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Calcium Citrate Malate, Vita min D3 and Folic Acid Taj Phar ma : Uses, Side Effects, Interactions, Pictures, Warnings, Calcium Citrate Malate, Vitamin D3 and Folic Acid Dosage & Rx Info | Calcium Citrate Malate, Vitamin D3 and Folic Acid Uses, Side Effects -: Indications, Side Effects, Warnings, Calcium Citrate Malate, Vita min D3 and Folic Acid - Drug Information - Taj Phar ma, Calcium Citrate Malat e, Vitamin D3 and Folic Acid dose Taj pharmaceuticals Calcium Citrate Malate, Vitamin D3 and Folic Acid interactions, Taj Pharmaceutical Calcium Citrate Malate, Vita min D3 and Folic Acid contraindications, Calcium Citrate Malate, Vitamin D3 and Folic Acid price, Calcium Citrate Malate, Vitamin D3 and Folic Acid Taj Phar ma Calciu m Citrate Malate, Vitamin D3 and Folic Acid Tablets SMPC- T aj Phar ma . Stay connected to all updated on Calcium Citrate Malate, Vitamin D3 and Folic Acid Taj Pharmaceuticals Taj phar maceuticals Hyderabad.
Adults
RX 2 tablets twice daily.
calcium level exceeds 7.5 mmol/24 h (300 4.5 Interaction with other medicinal products
mg/24 h). and other forms of interaction
Sarcoidosis Phenytoin, barbiturates
CALCIUM CITRATE should be prescribed
with caution to patients suffering from Concomitant use of phenytoin or barbiturates
sarcoidosis, due to the risk of increased may reduce the effect of vitamin D3 since the
metabolism increases.
metabolism of vitamin D into its active form.
These patients should be monitored with regard Antiepileptics
to the calcium content in serum and urine.
Folic acid has been reported to decrease serum
Immobilised patients with Osteoporosis concentrations of phenobarbital and phenytoin.
CALCIUM CITRATE should be used Antiepileptics may produce folate deficiency
cautiously in immobilised patients with states. Replacement therapy with folinic acid or
osteoporosis due to increased risk of folic acid may become necessary during
hypercalcaemia. antiepileptic therapy in order to prevent
development of megaloblastic anaemia
Renal impairment
Vitamin D should be used with caution in Thiazide diuretics
patients with impairment of renal function and
the effect on calcium and phosphate levels Thiazide diuretics reduce the urinary excretion
should be monitored. Patients with renal of calcium. Due to increased risk of
impairment are at potential risk of hypercalcaemia, serum calcium should be
hyperphosphaetemia, nephrolithiasis and regularly monitored during concomitant use of
nephrocalcinosis. The risk of soft tissue thiazide diuretics.
calcification should be taken into account. In Corticosteroids
patients with severe renal insufficiency, vitamin
D in the form of cholecalciferol is not Systemic corticosteroids reduce calcium
metabolised normally and other forms of absorption. During concomitant use, it may be
vitamin D should be used (see necessary to increase the dose of CALCIUM
Contraindications). CITRATE .
Other medicinal products containing calcium Ion exchange resins, liquid paraffin
or vitamin D Simultaneous treatment with ion exchange resins
The content of vitamin D in CALCIUM such as cholestyramine or laxatives such as
CITRATE should be considered when paraffin oil may reduce the gastrointestinal
prescribing other medicinal products containing absorption of vitamin D. Therefore a time
vitamin D. Additional doses of calcium or interval as long as possible between the intakes
vitamin D should be taken under close medical 3 should be recommended.
supervision. In such cases it is necessary to
monitor serum calcium levels and urinary Tetracyclines
calcium excretion frequently. Calcium and
Calcium may interfere with the absorption of
vitamin D intake from other sources (food,
concomitantly administered tetracycline
dietary supplements) should be estimated, before
preparations. For this reason, tetracycline
prescribing the product.
preparations should be administered at least two
Tetracyclines or quinolones hours before or four to six hours after oral intake
Co-administration with tetracyclines or of calcium.
quinolones is usually not recommended, or must
Quinolone
be done with precaution (see Interaction with
Other Medicaments and Other Forms of The absorption of quinolone antibiotics may be
Interaction). impaired if administered concomitantly with
calcium. Quinolone antibiotics should be taken
Calcium Citrate Malate, Vita min D3 and Folic Acid Tablets SMPC, Taj Phar maceuticals
Calcium Citrate Malate, Vita min D3 and Folic Acid Taj Phar ma : Uses, Side Effects, Interactions, Pictures, Warnings, Calcium Citrate Malate, Vitamin D3 and Folic Acid Dosage & Rx Info | Calcium Citrate Malate, Vitamin D3 and Folic Acid Uses, Side Effects -: Indications, Side Effects, Warnings, Calcium Citrate Malate, Vita min D3 and Folic Acid - Drug Information - Taj Phar ma, Calcium Citrate Malat e, Vitamin D3 and Folic Acid dose Taj pharmaceuticals Calcium Citrate Malate, Vitamin D3 and Folic Acid interactions, Taj Pharmaceutical Calcium Citrate Malate, Vita min D3 and Folic Acid contraindications, Calcium Citrate Malate, Vitamin D3 and Folic Acid price, Calcium Citrate Malate, Vitamin D3 and Folic Acid Taj Phar ma Calciu m Citrate Malate, Vitamin D3 and Folic Acid Tablets SMPC- T aj Phar ma . Stay connected to all updated on Calcium Citrate Malate, Vitamin D3 and Folic Acid Taj Pharmaceuticals Taj phar maceuticals Hyderabad.
two hours before or six hours after intake of Folic acid antagonists
calcium.
