Calcium D3 ratiopharm chewable tablets, 30 pcs

Instructions for use for Calcium D3 ratiopharm chewable tablets, 30 pcs

Important notes (compulsory information):

Calcium D3- ratiopharm Chewable tablets 500 mg / 440 I.e .. Applications: For the prevention and treatment of calcium and vitamin D deficiency states in older people and as calcium and vitamin D supplement to a specific treatment of osteoporosis.

For risks and side effects, read the package leaflet and ask your doctor or pharmacist.


LEAFLET: INFORMATION FOR THE USER

Calcium D3- ratiopharm Chewable tablets 500 mg / 440 I.E.
Active ingredients: Calcium and colecalciferol (vitamin D3)

Read the entire leaflet carefully before you start taking this medicine because it contains important information. Always take this medicine as described in this leaflet or just as your doctor, pharmacist or medical personnel.

• Lift the package leaflet. You might want to read it again.
• Ask your pharmacist if you need more information or advice.
• If you notice side effects, contact your doctor, pharmacist or medical personnel. This also applies to side effects that are not indicated in this leaflet. See section 4.
• If you do not feel better or even worse, contact your doctor.

What is in this leaflet:

1. What is Calcium D3 ratiopharm and what is it used for?
2. What should you consider before taking Calcium D3-ratiopharm?
3. How to take Calcium D3 ratiopharm?
4. WHAT SIDE EFFECTS ARE POSSIBLE?
5. How to keep Calcium D3-ratiopharm?
6. Content of the pack and more information

1. What is Calcium D3 ratiopharm and what is it used for?

Calcium D3- ratiopharm Contains the substances important for bone formation mineral calcium and vitamin D. Calcium D3- ratiopharm It is used for the prevention and treatment of calcium and vitamin D deficiency states in the elderly and as a calcium and vitamin D supplement to a specific treatment of osteoporosis.

2. What should you prior to taking Calcium D3 ratiopharm note?

Calcium D3- ratiopharm may not be taken:

• if they are allergic to calcium carbonate, vitamin D or one of the other ingredients of this medicine mentioned in section 6.
• if you have a severe impairment of renal function.
• if you have too high calcium levels in the blood or urine.
• if you are suffering from renal stones.
• if you have calcium deposits in the kidneys.
• if you have too high vitamin D levels in the blood.

Warnings and Precautions:
Please talk to your doctor, pharmacist or medical personnel before you calcium D3 ratiopharm take in:

• if you receive a long-term treatment, especially if you additionally diuretics (for the treatment of hypertension or edema) or heart glycosides (for the treatment of heart disease) take in.
• if you suffer from kidney problems (signs of restricted kidney function) or to pronounced kidney stone formation.
• if you suffer from sarcoidosis (a disease of the immune system that can lead to increasing the vitamin D mirror in the body).
• if they suffer from osteoporosis and their movement is limited.
• if you apply other vitamin D-containing preparations. The additional use of calcium and vitamin D should only be carried out under tight-care-of-medical supervision.

Children and adolescents:
Calcium D3- ratiopharm is not for use in children and adolescents Vornay.

Taking Calcium D3 ratiopharm Together with other medicines:
Tell your doctor or pharmacist if you take other medicines, recently taken other medicines or intend to take other medicines. If you additionally take tetracycline (certain antibiotics), you should be at least 2 hours before or 4 - 6 hours after Calcium D3- ratiopharm take in. With simultaneous administration, calcium carbonate may affect the absorption of tetracycline preparations. Medicines with bisphosphonates (for the treatment of osteoporosis) or sodium fluoride should be at least 3 hours before Calcium D3- ratiopharm be taken. Calcium can attenuate the effect of levothyroxine (for the treatment of thyroid deficiency states). For this reason, Levothyroxin should be at least 4 hours before or 4 hours after Calcium D3 ratiopharm be taken. The effect of quinolon antibiotics may be reduced when taken simultaneously with calcium. Take quinolon antibiotics 2 Hours before or 6 hours after Calcium D3- ratiopharm a. Calcium salts can reduce the absorption of iron, zinc and strontium ranelate. Therefore, iron, zinc or strontium-containing medicines should be at least 2 hours before or 2 Hours to Calcium D3 ratiopharm be taken.




Other medicines that the effect of Calcium D3- ratiopharm influence or their effect of Calcium D3- ratiopharm being affected:

• Thiazid-Diuretika (for the treatment of high blood pressure or edema)
• Heart glycosides (for the treatment of heart disease)
• Corticosteroids (anti-inflammatory medicinal products)
• Orlistat (a medicine for the treatment of overweight), Laxants (laxatives such as paraffin oil) or colestyramine (a cholesterol-lowering medicine)
• Rifampicin (a medicine against tuberculosis), phenytoin (a medicine against epilepsy) or barbiturates (drugs used for the treatment of epilepsy or as a sleeping agent).

If you take one of the medicines listed above, your doctor will give you more instructions.

Taking Calcium D3 ratiopharm Together with food and drinks:
This medicine can be taken independently of the meals. Please note that oxalic acid (contained in spinach and rhubarb) and phytic acid (included in solid grain products) can reduce the calcium recording in the gut. Before and after the consumption of foods with a high content of oxal or phytic acid, they should not take calcium-containing medicines for 2 hours.

