Vitrum Calcium + Vitamins E30 coated pills
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Description
Vitamin complex Vitrum Calcium + Vitamin D3 is an effective drug for the early prevention of osteoporosis and the correction of Ca-deficient conditions. It is recommended for use by adolescents, pregnant women and throughout life to strengthen bones, tooth and hair. The results of numerous clinical studies confirm the high efficacy, good tolerability and safety of the drug.
The brand
Vitrum
Release form
Pills
Composition
Calcium, vitamin D3.
Pharmacological effect
Combined drug that regulates the exchange of calcium and phosphorus in the body. Reduces resorption (absorption) and increases bone density, replenishing the lack of calcium and vitamin D3 in the body. Vitamin D3 increases calcium absorption in the gastrointestinal tract and its binding to bone tissue. The use of calcium and vitamin D3 prevents the increase in the production of parathyroid hormone (PTH), which is a stimulator of increased bone resorption (leaching of calcium from the bones). Vitamin D3 is absorbed in the small intestine. Calcium is absorbed in the ionized form in the proximal small intestine through an active, D-vitamin dependent transport mechanism.
Indications
It is used as a therapeutic and prophylactic agent: to compensate for calcium deficiency and / or vitamin D3 during the period of intensive growth in adolescence and youth (for attaining a maximum peak bone mass), for women during pregnancy and lactation, for prophylaxis and basic therapy of osteoporosis ( menopausal, senile, steroid, idiopathic, etc.) and its complications (bone fractures), to compensate for the lack of calcium and vitamin D3 in the elderly.
Contraindications
Hypersensitivity to one of the components of the drug, hypervitaminosis D, marked impaired renal function, hypercalcemia (elevated calcium in the blood - in individuals with enhanced parathyroid function), hypercalciuria (increased excretion of calcium in the urine), urolithiasis (formation of calcium stones), decalcification tumors (myeloma, bone metastases, sarcoidosis), osteoporosis caused by immobilization, pulmonary tuberculosis (active form), children under 12 years of age.
Precautionary measures
Take with caution to persons suffering from renal failure.
Use during pregnancy and lactation
Women during pregnancy and lactation to take the drug to compensate for calcium deficiency.
Dosage and administration
Before use, consult your doctor. Inside As a prophylactic agent for adults and children over 12 years old, pregnant and lactating women, 1-2 pills per day. To increase calcium absorption, it is preferable to drink a pill with an acidic drink (orange or lemon juice). For course prevention of osteoporosis, 2 pills per day, one in the morning and one in the evening, mostly during meals. For the treatment of osteoporosis, the course and dosage in accordance with the recommendations of the doctor.
Side effects
Possible allergic reactions to the components of the drug. Dysfunction of the gastrointestinal tract (constipation, diarrhea, flatulence, nausea, abdominal pain) may occur. In the case of long-term use may increase the calcium in the blood and urine.
Interaction with other drugs
Vitamin D3 activity may be reduced when it is used simultaneously with phenytoin or barbiturates. With simultaneous treatment with cardiac glycosides, ECG and clinical monitoring is necessary, since Calcium enhances the action of cardiac glycosides. The drug slows down the absorption of antibiotics of the tetracycline group, acetylsalicylic acid and other salicylates, sulfonamides, beta-blockers and indirect anticoagulants. In this regard, the drug is recommended to be used 2 hours or 2 hours after taking other medicines. With the simultaneous use of diuretics from the group of thiazides increases the risk of hypercalcemia. Kolestiramin, laxatives (paraffin oil) reduce the absorption of vitamin D.
special instructions
During treatment, it is necessary to continuously monitor the excretion of calcium in the urine and the concentration of calcium and creatinine in the plasma (in the case of calcuria, exceeding 7.5 mmol / day (300 mg / day), it is necessary to reduce the dose or stop taking). Children under 12 years old are recommended to use the drug only as prescribed by a doctor. In order to avoid overdose, it is necessary to consider the additional intake of vitamin D3 from other sources.Not to apply along with the vitamin complexes containing calcium and vitamin D3. In older people, the need for calcium is 1.5 g / day, in vitamin D3 500-1000 IU / day.