Calcium-D 

Presentation: Each tablet typically contains Calcium Carbonate and Vitamin D3 (Cholecalciferol). The specific strengths of Calcium Carbonate (elemental Calcium) and Vitamin D3 may vary depending on the product available in Bangladesh. Common formulations include Calcium Carbonate equivalent to 500 mg of elemental Calcium and Vitamin D3 200 IU.

Indications: Calcium-D is indicated for the treatment and prevention of calcium and Vitamin D3 deficiency. It is used in conditions such as osteoporosis, osteomalacia, rickets, and tetany. It may also be recommended as a supplement to ensure adequate intake of calcium and Vitamin D3 in the elderly, individuals with limited sun exposure, pregnant and breastfeeding women, and those with inadequate dietary intake. It is also used as a phosphate binder in chronic renal failure and during therapy with anti-seizure medications.

Dosage and Administration: The usual adult dose is one to two tablets daily, preferably with or after a meal to enhance calcium absorption, or as directed by a physician. The tablets should be swallowed whole with water or chewed thoroughly if it is a chewable formulation. Dosage may be adjusted based on individual needs and the specific formulation.

Side Effects: Generally well-tolerated. Mild gastrointestinal disturbances such as constipation or stomach upset may occur in some individuals. High doses of calcium can lead to hypercalcemia in rare cases, with symptoms like nausea, vomiting, dry mouth, increased thirst, and increased urination.

Precautions: Use with caution in individuals with hypercalcemia, hypercalciuria, kidney stones, or kidney disease. Consult a physician before use if you have hyperparathyroidism, sarcoidosis, or are taking other medications, especially cardiac glycosides (e.g., digoxin), thiazide diuretics, or other calcium or Vitamin D supplements. Separate the intake of Calcium-D from iron-containing medications or certain antibiotics (tetracyclines, quinolones) by a few hours. Concomitant ingestion of certain foods like spinach, cereals, milk and its derivatives may reduce the intestinal uptake of calcium.

Storage: Store in a cool, dry place, protected from light and moisture. Keep out of reach of children.

Important Note: This information is for general knowledge and informational purposes only, and does not substitute professional medical advice. Always consult your doctor or pharmacist for specific instructions and guidance regarding your medication. They can assess your individual medical condition and provide the most appropriate advice.