxatives such as paraffin oil may reduce the gastrointestinal absorption of vitamin D
  • Calcium carbonate may interfere with the absorption of concomitantly administered tetracycline preparations
  • Hypercalcaemia may increase the toxicity of cardiac glycosides
  • Patients should not take calcium products within two hours of eating foods high in oxalic acid and phytic acid

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
  • Occasional allergic reactions
  • Irregular heartbeats
  • Nausea
  • Vomiting
  • Decreased appetite
  • Dry mouth
  • Drowsiness
  • Skin rash following administration of Vitamin D Supplements

Pregnancy & Lactation

  • Daily intake during pregnancy should not exceed 1500 mg calcium and 600 IU cholecalciferol
  • Studies in animals have shown reproductive toxicity with high dose of vitamin D
  • Overdoses of calcium and vitamin D should be avoided during pregnancy to prevent adverse effects on the developing foetus
  • No indications that vitamin D at therapeutic doses is teratogenic in humans
  • Calcium and vitamin D3 pass into breast milk and should be considered when giving additional vitamin D to the child

Precautions & Warnings

  • Serum calcium levels and renal function should be monitored during long-term treatment
  • Monitoring is especially important in elderly patients on concomitant treatment with cardiac glycosides or diuretics and in patients with a high tendency to calculus formation
  • In case of hypercalcaemia or signs of impaired renal function, the dose should be reduced or the treatment discontinued
  • Vitamin D should be used with caution in patients with impairment of renal function and the effect on calcium and phosphate levels should be monitored

Overdose Effects

  • Hypervitaminosis D and hypercalcaemia
  • Symptoms may include anorexia, thirst, nausea, vomiting, constipation, abdominal pain, muscle weakness, fatigue, mental disturbances, polydipsia, polyuria, bone pain, nephrocalcinosis, nephrolithiasis, and in severe cases, cardiac arrhythmias
  • Persistently high calcium levels may lead to irreversible renal damage and soft tissue calcification

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 Reefcal-D 500 mg Tablet

  • Reefcal-D 500 mg Tablet is a combination of calcium carbonate and vitamin D3 used to prevent and treat calcium and vitamin D deficiency

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