CALCIUM VERLA D 400 effervescent tablets, Calcium carbonate, cholecalciferol, vitamin D3
Dosage form: effervescent tablets
Active ingredients: calcium carbonate, cholecalciferol (vitamin D3).
Areas of Calcium carbonate, cholecalciferol, vitamin D3, CALCIUM VERLA D 400 effervescent tablets application:
For proven calcium and vitamin D3 deficiencies and for the supportive treatment of osteoporosis.
Note: contains sorbitol (in the flavor), sucrose (sugar) and sodium compounds.
For use in calcium and vitamin D3 deficiencies and for the supportive treatment of osteoporosis.
active Calcium carbonate, cholecalciferol, vitamin D3, CALCIUM VERLA D 400 effervescent tablets ingredients
- Colecalciferol Dry Concentrate
- 1500 mg calcium carbonate
ingredients
- maltodextrin
- Silica, colloidal
- Sodium saccharine
- Corn starch, modified
- Lemon aroma, containing sorbitol
- Lemon aroma, containing sorbitol
- Triglycerides, medium chain
- sodium ascorbate
- sodium
- sodium bicarbonate
- sucrose
- citric acid
- 0.6 mg sorbitol
- malic acid
- DL-α-tocopherol
- sodium cyclamate
Indication Calcium carbonate, cholecalciferol, vitamin D3, CALCIUM VERLA D 400 effervescent tablets:
- This medicinal product contains the two active substances calcium and vitamin D3. Calcium is an important component of bones and vitamin D3 improves the absorption of calcium from the intestine and its incorporation into the bones.
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It is applied to:
- Compensation of combined vitamin D and calcium deficiencies in elderly patients.
- as an adjunct to treatment for osteoporosis where vitamin D and calcium levels are low or at high risk.
Dosage Calcium carbonate, cholecalciferol, vitamin D3, CALCIUM VERLA D 400 effervescent tablets:
- Always take the medicine exactly as instructed in this leaflet. Please check with your doctor or pharmacist if you are not sure.
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Dosage:
- The usual dose for adults and the elderly is one tablet twice a day (eg one in the morning and one in the evening). Pregnant women should only take one effervescent tablet per day. Calcium levels in urine and blood must be monitored during long-term treatment. This is especially important if you develop kidney stones more often.
- The effervescent tablet is dissolved in a glass of water and drunk immediately. You should take the medicine in the morning and evening.
- Please talk to your doctor or pharmacist if you have the impression that the effect of the medicine is too strong or too weak.
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duration of use
- The doctor decides on the duration of treatment with the drug.
- The medicine is not suitable for use in children and adolescents.
- A serum calcium check should be carried out every 3 - 6 months.
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If you take more of the medicine than you should
- If you take more of the medicine than you should and notice signs of overdose, please stop taking the medicine and contact your doctor immediately. Signs of overdose may include:
- Dehydration, loss of appetite, increased thirst, nausea, vomiting, constipation, abdominal pain, muscle weakness, fatigue, mental disorders, increased urination, bone pain, kidney stones.
- Chronic overdose can lead to vascular and organ calcification due to calcium deposits.
- In the event of a significant overdose, cardiac arrest may occur.
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If you forget to take the medicine
- Do not take a double dose if you were previously taking it
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If you stop taking the medicine
- If you want to end the treatment prematurely, for example because the side effects you are experiencing seem too severe, please speak to your doctor beforehand.
- If you have any further questions on the use of the medicine, ask your doctor or pharmacist.
way Calcium carbonate, cholecalciferol, vitamin D3, CALCIUM VERLA D 400 effervescent tablets:
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Type of application:
- For oral use after dissolving in water.
- The effervescent tablet is dissolved in a glass of water and drunk immediately. You should take the medicine in the morning and evening.
Side effects :
- Like all medicines, this medicine can cause side effects, although not everyone gets them.
- Some rare and very rare side effects can be serious.
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possible side effects
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Uncommon (less than 1 in 100 but more than 1 in 1,000 patients)
- Increase in blood calcium levels (hypercalcaemia) and/or increase in the amount of calcium excreted in the urine (hypercalcuria)
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Rare (less than 1 in 1,000 but more than 1 in 10,000 patients)
- Nausea, abdominal pain, gas, bloating, tight stomach, constipation or diarrhea, itchy skin, rash and hives, itching, redness and burning of the skin
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Not known (cannot be estimated from the available data)
- Serious allergic (hypersensitivity) reactions such as swelling of the face, lips, tongue or throat; Vomit
- Partially hydrogenated soybean oil can very rarely cause allergic reactions.
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Uncommon (less than 1 in 100 but more than 1 in 1,000 patients)
- If any of the listed side effects gets worse, stop taking it and see a doctor right away.
