Calcemin Advance pills 60 pcs
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Description
Tablets biconvex oval-shaped, film-coated pink color with a risk on one side.
Active ingredients
Multivitamins + Minerals
Release form
Pills
Composition
1 tablet contains active ingredients: calcium (calcium citrate and calcium carbonate) 500 mg, vitamin D3 (colecalciferol) 200 IU, magnesium (magnesium oxide) 40 mg, zinc (zinc oxide) 7.5 mg, copper (copper oxide) 1 mg , manganese (manganese sulfate) 1.8 mg, boron (sodium borate) 250 mcg. Adjuvants: maltodextrin 25 mg, microcrystalline cellulose 49.05 mg, croscarmellose sodium 38 mg, stearic acid 16.3 mg, soy polysaccharide 15 mg, sodium lauryl sulfate 5 mg. Obole: hypromellose 26.328 mg, titanium dioxide 12.643 mg, magnesium silicate 5 mg, triacetin 5.689 mg, mineral wt about 2.845 mg Red dye 40 № (kras¬ny enjoy dye) 0.316 mg Yellow dye № 6 (sunset yellow) 0.079 mg, № colorant Blue 1 0.04 mg.
Pharmacological effect
Combined product containing vitamins, micro and macronutrients; action due to the properties that make up the ingredients.
Indications
Prevention and complex treatment of osteoporosis of various origins: - in women during menopause (natural and surgical); - in people who take glucocorticosteroids for a long time and immunosuppressants. Therapies for diseases of the musculoskeletal system: to improve the consolidation of traumatic fractures. teenagers.
Contraindications
Increased individual sensitivity to the components of the drug, vitamin D hypervitaminosis, hypercalcemia and hypercalciuria, severe renal failure, urolithiasis, nephrolithiasis, active tuberculosis, sarcoidosis, children (up to 12 years); allergic reaction to peanut butter and soy, as part of the drug includes soy polysaccharide.
Precautionary measures
The period of pregnancy and lactation, renal failure.
Use during pregnancy and lactation
During pregnancy and breastfeeding, the drug should be coordinated with the doctor. The daily dose for pregnant women should not exceed 1500 mg of calcium and 600 IU of vitamin D3, since hypercalcemia, which develops on the background of an overdose during pregnancy, can cause defects in the mental and physical development of the child. Nursing women should take into account that coralciferol and its metabolites penetrate into breast milk. This should be considered with the additional appointment of calcium and vitamin D3 to the child.
Dosage and administration
Take orally, during meals. Comprehensive therapy of osteoporosis - 1 tablet 2 times a day. Prevention of osteoporosis - 1 tablet per day. When using the drug for prophylaxis and in complex therapy of osteoporosis, the duration of treatment is determined by the doctor individually. The average duration of a course for prophylaxis is 2 months; in the treatment of osteoporosis - 3 months. Therapy of diseases of the musculoskeletal system: to improve the consolidation of traumatic fractures - 1 tablet per day; the duration of treatment is 4-6 weeks. To compensate for calcium deficiency and trace elements in adolescents from 12 years old, take 1 tablet per day. The average duration of treatment is 4-6 weeks.
Side effects
Nausea, vomiting, flatulence, diarrhea, constipation, hypercalcemia and hypercalciuria, allergic reactions (itching, rash, urticaria).
Overdose
Vitamin D3 hypervitaminosis, hypercalcemia and hypercalciuria. Symptoms: thirst, polyuria, loss of appetite, constipation, nausea, vomiting, dizziness, muscle weakness, headache, fainting, coma, increased fatigue, pain in the bones, mental disorders, nephrocalcia, mental disorders, nephrocaliasis, mental disorders, nephrocaliasis abdomen, urolithiasis, in severe cases - cardiac arrhythmias. With prolonged use in doses of over 2500 mg of calcium - kidney damage, calcification of soft tissues. In case of the first signs of overdose, reduce the dose and and stop using the drug, consult a doctor. In case of hypercalciuria, exceeding 7.5 mmol / day (300 mg / day), it is necessary to reduce the dose or stop taking the drug. Treatment: rehydration, use of loop diuretics (eg furosemide), glucocorticosteroids, calcitonin , bisphosphonates, in severe cases, hemodialysis. In case of accidental overdose, induce vomiting, flush the stomach. Symptomatic therapy.
Interaction with other drugs
With simultaneous use of the drug Kaltsemin Advance with vitamin A decreases the toxicity of vitamin D3. Phenytoin, barbiturates, glucocorticoids reduce the effectiveness of vitamin D3. Laxatives reduce the absorption of vitamin D3. Glucocorticoids, hormonal contraceptives for systemic use, levothyroxine reduce the absorption of calcium ions.With the simultaneous use of tetracyclines, the interval between doses must be at least 3 hours, bisphosphonates and sodium fluoride (their absorption is disturbed) - at least 2 hours. With simultaneous use of the drug Calcemin Advance with cardiac glycosides, their toxicity increases (ECG and clinical condition monitoring is necessary), with thiazide diuretics - the risk of hypercalcemia increases, with furosemide and other “loop” diuretics - the kidney calcium excretion increases. Do not use Calcemin Advance in conjunction with calcium channel blockers. It is not recommended to take the drug with antacids, which contain aluminum, due to a decrease in their effectiveness.
special instructions
The dose should not exceed specified in the instructions, since increased calcium intake may inhibit the absorption in the intestine of iron, zinc and other essential minerals. Influence on the ability to drive and drive mechanisms: There is no data on the effect of the drug on the speed of psychomotor reactions when the vehicle is in motion and working with precise mechanisms.
Storage conditions
At a temperature not higher than 25 ° C. Keep out of the reach of children.