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Calcium Carbonate + Calcium Lactate Gluconate + Vitamin-C + Vitamin D3 is available in the market in concentration.
Calcium Carbonate + Calcium Lactate Gluconate + Vitamin-C + Vitamin D3
- Monitor calcium levels: Regular monitoring of calcium levels in the blood is necessary to avoid hypercalcemia, especially when using a combination of calcium products like calcium carbonate and calcium lactate gluconate. Hypercalcemia can lead to serious complications like kidney stones or arrhythmias.
- Kidney function: Patients with kidney disease should use this combination cautiously. Impaired kidney function can increase the risk of calcium accumulation in the blood and tissues. Monitoring renal function is essential to avoid complications such as kidney stones.
- Vitamin D3 supplementation: While vitamin D3 helps with calcium absorption, excessive levels can lead to hypercalcemia. Care should be taken not to exceed recommended dosages of vitamin D3, particularly in those already receiving vitamin D from other sources.
- Gastrointestinal issues: High calcium intake may cause gastrointestinal disturbances like constipation, bloating, or nausea. It is recommended to take the combination with food to minimize these effects.
- Pregnancy and breastfeeding: The combination of calcium, vitamin D3, and vitamin C is generally considered safe during pregnancy and breastfeeding, but dosages should be within recommended limits. Always consult a healthcare provider before starting any new supplement during pregnancy.
- Cardiovascular diseases: High levels of calcium may interfere with heart rhythm and cause arrhythmias, especially in patients with cardiovascular disease. Close monitoring of calcium levels and heart health is advised in these individuals.
- Drug interactions: The combination may interact with other medications, such as thiazide diuretics, anticonvulsants, or phosphate binders, which can affect calcium absorption or levels. It's important to avoid taking this supplement with medications that might alter calcium metabolism without professional guidance.
- Calcium supplementation: This combination is primarily used to prevent or treat calcium deficiencies, which can lead to conditions like osteoporosis, osteomalacia, and hypocalcemia (low calcium levels).
- Bone health: The combination of calcium carbonate, calcium lactate gluconate, and vitamin D3 helps improve bone mineral density, making it effective in the prevention and treatment of osteoporosis and other bone-related conditions.
- Vitamin D3 and calcium absorption: Vitamin D3 enhances the absorption of calcium from the digestive tract, making this combination ideal for those with calcium malabsorption or low levels of vitamin D.
- Vitamin C supplementation: Vitamin C is included in this combination for its antioxidant properties and its role in collagen formation, which supports healthy bones, joints, and connective tissues.
- Rickets and osteomalacia: For individuals with rickets (a condition caused by vitamin D and calcium deficiency) or osteomalacia (softening of bones due to poor mineralization), this supplement can be used to restore adequate calcium and vitamin D levels.
- Immune system support: Vitamin C and D3 also contribute to immune function, which may provide additional health benefits, particularly during cold and flu seasons.
- Hypercalcemia: Contraindicated in individuals with high calcium levels in the blood (hypercalcemia), as excessive calcium intake can worsen this condition and lead to kidney stones, nausea, and other complications.
- Kidney disease: Contraindicated in patients with severe renal impairment or chronic kidney disease (CKD), as the kidneys may be unable to process excess calcium, leading to toxicity.
- Hyperparathyroidism: This condition causes elevated calcium levels, and using this combination may exacerbate the condition. Patients with hyperparathyroidism should avoid this supplement unless specifically directed by their healthcare provider.
- Vitamin D toxicity: If a patient has excess vitamin D levels or is already receiving high doses of vitamin D, this combination should not be used as it may increase the risk of vitamin D toxicity and subsequently hypercalcemia.
- Allergic reactions: Contraindicated in patients who have known hypersensitivity or allergic reactions to calcium salts, vitamin D3, or any of the excipients in the formulation.
- Sarcoidosis: This condition can cause calcium to accumulate in tissues. As vitamin D increases calcium absorption, the combination could exacerbate the condition and should be avoided in these patients.
- Hypercalcemia: The most common side effect, leading to symptoms like nausea, vomiting, constipation, abdominal pain, and confusion. In severe cases, hypercalcemia can result in kidney stones or heart arrhythmias.
- Constipation: Calcium supplements like calcium carbonate and calcium lactate gluconate are commonly associated with constipation, particularly at high doses. Increasing fluid intake and dietary fiber can help manage this side effect.
- Gastrointestinal discomfort: Bloating, flatulence, and indigestion may occur, especially when taken in large doses or without food.
