CALCICARE D3 chewing tablets, 120 pcs

Instructions for use for CALCICARE D3 chewing tablets, 120 pcs

Application notes

Adults and older people

1 Chewing tablet

1-2 times a day

during or between meals

Application areas

Mode of action

How do the ingredients of the drug work?

Calcium ions are of crucial importance in the activation of biological systems. A lack of calcium in the blood increases, but an excess reduces neuromuscular excitability. Oral calcium intake promotes the remineralization of the skeleton in the case of calcium deficiency. Colecalciferol is physiological vitamin D3, which is converted into the kidney and liver to calcitriol, the effective substance of the vitamin D3. Calcitriol is responsible for taking the calcium and phosphate from the intestine. The recovery of calcium and its resumption from the kidney vitamin D are also dependent. The substance promotes the mineralization of the bones and thus inhibits their dismantling.

Composition

Contradictions

What speaks against an application?

- Hypersensitivity to the active ingredients
- Increased calcium values
- Increased calcium excretion in the urine
- Kidney limestones
- Lime deposits in the kidney
- Limited kidney function
- Passage gland diseases
- Vitamin D overdosing
- Myeloma
- Bone metastases
- Immensing the body for treatment purposes
- Sarcoidosis (Boeck illness)

Which age group must be observed?
- Children and adolescents under the age of 18: The drug must not be used.

What about pregnancy and lactation?
- Schwangerschaft: contact your doctor. Various considerations play a role in whether and how the medicine can be used during pregnancy.
- Still -time: Contact your doctor or pharmacist. He will check your special starting position and advise you accordingly whether and how you can continue with breastfeeding.

If the medicine has been prescribed to you despite a counter -notification, speak to your doctor or pharmacist. The therapeutic benefit can be higher than the risk of using the application.

Side effects

What adverse effects may occur?

- Increased calcium values
- Increased calcium excretion in the urine
- Constipation
- Flatulence
- Stomach pain
- Nausea
- Nessel addiction
- Itching
- Skin rash
- Shifting of the acid-base equilibrium in the blood to the alkaline side (alkalosis)

If you notice a disorder or change during treatment, contact your doctor or pharmacist.

For information at this point, side effects are taken into account that occurs in at least one of 1,000 patients treated.

Hints

What should you consider?
- Beware of an intolerance to sucrose. If you have to adhere to a diabetes diet, you should take the sugar content into account.

Detailed instructions for CALCICARE D3 chewing tablets, 120 pcs

Field of use

• The medicine is a vitamin and mineral preparation
• The medicine is used
  • as vitamin D and calcium supplement to support specific therapy, for prevention and treatment of osteoporosis.
  • For the prevention and treatment of vitamin D and calcium deficiency in older people.

Active ingredients / ingredients / ingredients

1500 mg calcium carbonate
600 mg calcium ion
4 mg Colecalciferol dry concentrate
400 Ie Colecalciferol
Butylhydroxytoluol HILDUFT (+)
Gelatine auxiliary substance (+)
Magnesium stair auxiliary material (+)
Corn starch, pre -clerked auxiliary substance (+)
Mannitol Hilfoff (+)
Sodium aluminum silicat auxiliary substance (+)
Saccharosis auxiliary substance (+)
Silicium dioxide, high disperser auxiliary substance (+)
Strength, modified auxiliary substances (+)
Triglyceride, medium -chain auxiliary material (+)
Tutti Frutti, 77919-31, Givaudan Hedge substance (+)
Ethyl acetate auxiliary substance (+)
Amyl/Isoamylbutyrat Hedge substance (+)
Ethylbutyrat Hedge substance (+)
3-Ethoxy-4-hydroxybenzaldehyde auxiliary material (+)
Geraniol auxiliary substance (+)
Isopentyl acetate auxiliary substance (+)
Maltodextrin auxiliary substance (+)
Propylen glycol auxiliary substance (+)
beta-ionon Hedge substance (+)
Allylhexanoat Hedge substance (+)
Xylitol auxiliary substance (+)