- Please tell your doctor or pharmacist if any of the side effects gets serious, or if you notice any side effects not listed in this leaflet.
Interactions Calcium carbonate, cholecalciferol, vitamin D3, CALCIUM VERLA D 400 effervescent tablets:
- When taking the medicine with other medicines:
- Please inform your doctor or pharmacist if you are taking/using or have recently taken/used other medicines, even if they are non-prescription medicines.
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In particular with:
- Thiazide diuretics (medicines used to treat high blood pressure) as they can increase blood calcium levels.
- Oral corticosteroids, as they can lower blood calcium levels
- orlistat (a medicine used to treat obesity), cholestyramine, or laxatives such as B. paraffin oil, as they can reduce the absorption of vitamin D3.
- Rifampicin (antibiotic), phenytoin (an epilepsy medicine) and barbiturates (medicines that help you sleep) as they interfere with the effects of vitamin D3.
- Cardiac glycosides (medicines used to treat heart problems) as they can cause increased side effects when you take too much calcium.
- Tetracycline antibiotics as the amount absorbed may be reduced. They should be taken at least 2 hours before or 4 to 6 hours after the medicine.
- Estramustine (a medicine used in chemotherapy), thyroid hormones or medicines containing iron, zinc or strontium as absorption may be reduced. They should therefore be taken at least 2 hours before or after the drug.
- Bisphosphonates (used to treat bone disorders), sodium fluoride or fluoroquinolones (a type of antibiotic) as absorption may be reduced. They should be taken at least 3 hours before or after the medicine.
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Taking the drug with food and drink
- You should not eat foods containing oxalic acid (eg spinach and rhubarb) or phytic acid (eg whole grain cereals) 2 hours before taking the medicine, as these can reduce calcium absorption.
Contraindications :
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The drug should NOT be taken
- if you are hypersensitive (allergic) to calcium carbonate or vitamin D
- if you have excessive calcium concentrations in the blood (hypercalcaemia) and/or increased excretion of calcium in the urine (hypercalcuria) if you have conditions that lead to hypercalcaemia and/or hypercalcuria [e.g. B. Overactive parathyroid glands, a disease of the bone marrow (myeloma), a malignant bone tumor (bone metastases)]
- if you have kidney failure
- if you suffer from kidney stones (nephrolithiasis) or calcium deposits in the kidneys (nephrocalcinosis).
- if you suffer from an overdose of vitamin D (hypervitaminosis D).
Pregnancy and lactation :
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pregnancy and breast feeding period
- Ask your doctor or pharmacist for advice before taking/using any medicine.
- The medicine can be used during pregnancy, but the daily intake should not exceed 1,500 mg of calcium and 600 IU of vitamin D. If you are pregnant, you should therefore not take more than one effervescent tablet a day. Higher doses can be harmful to the unborn child.
- The drug can be used while breastfeeding. Since calcium and vitamin D3 pass into breast milk, you must first consult your doctor whether your child is already receiving products containing vitamin D3.
- Pregnant and lactating women should take the drug two hours before or after meals to avoid possible interference with iron absorption.
Patient Notes :
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Special care is required when taking the drug
- During long-term treatment with the medicinal product, serum calcium levels and renal function should be checked regularly by measuring serum creatinine. This review is especially important in elderly patients and during concomitant treatment with cardiac glycosides (eg, digoxin) and diuretics. Based on the results obtained, your doctor may recommend reducing your dose or even stopping treatment. However, the dose should be reduced or therapy temporarily interrupted if urinary calcium excretion exceeds 7.5 mmol/24 hours (300 mg/24 hours).
- The amount of vitamin D, calcium and alkali such as e.g. B. Carbonate from other sources (e.g. dietary supplements or foods). Since these products already contain vitamin D and calcium carbonate, taking the drug in addition can lead to Burnet syndrome. Burnett's syndrome (milk-alkali syndrome) is a calcium metabolism disorder with an increase in blood calcium levels. It can be triggered by ingesting very large amounts of milk and/or calcium carbonate from other sources, or by overuse of antacids (medicines used to stop stomach acid). This can lead to side effects.
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Before taking the medicine, you should consult your doctor or pharmacist:
- if you suffer from kidney stones
- if you suffer from a disease of the immune system (sarcoidosis) as the level of calcium in the blood and urine needs to be checked
- if your mobility is limited and you suffer from reduced bone mass (osteoporosis). As a result, your blood calcium levels can rise so much that side effects can occur.
- if you are taking other preparations containing vitamin D3 or calcium at the same time. This can increase your blood calcium level to such an extent that side effects can occur.
- if you suffer from kidney problems.