Fosil-D 500 mg+200 IU (Tablet)

Unit Price: ৳ 13.00 (3 x 10: ৳ 390.00)

Medicine Details

Indications

  • Treatment and prevention of osteoporosis
  • Treatment and prevention of osteomalacia
  • Treatment of tetany
  • Treatment of hypoparathyroidism
  • Supplement for inadequate calcium intake in childhood diet
  • Treatment during pregnancy and 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 (Coral source) USP 1500 mg
  • Each effervescent tablet contains Vitamin D3 400 IU as Cholecalciferol USP

Pharmacology

  • Adequate Calcium for various bodily functions
  • Usefulness for prevention and treatment of Osteoporosis and associated fractures
  • Essential role of Vitamin D for healthy bones and Calcium absorption
  • Stimulation of bone formation by Vitamin D
  • Synergistic effects of Calcium and Vitamin D on bone growth and Osteoporosis prevention
  • Coral Calcium sourced from coral origin with a similar chemical structure to human bone
  • Better absorption ensured by Coral Calcium
  • Vitamin D3 aiding in Calcium absorption from GI tract

Dosage and Administration

  • One tablet once or twice daily
  • Dissolve 1 effervescent tablet in a glass of water to drink orally
  • Taking in full stomach ensures better absorption

Interaction

  • Effect of thiazide diuretics on urinary excretion of calcium
  • Reduced calcium absorption with systemic corticosteroids
  • Interference with calcium absorption by ion exchange resins and laxatives
  • Possible interference with tetracycline preparations absorption
  • Potential increase in toxicity of cardiac glycosides during hypercalcaemia
  • Need for caution with bisphosphonate or sodium fluoride concomitant use
  • Inhibition of calcium absorption by oxalic acid and phytic acid rich foods

Contraindications

  • Hypercalcemia and hyperparathyroidism
  • Hypercalciuria and nephrolithiasis
  • Hypersensitivity to the component of this preparation
  • Severe renal insufficiency
  • Concomitant digoxin therapy with required serum Calcium level monitoring

Side Effects

  • Irritation and constipation due to orally administered Calcium Carbonate
  • Rarely produced hypercalcemia with large doses
  • Possible allergic reactions, irregular heartbeats, nausea, vomiting, decreased appetite, dry mouth, drowsiness
  • Skin rash reported after Vitamin D supplements administration

Pregnancy and Lactation

  • Use caution to avoid overdoses during pregnancy
  • Avoid high dose of vitamin D due to reproductive toxicity in animals
  • No indications of teratogenic effects of vitamin D at therapeutic doses in humans
  • Consideration of calcium and vitamin D3 passage into breast milk

Precautions and Warnings

  • Importance of monitoring serum calcium levels during long-term treatment
  • Monitoring of renal function in elderly patients on concomitant treatment with cardiac glycosides or diuretics
  • Consideration of risk of soft tissue calcification in patients with impairment of renal function
  • Caution in patients suffering from sarcoidosis due to risk of increased metabolism of vitamin D
  • Risk of hypercalcaemia in immobilized patients with osteoporosis
  • Close medical supervision for additional doses of calcium or vitamin D

Overdose Effects

  • Potential for hypervitaminosis D and hypercalcemia
  • Symptoms of hypercalcaemia and associated treatment options

Therapeutic Class

  • Specific mineral & vitamin combined preparations

Storage Conditions

  • Store at temperature of below 30°C
  • Protect from light and moisture
  • Keep out of reach of children

Common Questions about Fosil-D 500 mg Tablet

  • Combination of calcium carbonate and vitamin D3 for prevention and treatment of calcium and vitamin D deficiency
  • Benefits include prevention of osteoporosis, treatment of rickets and osteomalacia, and improvement of bone health in the elderly
  • Contraindications for people with high level of calcium or vitamin D in the blood, kidney stones, sarcoidosis, and allergic to ingredients in Coralcal D
  • Common side effects include constipation, nausea, vomiting, diarrhea, headache, drowsiness, and dry mouth
  • Recommended to be taken with food and appropriate dosage to be determined by doctor
  • Precautions advised for pregnant or breastfeeding individuals, those with high levels of calcium or vitamin D, kidney stones, and allergies to the medicine's ingredients

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