Pregnancy, lactation and reproductive capability:
If you are pregnant or breastfeeding or if you suspect to be pregnant, or intend to become pregnant, ask your doctor or pharmacist for advice before taking this medicine. If you are pregnant, you can Calcium D3- ratiopharm Take in case of calcium and vitamin D deficiency. During pregnancy, you should not more than 2,500 mg calcium and 4,000 I.E. (International Units) Take Vitamin D per day, as overdoses can damage the unborn child. Calcium D3- ratiopharm Can be used during breast-feeding. Calcium and Vitamin D3 go into breast milk. This should be noted if the child is also given vitamin D.

Driving and ability to operate machines:
Calcium D3- ratiopharm has no influence on the ability to drive and the ability to serve machinery.

Calcium D3- ratiopharm Contains aspartame as a source for phenylalanine:
Aspartame can be harmful if you have a phenyl ketoneuria.

Calcium D3- ratiopharm Contains sucrose:
Please take this medicine only after consulting your doctor if you are familiar with any intolerance to certain sugars. Sucrose (Sugar) can be harmful to the teeth (caries).

3. How to take Calcium D3 ratiopharm?

Always take this medicine as described in this leaflet or exactly after this with your Aor pharmacist agrees. Ask your doctor or pharmacist if you are not sure.

Dosage:
The recommended dose is 1 chew tablet twice a day. The tablets can be chewed or sucked.

Application in children and adolescents:
Calcium D3- ratiopharm is not intended for use in children and adolescents.

If you have a larger amount of Calcium D3 ratiopharm have taken than you should:
If you have a larger amount of Calcium D3 ratiopharm Come than you should, please contact your doctor or pharmacist immediately.

If you take CALCIUM D3 ratiopharm have forgotten:
Do not take the double amount when you forget the previous taking.

If you have further questions about taking this medicine, contact your doctor, pharmacist or medical personnel.

4. Which side effects are possible?

Like all medicines, this medicine can also have side effects, but they do not have to occur each other. Hypersensitivity reactions have occurred with unknown frequency (frequency based on the available data not esteemable). If you find one of the following symptoms, you should check your doctor immediately: Swelling on the face, tongue, lips (angioedema) or swelling in the throat (larynx edema).

Occasionally (can concern up to 1 of 100 treated):

• increased calcium levels in the blood (hypercalemia)
• increased calcium levels in urine (hypercalzuria)

Rarely (can concern up to 1,000 treated):

• Constipation, indigestion, flatulence, nausea, abdominal pain or diarrhea

Very rare (can be up to 1 out of 10,000 treated):

• Itching, rash or hives
• Milk alkali syndrome (also burnnett syndrome, usually occurs at excessive calcium intake), the symptoms are more common urgency, headache, loss of appetite, nausea or vomiting, unusual fatigue or weakness, along with increased calcium values in the blood and a renal impairment.

Unknown (frequency based on the available data not estimable):

• If you have limited kidney function, you can have a risk for increased phosphate in the blood, the formation of kidney stones and increased calcium levels in the kidneys.

Message of side effects:
If you notice side effects, contact your doctor or pharmacist. This also applies to side effects that are not indicated in this leaflet. You can also effectively effect the Federal Institute for Medicines and Medical Devices, Dept. Pharmacovigilance, Kurt-Georg-Kiesinger Allee 3, D-53175 Bonn, website: www.bfarm.de. By reporting side effects, you can help to provide more information about the security of this medicine.

5. How to keep Calcium D3-ratiopharm?

Keep this medicine inaccessible to children. You may not use this medicine after the expiry date specified on the carton, blister pack and tablet container. The expiry date refers to the last day of the specified month. Tablet container: No special storage conditions are required for this medicine. Duration of durability after the first opening of the tablet container: 3 months. Blisterpacking: Do not store over 30 ° C. Do not dispose of medicines in the wastewater. Ask your pharmacist how to dispose of the medicine if you do not use it anymore. You help to protect our environment.

6. Content of the pack and further information

What Calcium D3- ratiopharm contains
The active ingredients are: Calcium and Colecalciferol (Vitamin D3). Each chewing tablet contains 1,250 mg of calcium carbonate (corresponding to 500 mg calcium) and 4.4 mg colecalciferol dry concentrate (powder form) (corresponding to 11 micrograms colecalciferol = 440 I.e. Vitamin D3). The other ingredients are: starch, modified (corn), Sucrose, sodium ascorbate, medium-chain triglycerides, all-rac-a-tocopherol, high-dispenser silica, magnesium stearate, cornstarch, mannitol (E 421), aspartame (E 951), Orange aroma (contains maltodextrin, Arab rubber).

Like Calcium D3 ratiopharm looks and content of the pack:
Round, white to cream-colored, bplan tablet (diameter 16 mm). Tablet container: packs with 60, 90, 100 and 180 Chewable tablets. Blisterpacking: Packs of 10, 20, 28, 30, 50, 56, 60, 84, 90, 100, 120 and 200 chewable tablets. Not all pack sizes may be placed on the market.

Pharmaceutic entrepreneur:
ratiopharm GmbH
Graf-Arco-Str. 3
89079 Ulm

Manufacturer:
Merckle GmbH
Ludwig-Merckle-Str. 3
89143 Blaubeuren

This leaflet was last revised in July 2016.

Source: Information of the leaflet
Status: 04/2017