Calcium D3 Nycomed - instructions for use, analogs, reviews and release forms (chewing tablets and Forte form) for the treatment of calcium deficiency and prevention of osteoporosis in adults, children and pregnancy
In this article, you can read the instructions for using the drug Calcium D3 Nycomed. Presented are reviews of visitors to the site - consumers of this medication, as well as opinions of doctors of specialists on the use of Calcium D3 Nycomed in his practice. A big request is to actively add their feedback on the drug: the medicine helped or did not help get rid of the disease, which were observed complications and side effects, possibly not declared by the manufacturer in the annotation. Analogs Calcium D3 Nycomed with the presence of existing structural analogues. Use to treat calcium deficiency and prevent osteoporosis in adults, children, as well as during pregnancy and lactation.
Calcium D3 Nycomed - A combined preparation that regulates the exchange of calcium and phosphorus in the body (in bones, teeth, nails, hair, muscles).
Reduces resorption (resorption) and increases the density of bone tissue, replenishing the lack of calcium and vitamin D3 in the body, is necessary for the mineralization of teeth.
Calcium is involved in the regulation of nerve conduction, muscle contractions and is a component of the blood coagulation system.
Vitamin D3 (colcalciferol) increases the absorption of calcium in the intestine.
The use of calcium and vitamin D3 prevents the increase in the production of parathyroid hormone, which is a stimulator of increased bone resorption (calcium washing out of the bones).
Pharmacokinetics
Vitamin D3 is absorbed into the small intestine.
Calcium is absorbed in ionized form in the proximal part of the small intestine through an active vitamin D-dependent transport mechanism.
Composition
Kolekaltsiferol (vitamin D3) + calcium carbonate + auxiliary substances.
Indications
- prevention and treatment of calcium deficiency and / or vitamin D3 (vitamin deficiency, hypovitaminosis);
- prevention and complex therapy of osteoporosis (including menopausal, senile, steroid, idiopathic).
Forms of release
Tablets are chewable.
Chewable tablets Calcium D3 Nycomed forte (increased dose of vitamin D3).
Instructions for use and reception scheme
Adults in the treatment of osteoporosis appoint 1 tablet 2-3 times a day, for the prevention of osteoporosis - 1 tablet 2 per day.
With calcium and vitamin D deficiency, adults and children over 12 years of age are prescribed 1 tablet 2 per day, children aged 5 to 12 years - 1-2 tablets per day, children aged 3 to 5 years, the dosing regimen is set individually.
The tablet can be chewed or resorbed and taken with food.
Side effect
- constipation;
- diarrhea;
- flatulence;
- nausea;
- stomach ache;
- hypercalcemia;
- hypercalciuria;
- allergic reactions.
Contraindications
- hypercalcemia;
- hypercalciuria;
- nephrolithiasis;
- hypervitaminosis D;
- severe renal insufficiency;
- active form of tuberculosis;
- sarcoidosis;
- children under the age of 3;
- hypersensitivity to the components of the drug.
Application in pregnancy and lactation
Care should be taken when prescribing the drug during pregnancy and lactation.
In pregnancy, the daily dose of the drug should not exceed 1500 mg of calcium and 600 IU of vitamin D3.Hypercalcemia, developing against a background of an overdose during pregnancy, can cause defects in the child's mental and physical development.
Vitamin D and its metabolites can be excreted in breast milk, so it is necessary to take into account the additional intake of calcium and vitamin D from other sources in the mother and child.
Use in children
Contraindicated in children under 3 years.
special instructions
Tablets Calcium D3 Nycomed contains aspartame, which in the body is transformed into phenylalanine, so the drug should not be taken with phenylketonuria.
When using the preparation of Calcium-D3 Nycomed in patients who receive cardiac glycosides and / or diuretics, it is necessary to monitor the concentration of calcium and creatinine in the blood serum.
In case of increased concentration of calcium or creatinine in the blood serum, and also in case of hypercalciuria exceeding 7.5 mmol per day (300 mg per day), the dose of the drug should be reduced or the treatment temporarily discontinued.
To avoid an overdose, additional intake of vitamin D3 from other sources should be considered.
The intake of food containing oxalates (sorrel, spinach) and phytin (cereals) reduces the absorption of calcium,so you should not take Calcium-D3 Nycomed for 2 hours after taking sorrel, spinach, cereals.
Calcium-D3 Nycomed should be used with caution in immobilized patients with osteoporosis in connection with the risk of hypercalcemia.
Drug Interactions
With simultaneous use with phenytoin or barbiturates, a decrease in vitamin D3 activity is possible.
Calcium preparations can potentiate the therapeutic and toxic effects of cardiac glycosides, therefore, while using the preparation of Calcium D3 Nycomed and cardiac glycosides, ECG monitoring and the clinical state of the patient are necessary.
Preparations of calcium and vitamin D3 can increase the absorption of tetracyclines from the digestive tract, so the interval between the intake of the drug Calcium-D3 Nycomed and antibiotics of the Tetracycline group should be at least 3 hours.
With simultaneous use with bisphosphonates or sodium fluoride, it is possible to reduce their absorption, so it is recommended to take Calcium-D3 Nycomed not earlier than 2 hours after these medications.
GCS decreases calcium absorption, so patients receiving SCS may require an increase in the dose of Calcium-D3 Nicomed.
With simultaneous application with colestyramine or laxatives based on mineral or vegetable oil, it is possible to reduce the absorption of vitamin D3.
With simultaneous use with thiazide diuretics, the risk of hypercalcemia increases due to increased tubular calcium reabsorption. Furosemide and other "loop" diuretics, on the contrary, increase the excretion of calcium by the kidneys.
Analogues of the drug Calcium D3 Nycomed
Structural analogs for the active substance:
- Ideos;
- Calcium + Vitamin D3 Vitrum;
- Calcium D3 Classic;
- Calcium-D3-MIC;
- Complymium calcium D3;
- Compliwit Calcium D3 for toddlers;
- Complicant calcium D3 fort;
- Natekal D3;
- Revital Calcium D3.
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