- Kidney stones: Long-term or excessive use of calcium supplements can increase the risk of kidney stones, particularly in individuals with predisposing factors such as kidney disease or a history of stones.
- Fatigue: Elevated calcium levels may cause feelings of fatigue and weakness, particularly if calcium accumulation becomes problematic.
- Headaches: Some users may experience headaches due to the fluctuations in calcium levels.
- Bone pain: Overuse of calcium supplements could lead to bone pain or discomfort, especially if excessive calcium is deposited in soft tissues.
- Allergic reactions: Rarely, individuals may experience an allergic reaction to the combination of ingredients, including hives, itching, or difficulty breathing.
- Calcium supplementation: Both calcium carbonate and calcium lactate gluconate provide calcium, which is essential for bone formation, muscle function, nerve transmission, and blood clotting. Calcium is absorbed in the gastrointestinal tract and utilized for bone mineralization.
- Vitamin D3: Vitamin D3 increases the absorption of calcium from the intestine, ensuring that the body can effectively use the calcium provided by the supplement. It also plays a role in maintaining healthy bones by promoting calcium deposition in the bone matrix.
- Vitamin C: Vitamin C aids in the production of collagen, which is important for bone and connective tissue health. It also acts as an antioxidant, protecting cells from damage and supporting overall immune function.
- Phosphate binding: Calcium supplements like this combination may bind to dietary phosphate in the gastrointestinal tract, reducing its absorption. This is particularly helpful in patients with chronic kidney disease (CKD) to control phosphate levels and prevent complications such as secondary hyperparathyroidism.
adult_dose
- Standard dose: The usual adult dose for calcium supplementation with this combination is 1-2 tablets (or as directed by a healthcare provider) taken 1-3 times daily with meals. The dose may vary depending on the individual’s calcium needs and the condition being treated.
- For osteoporosis: The recommended daily calcium intake for adults is typically around 1000-1200 mg, so this combination may be used to achieve that target, depending on the amount of calcium in each dose.
- For vitamin D and C deficiency: If the purpose of the combination is to address vitamin D or vitamin C deficiencies, doses should be adjusted based on individual deficiency levels.
renal_dose
- Renal impairment: In patients with kidney disease, especially those with reduced kidney function, calcium supplementation should be carefully monitored. The dose of this combination may need to be reduced to avoid hypercalcemia or complications from poor renal clearance. Regular monitoring of calcium and kidney function is required.
- Dialysis patients: Patients on dialysis may need lower doses of calcium to prevent the risk of calcium overload. The dosing will depend on the patient’s calcium levels and dialysis regimen, and should be adjusted by a healthcare provider.
child_dose
- For children: This combination is typically used in children under medical supervision for specific conditions such as calcium or vitamin D deficiency. The dose will depend on the child’s age, weight, and the severity of the deficiency. For children aged 1-3 years, the daily recommended calcium intake is 700 mg, and for children aged 4-8 years, it’s 1000 mg.
- For rickets or bone issues: Children with bone mineralization issues like rickets may require specific dosing, based on their calcium and vitamin D needs. A pediatric healthcare provider should adjust the dosage accordingly to ensure safe and effective treatment.
- Thiazide diuretics: Thiazide diuretics, such as hydrochlorothiazide, can increase calcium levels in the blood. When used with this calcium combination, there is an increased risk of developing hypercalcemia.
- Iron supplements: Calcium can interfere with the absorption of iron. If taking iron supplements, they should be spaced apart from this calcium combination by at least 2 hours to avoid reduced iron absorption.
- Anticonvulsants: Certain anticonvulsants, like phenytoin, can decrease vitamin D metabolism, which in turn reduces calcium absorption. This may reduce the effectiveness of this supplement.
- Phosphate binders: Phosphate binders, commonly used in chronic kidney disease, can interact with calcium and reduce its effectiveness. Avoid concurrent use of phosphate binders and calcium supplements without proper guidance.
- Corticosteroids: Long-term use of corticosteroids can reduce calcium absorption and bone health. When using this supplement, it is essential to monitor calcium levels and ensure adequate calcium intake to counteract this effect.
- Magnesium supplements: Excessive magnesium intake can interfere with calcium absorption. Care should be taken not to exceed recommended doses of magnesium when using this combination.
- Tetracycline antibiotics: Calcium supplements can reduce the absorption of tetracycline antibiotics, so these should not be taken together. A gap of at least 2 hours is recommended between calcium supplementation and tetracycline drugs.
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