Contradictions

• The medicine must not be taken
  • in the case of known hypersensitivity to the active ingredients or one of the other components,
  • if you suffer from disease states or apply to you that can result in too high calcium concentrations in the blood or urine;
  • if you suffer from kidney stones;
  • if you have too high vitamin D mirror (hypervitaminosis).

dosage

• Always take the medicine exactly according to the instruction in this package insert. Please ask your doctor or pharmacist if you are not quite sure.
  • Unless otherwise prescribed by the doctor, the usual dose is:
    • Adults take 1 chewing tablet 1 to twice a day.
• The medicine must not be taken by patients with severe kidney dysfunction. No dose adjustment is required for liver dysfunction.
• Please speak to your doctor or pharmacist if you think that the effect of the drug is too strong or too weak.

 

• If you have taken a larger amount of the drug than you should
  • A one -off overdose is usually without consequences.
  • Overdose symptoms are only with permanent, excessive intake of the medicineaDDOUT AMIGHT or additional intake of other calcium supplements. Signs of overdose are: increased thirsty and fluid intake, loss of appetite, nausea, vomiting, constipation, abdominal pain, muscle weakness, exhaustion and pathologically increased urine excretion.
  • If you suspect an overdose, please notify your doctor. According to the severity of the overdose, it can decide on the measures necessary.

 

• If you forgot to take the drug
  • Do not take the double dose if you have forgotten the prior intake, stay with the previous dosage.

 

• If you have any further questions about the application of the drug, ask your doctor or pharmacist.

Taking

• The chewing tablets are chewed and swallowed down.
• The chewing tablets can also be sucked.

Patient information

• Special care in taking the drug is required in the following cases
  • If you suffer from a certain lung disease (sarcoidosis). There is a risk of increased conversion of vitamin D into its effective shape. The calcium level in the blood and urine should be monitored.
  • During a long-term treatment with the medicine, your doctor must check the serum level of calcium and monitor the kidney function by measuring the serum creatinine value. Surveillance is particularly important in older patients who receive certain medicines as accompanying medication that increases heartpiece (herzhicative glycosides) or diuretic agents (diuretics) (see interactions).
  • Should other vitamin D preparations be prescribed for you at the same time, your doctor should take into account the daily dose of up to 800 i.e. vitamin D administered with the medicine.
  • Additional intake of other vitamin D containing vitamin D should only be carried out under a close-meshed medical supervision. In these cases, regular monitoring of calcium levels in the blood and urine is required.
  • If you suffer from immobilization osteoporosis because there is an increased risk of hypercalcaemia.
  • If you suffer from a kidney dysfunction, vitamin D is carefully used to monitor the calcium and phosphate levels. In the case of severe kidney dysfunction, vitamin D in the form of Colecalciferol is not normally metabolized. Your doctor should therefore prescribe another vitamin D preparation.
  • The medicine can be harmful to the teeth.

 

• Wateriness and operating machines
  • There are no special precautions required.

Pregnancy

• Pregnancy and breast feeding period
  • During pregnancy, the daily intake should not exceed 1500 mg calcium and 600 i.E. vitamin D3. You should therefore not take more than one chewing tablet of the drug every day.
  • Overdoses of vitamin D must be avoided in pregnant women, since a permanently increased blood calcium level with harmful effects has been associated with harmful effects on the developing fetus. There is no evidence that vitamin D in therapeutic doses leads to malformations of the unborn. If a calcium and vitamin D deficiency occurs during pregnancy, the medicine can be taken.
  • Calcium and vitamin D3 pass into breast milk. This should be noted if the child is also given vitamin D3.
• Ask your doctor or pharmacist for advice before taking/using all drugs.

Hints

Manufacturer:  Orion Pharma GmbH Marketing, Jürgen-Töpfer-Straße 46, 22763 Hamburg