Folate deficiency states may be produced by
Penicillamine & Isoniazid folic acid antagonists such as methotrexate,
pyrimethamine, triamterene, trimethoprim and
Penicillamine (a chelating agent) and sulfonamides.
antituberculous drugs (such as isoniazid) may
increase the requirements for folic acid. 4 Oral contraceptives
Cardiac glycosides Serum concentration of folic acid may be
decreased by use of oral contraceptives. Alcohol
Hypercalcaemia may increase the toxicity of
cardiac glycosides during treatment with Alcohol
calcium and vitamin D. Patients should be
monitored with regard to electrocardiogram may produce folate deficiency states.
(ECG) and serum calcium levels. Orlistat
Bisphosphonate Treatment with orlistat may potentially impair
the absorption of fat-soluble vitamins, e.g.
If a bisphosphonate is used concomitantly, this
vitamin D3.
preparation should be administered at least one
hour before the intake of CALCIUM CITRATE 4.6 Fertility, Pregnancy and lactation
since gastrointestinal absorption of may be
reduced. Fertility
Vitamin D and its metabolites also pass into may include anorexia, nausea, vomiting, thirst,
breast-milk. This should be considered when polydipsia, polyuria, constipation, abdominal
giving additional vitamin D to the child. pain, muscle weakness, fatigue, mental
disturbances, bone pain, nephrocalcinosis, renal
Folic acid is excreted in breast milk.
calculi and in severe cases cardiac arrythmias.
4.7 Effects on ability to drive and use Extreme hypercalcemia may result in coma and
machines death. Persistently high calcium levels may lead
There are no clinical data proving that the to irreversible renal damage and soft tissue
contents of CALCIUM CITRATE may have an calcification.
influence on the ability to drive or use machines.
The threshold for vitamin D intoxication is
4.8 Undesirable Effects between 40,000 and 100,000 I.U./day for 1-2
Clinical Trial Data months in persons with normal parathyroid
There are no relevant data available function, for calcium in excess of 2.000 mg per
day.
Post Marketing Data
Adverse drug reactions (ADRs) are listed below There are no reports of folic acid overdosage in
by MedDRA system organ class and by the literature.
frequency.
Treatment
Frequencies are defined as: In the case of intoxication, treatment should be
Very common ≥1/10 stopped immediately and the fluid deficiency
Common ≥1/100 to < 1/10 should be balanced. Treatment with thiazide
Uncommon ≥1/1000 to < 1/100 diuretics, lithium, vitamin A, vitamin D and
Rare ≥1/10000 to < 1/1000 cardiac glycosides must also be discontinued.
Very rare< 1/1000 Rehydration and, according to severity, isolated
Not known (cannot be estimated from the
or combined treatment with loop diuretics,
available data).
bisphosphonates, calcitonin and corticosteroids
Immune system disorders should be given. Serum electrolytes, renal
Not known: hypersensitivity reactions (see Skin function and diuresis must be monitored. In
and subcutaneous tissue disorders; Respiratory, severe cases ECG and CVP should be followed.
thoracic and mediastinal disorders), anaphylactic Further management should be as clinically
reaction.
indicated
Metabolism and nutrition disorders
5. PHARMACOLOGICAL PROPERTIES
Uncommon: hypercalcaemia, hypercalciuria.
5.1 Pharmacodynamic properties
Respiratory, thoracic and mediastinal disorders
Not known: laryngeal oedema.
Nearly all (99%) of total body calcium is located
Gastrointestinal disorders in the skeleton. The remaining 1% is equally
Rare: nausea, diarrhea, abdominal pain, distributed between the teeth and soft tissues,
constipation, flatulence, abdominal distension. with only 0.1% in the extracellular fluid (ECF).
Not known: vomiting. In the skeleton it constitutes 25% of the dry
weight. Calcium in form of calcium phosphate
Skin and subcutaneous tissue disorders Rare: which approximates hydroxyapatite
rash, pruritus, urticaria. [Ca10(OH)2(PO4)6] and embedded in collagen
Not known: angioedema. fibrils provide rigidity to the skeleton. Calcium
4.9 Overdose ions play a role in many, if not most, metabolic
processes. Calcium is essential, both during
Symptoms and signs pregnancy and lactation, for proper formation of
Overdosage can lead to hypervitaminosis and bones and teeth of the offspring, for secretion of
hypercalcaemia. Symptoms of hypercalcaemia breastmilk rich in calcium and to prevent
Calcium Citrate Malate, Vita min D3 and Folic Acid Tablets SMPC, Taj Phar maceuticals
Calcium Citrate Malate, Vita min D3 and Folic Acid Taj Phar ma : Uses, Side Effects, Interactions, Pictures, Warnings, Calcium Citrate Malate, Vitamin D3 and Folic Acid Dosage & Rx Info | Calcium Citrate Malate, Vitamin D3 and Folic Acid Uses, Side Effects -: Indications, Side Effects, Warnings, Calcium Citrate Malate, Vita min D3 and Folic Acid - Drug Information - Taj Phar ma, Calcium Citrate Malat e, Vitamin D3 and Folic Acid dose Taj pharmaceuticals Calcium Citrate Malate, Vitamin D3 and Folic Acid interactions, Taj Pharmaceutical Calcium Citrate Malate, Vita min D3 and Folic Acid contraindications, Calcium Citrate Malate, Vitamin D3 and Folic Acid price, Calcium Citrate Malate, Vitamin D3 and Folic Acid Taj Phar ma Calciu m Citrate Malate, Vitamin D3 and Folic Acid Tablets SMPC- T aj Phar ma . Stay connected to all updated on Calcium Citrate Malate, Vitamin D3 and Folic Acid Taj Pharmaceuticals Taj phar maceuticals Hyderabad.