CALCICARE D3 Forte Brewer Tablets, 40 pcs

Instructions for use for CALCICARE D3 Forte Brewer Tablets, 40 pcs

Detailed instructions for CALCICARE D3 Forte Brewer Tablets, 40 pcs

Field of use

• The medicine is a mineral preparation with calcium and vitamin D3.
• It is used to compensate for simultaneous calcium and vitamin D deficiency in older people as well as for the supportive treatment of osteoporosis in patients with proven or high risk of simultaneous calcium and vitamin D deficiency.

Active ingredients / ingredients / ingredients

2500 mg calcium carbonate
1000 mg calcium ion
0.022 mg Colecalciferol
880 Ie Colecalciferol
alpha-tocopherol auxiliary material (+)
Citronic acid, water -free auxiliary material (+)
Gelatine auxiliary substance (+)
Lactose 1-water auxiliary substance (+)
Macrogol 6000 Hedge Terms (+)
Corn starch auxiliary substance (+)
Sodium cyclamat auxiliary substance (+)
Sodium hydrogen carbonate auxiliary material (+)
Povidon K25 Hedge substance (+)
Saccharin, sodium salt auxiliary material (+)
Saccharosis auxiliary substance (+)
Simeticon emulsion HILDVERSTOFT (+)
Dimeticon Hedge substance (+)
Silicium dioxide, high disperser auxiliary substance (+)
Methylcellulose auxiliary substance (+)
Soybean oil, hardened auxiliary material (+)
Apple Aroma Hedge substance (+)

Contradictions

• The medicine must not be taken,
  • if you are allergic to calcium carbonate or colecalciferol or one of the other components of this medicine
  • if you have an increased calcium content in the blood (hypercalcemia) has been determined
  • if you have an increased calcium excretion in the urine (hypercalciurie)
  • if you have found an overfunction of the parathyroid gland (hyperparathyroidism)
  • if you have a vitamin D overdose
  • if you suffer from one of the following tumors: lung cancer (bronchial carcinoma), breast cancer (breast cancer), kidney cancer (hypernephrom), certain forms of blood cancer (plasmocytoma), multiple bone market tumor (myeloma) and daughter tumors in bones (bone metastases), since these diseases increased Can cause calcium levels in the blood
  • if you suffer from one of the following lung diseases (sarcoidosis, Boeck's disease)
  • if a immobilization of limbs (immobilization) is necessary for you
• Please speak to your doctor or pharmacist before taking the medicine.

dosage

• Always take the medicine exactly as described or exactly after the agreement made with your doctor or pharmacist. Ask your doctor or pharmacist if you are not sure.
• The recommended dose is:
  • 1 effervescent tablet once a day

• Your doctor must be decided individually about the duration of the treatment. In general, treatment should take place in the long term.
• Please speak to your doctor or pharmacist if you have the impression that the effect is too strong or too weak.

• If you have taken a larger amount than you should
  • Overdosing leads to increased calcium excretion in the urine and an increase in calcium concentration in the blood with the following symptoms: nausea, vomiting, thirst and increased thirst, increased urination or constipation. If you suspect an overdose, put the medicine off and please inform your doctor immediately. This may take the necessary measures.
  • Chronic overdose leads to increased blood-calcium levels andd can lead to vascular and organ calcification.

• If you have forgotten the intake
  • Do not take the double amount if you have forgotten the prior intake.

• If you cancel the intake
  • This can only work if you take the effervescent tablets regularly. If you interrupt the treatment for a long time or end prematurely, the desired treatment success does not occur.

• If you have any further questions about taking the drug, please contact your doctor or pharmacist.

Taking

• Please dissolve the effervescent tablet in a glass of drinking water [200 ml] and completely drink the contents of the glass. You can take the medicine for eating or between meals.

Patient information

• Warnings and Precautions
  • Particular caution when taking it is required,
    • if you have a limited kidney function (renal failure)
    • if kidney limestones have occurred with you or in your family
    • if you suffer from kidney calcification (nephrocalcinosis)
    • if you have found a lower phosphate concentration in the blood (hypophosphatemia)
  • During long-term treatment, the blood-calcium level should be checked and the kidney values should be monitored by measuring the serum creatinine values. Monitoring is particularly important in older patients and in patients who receive cardiac glycosides and diuretics as accompanying medication.
  • If a calcium level that is too high in the blood or signs of kidney dysfunction, the dose must be reduced or the therapy can be canceled.
  • By taking it increases the excretion of calcium in the urine. In the first few months after the start of income, this also increases the tendency to precipitate calcium salts and, under certain circumstances, to form stones in the kidney and urine bladder. This can be avoided by a ample supply of liquid.
  • Since the drug already contains vitamin D, additional intake of vitamin D or calcium may only be carried out under strict medical control.
  • Calcium and alkali absorption from other sources (food, enriched food or other medicines) should be observed if the preparation is taken. If high doses of calcium are given together with alkaline agent (such as carbonates), this can lead to a milk alkali syndrome (burnet syndromes) with hypercalcemia, metabolic alkalosis, kidney failure and soft tissue calcification. When gifted high doses, the calcium level in serum and urine should be checked.
  • Children and adolescents
    • There is no relevant benefit in children and adolescents in the application. The security and effectiveness of children and adolescents has not yet been proven. No data is available. Therefore, a dosage recommendation cannot be given.

• Wateriness and ability to use machines:
  • There are no special precautions required.

Pregnancy

• If you are pregnant or breastfeed, or if you suspect that you are pregnant or intend to become pregnant, ask your doctor or pharmacist for advice before taking this drug.
• The drug should not be used during pregnancy and lactation due to the high dosage of vitamin D.
• In pregnancy, an overdose with the medicine is to be avoided, since a long-lasting increase in calcium levels in the blood (hypercalcemia) leads to physical and mental developmental delay, special forms of aortic narrowing (supravalvular aortic stenosis) and non-inflammatory retinal diseases (retinopathy) in child can. However, there are also individual cases that show that despite high -dose gifts of vitamin D to treat a subfunction of the parish gland (hypoparathyroidism) of the mother, healthy children were born.
• In animal experiments, an overdose ledtion with vitamin D during pregnancy for malformations (teratogenic effect). However, there is no evidence that vitamin D in therapeutic doses in humans act teratogenic.
• Calcium, vitamin D and its metabolic products pass into breast milk. The drug should not be taken during breastfeeding due to the high dosage of vitamin D during breastfeeding.
• Ask your doctor or pharmacist for advice before taking all drugs.

Hints

Miscellaneous

- During long -term treatment with the drug, the calcium levels in the blood and urine should be monitored regularly and the kidney function should be checked by measuring the serum creatinine. If the calcium is too high or signs of reduced kidney function, the dose must be reduced or the treatment is interrupted.
- In the event of kidney weakness, the effect on the calcium and phosphate balance should be monitored.
- An increased calcium concentration in the urine should be excluded in the case of calcium kidney stones in the family.

- Fish liver oil and certain fish species (e.g. herring, eel, salmon), small quantities can be found in mushrooms, egg yolk, margarine, cheese and avocado.