Calcium

Calcium is a mineral. Calcium is essential dietary element, constant it level being essential for the maintenance of the normal heart beat. It plays an important role in multiple phases of blood coagulation and in many enzymatic processes. Calcium is required for the development and maintenance of healthy bones and teeth, for normal functioning of nerves, cells and muscles. its supplements are used to ensure proper intake of it during bone development in childhood, during pregnancy and breast-feeding. It prevents development of osteoporosis (bone thinning).


Brands
SEVENSEAS MVM SEVENSEAS MVM CASAN VITARNIN CALNATE-D VI-CAPS SUPRADYN-N FLEXEZE FLEXEZE FLEXEZE MIN-CAL SUPRADYN BEROCCA ESEGROW D MINAMINO ONCE A DAY DE-CALC JUNIOR QALERGEN CAMOVIT-M NEUTRACID VITAMINOL REVITALE M REVITALE M ENGRAN CHEWCAL MULTICAP-M MULTINA-33 MULTINA-33 MULTINA-33 PANVITAN-M PREGNOVIT REGNUM OMC PLUS OMC PLUC PLUC PLUS HICAP-M HICAP-SS PREGNATAL SOVIT-M CAL-ONE-D CAL-ONE THERIN-M SUPER QUANTUM SUPER QUANTUM GOLD CURACAP-T HONEYPLEX UNIVIT-M CALCIUM PERITONEAL DIALYSIS SOLN. PERITONEAL DIALYSIS SOLN. PERITONEAL DIALYSIS SOLN. PERITONEAL DIALYSIS SOLN. OSAMINE OGNIS LACTOCAL CALDIUM C QALSAN-D STRAWBERRY QALSAN-D STRAWBERRY QALSAN-D MIXED FRUIT QALSAN-D ORANGE QALSAN JUNIOR CALCIUM + VIT C CAC-1000 WOMEN ORANGE CALCIUM SANDOZ CALCIUM FORTE CAC-1000 PLUS ORANGE CAC-1000 PLUS ORANGE CAC-1000 PLUS PINEAPPLE CAC-1000 PLUS ICECREAM SODA CAC-1000 PLUS LEMON CAC-1000 PLUS COLA FLAVOUR CAC-1000 PLUS COLA FLAVOUR NURO-VIT OPALEX EXTRA OPALEX EXTRA RUBJOVIT MULTIBIONTA-M MULTIBIONTA-M OSTEOCUR C VITERRA THERAPEUTIC VITALET-M POLYVIT-M CALCIDRON CALCIDRON CALCIUM PEARL SACHETS UNICAP-M CENTRUM AMINOLEBAN ORAL OSSOBON D OSSOBON D OSSOGIN OSSOGIN CALFORT C SPLASH EPIVITE CALIX DYNAMIN-V WILGRAN-M MVEM-21 WILSON CALCIUM AQUA VIT CALCEE PLUS HERR -C 1000 EVIVAL ENGOR CAZ 1200 CALCIUM CALCIUM NEUROVIT-M HAEMODIALYSIS CONCENTRATE CALCEPLEX HOSTAPLEX ZEESOL-H ZEESOL-H CALMA 1000 BECOSCOT PROCAL CAVI-D CAT 1000 LOPHOS CAPROVIT MEGA CAL CAL TAB CALCOR CEECA VIDAYLIN-M VIDAYLIN-M PRAMET-FA PRAMET-FA DIVASAS OSCAL-D MAC POWER MATILDA D ANODYNE GERIATRIC PHARMATON GERIATRIC PHARMATON FITERNA MAX-V DEWCAL HEAL C CALCITE CALDOB FRESH FORTE FRESH C ADVACAL GROVEL CSO CVD-1000
Adult Dose
Dose: 0.4 to 2 g
Single Dose: 1.2 (1.2)
Frequency: 24 hourly
Route: PO
Instructions: As required
Neonatal
Dose: 70 to 150 mg/kg
Single Dose: 110 (110)
Frequency: 24 hourly
Route: Intravenous
Instructions:
Paedriatic
Dose: 70 to 150 mg/kg
Single Dose: 110 (110)
Frequency: 24 hourly
Route: Intra Venous
Instructions: -
Characteristics
Calcium Lactate Gluconate is the derivative of Calcium. It is of Natural origin and belongs to Element. It belongs to Antidotes pharmacological group.The Molecular Weight of Calcium is 40.08. It is weakly acidic drug, 4.80% solution of the drug is isotonic.
