Indications
This is indicated for the treatment & prevention of osteoporosis, osteomalacia, tetany, hypoparathyroidism, disorders
of osteogenesis. Also used as supplement in case of inadequate intake of Calcium in childhood diet, rickets,
pregnancy & lactation, elderly patients. Other indications include pancreatitis, phosphate binder in chronic renal
failure etc.
Pharmacology
This is a Calcium and Vitamin D3 preparation where Calcium Carbonate is sourced from coral origin. The Calcium
Carbonate from Coral has a chemical structure that is very similar to the composition of human bone. Coral Calcium
is similar to other sources but ensures better absorption. Vitamin D3 aids in the absorption of Calcium from GI tract
and helps to maintain Calcium balance in the body.
Dosage&Administration
One tablet once or twice daily with plenty of water or as directed by the physician. Taking in full stomach ensures
better absorption.
* চি কি ৎসকে র পরা মর্শ মোর্শমো তা বে ক ঔষধ সে বন করুন’
Interaction
Oral Calcium can reduce the absorption of tetracycline & fluoride preparations and minimum 3 hours time should be
allowed between ingestion of these medications. Thiazide diuretics reduces the renal excretion of Calcium.
Phenytoin, barbiturates, glucocorticoids may induce metabolism of Vitamin D3. Concomitant ingestion of certain
foods like spinach, cereals, milk and its derivatives may reduce the intestinal uptake of Calcium.
Contraindications  বাংলায়দেখুন
Hypersensitivity to any of the components, hypocalcaemia resulting from overdose of Vitamin D3,
hyperparathyroidism, bone metastases, severe renal insufficiency, severe hypercalciuria, renal calculi etc.
SideEffects
Flatulence, diarrhoea, constipation, upper GI discomfort etc. are rare manifestation. Hypercalcaemia due to prolong
use has rarely been reported.
Pregnancy&Lactation
This can be given to pregnant and lactating mothers as per recommendation of physician.
Precautions &Warnings
In presence of mild hypercalciuria, careful monitoring with reduction of dose may be needed. Plasma and serum
Calcium level should be monitored in mild to moderate renal impairment and also in case of long-term use. Patients
with renal stones or with such previous history should also take precautions.
OverdoseEffects
At high doses it may result in nausea, vomiting, dizziness, anorexia, abdominal cramps, headache, constipation,
irritability etc. Treatment includes cessation of therapy and adequate rehydration.
TherapeuticClass
Specific mineral & vitamin combined preparations
StorageConditions
Store at temperature of below 30°C, protect from light & moisture. Keep out of reach of children.