Contraindications
Calcium is contraindicated in conditions like Hypercalcaemia,Hypercalciuria,Renal calculi.
Effects
The severe or irreversible adverse effects of Calcium, which give rise to further complications include Hypotension, Hypotension, Sinus bradycardia.Calcium produces potentially life-threatening effects which include Cardiac arrhythmia, Cardiac Arrest, Cardiac arrest. which are responsible for the discontinuation of Calcium therapy.The symptomatic adverse reactions produced by Calcium are more or less tolerable and if they become severe, they can be treated symptomatically, these include Thirst, Headache, Nausea, Vomiting, Anorexia, Constipation, Abdominal pain, Dry mouth, Confusion, Syncope, Hypophosphatemia, GI irritation, Hypercalcemia, Dry mouth, Confusion.
Indications
Calcium is primarily indicated in conditions like Acute hypocalcaemia, Hyperphosphataemia, Hypocalcaemia, Hypoparathyroidism, In hypocalcaemic tetany, Osteoporosis prophylaxis, Osteoporosis, if the actual dietary intake less than the RDA, and can also be given in adjunctive therapy as an alternative drug of choice in Blood Pressure, Cardiopulmonary resuscitation, Hypertension, Premenstrual syndrome, Severe hyperkalaemia, Severe hypermagnesaemia.
Interactions
Calcium is known to interact with other drugs, the details of drug interactions is as follows:DrugDetailsSeverityOnsetManagementAlendronate (Na)Calcium salts reduce absorption of Bisphosphonates (e.g Alendronate). Since Alendronate may lower blood calcium level, so blood calcium level should be corrected prior to initiation of the thearpy. If taken at the same time it is likely that calcium suplements, antacids and other oral medication may interfere with the absorption of Alendronate (Na). Calcium-containing products should be taken at least 2 hours before or after alendronate.CalciferolClodronateDigitoxinLarge intravenous doses of calcium salts can precipitate arrhythmias when given with cardiac glycosides (e.g Digitoxin).DigoxinLarge intravenous doses of calcium salts can precipitate arrhythmias when given with cardiac glycosides (e.g Digoxin).Monitoring of Calcium levels is required if taken with digoxinDisodium PamidronateDolutegravirdecreases level of dolutegravirshould be administered 2 hrs before or 6 hrs after takiing calciumEtidronate (Disodium)Calcium salts reduce absorption of Bisphosphonates (e.g Etidronate). FluorideCalcium salts reduce absorption of Fluorides.Iron SaltsMangnese Glycerophosphatecalcium decrease the amount of manganese ModerateMonobasic sodium phosphateRisedronate (Na)Calcium will interfere with the absorption of Risedronate (Na).Sodium FluorideCalcium from leg bones may be transferred to bones in the spine causing stress fractures when fluoride is taken alone. However, supplementing with 1,500 mg of calcium each day together with slow-release forms of fluoride increases the bone density of the lumbar spine without causing fractures.1 Therefore, people taking sodium fluoride to treat osteoporosis should probably supplement with calcium to prevent this adverse effect. However, taking fluoride and calcium at the same time significantly reduces the absorption of fluoride.They should be taken at least an hour apart.STRONTIUM RANELATEFood, milk and derivative products, and medicinal products containing calcium may reduce the bioavailability of strontium ranelate.MinorAdminister separatly. Tetracycline (HCl)Calcium salts reduce absorption of Tetracyclines.Take calcium supplements 2 -4 hours before or after taking quinolone antibioticsVerapamil (HCl) These interactions are sometimes beneficial and sometimes may pose threats to life. Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Interfrence
Risks
Drug should not be given to Pregnant Mothers, and Neonates.If prescribing authority justifies the benefits of the drug against the possible damages he/she should reevaluate them and consult the reference material and previous studies.
Storage
Tab, Caps Store in a well closed container, Below 40°C. Protect from Sunlight and Moisture.
Warnings
Calcium salts should be used with caution in patients with impaired renal function, pre-existing arrhythmias, dehydration, diarrhoea, malabsorption or diseases associated with elevated vitamin D concentrations such as sarcoidosis. Solution of calcium salts are irritant and care should be taken to prevent extravasation during intravenous injection. Generally calcium salts should be avoided in patients with calcium renal calculi. Plasma-calcium concentrations should be monitored closely in patients with renal insufficiency and during parentral administration and if large doses of vitamin D are used.
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