Calcium Sandoz D Osteo intens 1200mg / 800i.e., 20 pcs

Instructions for use for Calcium Sandoz D Osteo intens 1200mg / 800i.e., 20 pcs

Important notes (compulsory information):

Calcium Sandoz D Osteo Intens 1,200 mg / 800 I.e. Effervescent tablets. Areas of application: For detected calcium and vitamin D deficiency and supportive treatment of osteoporosis.

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


LEAFLET: INFORMATION FOR THE USER

Calcium Sandoz D Osteo Intens 1,200 mg / 800 I.E. effervescent tablets
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 or pharmacist is directed.

• 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 or pharmacist. 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-Sandoz D Osteo Intens and what is it used for?
2. What should you pay attention to Alteo Intens before taking Calcium-Sandoz D?
3. How to take Calcium-Sandoz D Osteo Intens?
4. WHAT SIDE EFFECTS ARE POSSIBLE?
5. How to keep Calcium-Sandoz D Osteo Intens?
6. Content of the pack and more information

1. What is Calcium-Sandoz D Osteo Intens and what is it used for?

Calcium Sandoz D Osteo Intens is a calcium vitamin D3 preparation. Calcium Sandoz D Osteo Intens is used for detected calcium and vitamin D deficiency and supportive treatment of osteoporosis.

2. What should you pay close attention before taking Calcium-Sandoz D Osteo?

Calcium Sandoz D Osteo intens may not be taken:

• if you are allergic to calcium, colecalciferol or one of the other ingredients of this medicine mentioned in Section 6
• with too high calcium concentrations in the blood (hypercalcaemia) and / or increased calcium excretion in the urine (Hypercalzuria)
• in diseases and / or states leading to increased calcium content in the blood (hypercalemia) and / or increased calcium excretion in urine (hypercalzuria) (eg About function of the side turtle glands, a disease of the bone marrow myeloma, a malignant bone tumor bone metastases )
• if you have a severe impairment of renal function
• for renal necklaces (nephrolithiasis)
• for tissue calibration of the kidney (nephrocalcinosis)
• with too high vitamin D mirrors (hypervitaminosis D).

Warnings and Precautions:
Please talk to your doctor or pharmacist before you calcium Sandoz D take Osteo intens.

• During long term treatment with calcium Sandoz D Osteo Intens must check your doctor to control the calcium level in the blood and monitor kidney function by measuring serum creatinine values. The surveillance is particularly important in older patients and in patients who at the same time as certain drugs that increase the cardiac power (heartwicked glycosides), or durable medicines (diuretics) preserved (see "Taking Calcium Sandoz D Osteo intens together with other medicines"). This also applies if there is a pronounced tendency for stone formation. If an excessive calcium level in the blood (hypercalcaemia) or signs of renal functionsensation must reduce the dose or taking Calcium Sandoz D Osteo intens finished.
• If you suffer from a kidney impairment, vitamin D is careful to use calcium and phosphate levels monitoring. In a serious kidney function disorder, vitamin D in the form of colecalciferol is not metabolized normally. Your doctor should therefore prescribe a different vitamin D preparation (See "Calcium Sandoz D Osteo Intens may not be taken").
• There are literature reports that indicate that citrate salts may lead to increased aluminum intake. Calcium Sandoz D Osteo Intens contains citric acid. If you have severely limited kidney function and assume aluminum-containing preparations, you should therefore prior to use Calcium Sandoz D Osteo intens consult with your doctor.
• If you simultaneously prescribe other vitamin D preparations, your doctor should use Calcium Sandoz D Osteo intens administered dose of 800 I.e. Take into account vitamin D3 per effervescent tablet. An additional intake of other calcium or vitamin D-containing preparations should only be carried out with narrow-meshed medical supervision. In these cases, regular monitoring of calcium levels is required in the blood and urine.
• If you are at a specific pulmonary disease (sarcoidosis) suffering, there is a risk of increased transformation of vitamin D to its effective form. The calcium level in the blood and urine should be monitored.
• When they suffer from immobilization osteoporosis, there is an increased risk of hypercalemia occurrence (high calcium concentrations in the blood).
• When taking Calcium Sandoz D Osteo Intens should be calcium and alkali recording (e.g., carbonates) from other sources (Foods, enriched foods or other medicines) be considered. If high doses of calcium simultaneously with z. B. carbonates are taken, this can lead to a milk alkaline syndrome (Burnett syndrome). The milk-alkaline syndrome is a calcium metabolic disorder with an increase in the calcium level in the blood (hypercalcaemia), the inumulation of the blood (Metabolic alkalosis), renal failure and soft tissue calcification. When taking high doses, the calcium level should be checked in serum and urine.

Children:
Calcium Sandoz D Osteo Intens is not intended for use by children.

Taking Calcium Sandoz D Osteo Intens together with other medicines:
Inform your doctor or pharmacist if you take / use other medicines, recently taken / applied / applied or intend to take / use other medicines.

• With simultaneous treatment with certain medicines that boost the heart force (forced glycosides), their toxicity may increase due to hypercalemia. For this reason, patients obtained by the electrocardiogram (ECG) and by determining the calcium content in the blood must be monitored by the electrocardiogram (ECG.
• With simultaneous intake of urinary agents of the substance group of the thiazide, the calcium blood mirror should be regularly controlled as thiazide restrict the excretion of calcium with the urine.
• The recording and thus the effectiveness of different antibiotics, e.g. Tetracycline, quinolones (u.a. Fluorchinolone), Some Cefalosporines and many other medicines (e.g., the mushroom ketoconazole, iron, zinc, strontium ranelate, Sodium fluoride, estramustin, thyroid hormone and bisphosphonate preparations) is by simultaneous taking calcium Sandoz D Osteo Intens reduced. The intake of aluminum and wismut salts and thus their toxicity is due to the in Calcium Sandoz D Osteo intens contained citric acid increased. Between taking Calcium Sandoz D Osteo Intens and taking other preparations should therefore usually be kept a distance of at least 2 hours. Tetracycline-containing medicines should be at least 2 hours before or 4-6 hours after taking Calcium- Sandoz D Osteo intens.
• With simultaneous treatment with bisphosphonates or sodium fluoride preparations (drugs for the treatment of osteoporosis) as well as with fluoroquinones (a particular antibiotic type), these should be due to the risk of restricted intake of these medicines in the gastrointestinal tract at least 3 hours before calcium Sandoz D Osteo intens.
• Simultaneous treatment with orlistat (a weight reduction medicine), ion exchange resins such as colestyramine or laxatives such as paraffin oil can reduce the gastrointestinal intake of vitamin D.
• Systemic corticosteroids (means for suppressing immune defense and certain inflammation) reduce the calcium recording. During simultaneous application, it may be necessary to the dose of Calcium Sandoz D to increase the Osteo intens.
• The simultaneous administration of Calcium Sandoz D Osteo intens and phenytoin (a drug against epilepsy), rifampicin (an antibiotic) or barbiturates (medicines that help to sleep them) can lead to an effective reduction of vitamin D.

Taking Calcium Sandoz D Osteo intens together with food and beverages:
Oxalic acid (included in spinach and rhubarb) and phytic acid (included in wholegrain products) can inhibit the calcium recording by forming insoluble connections with calcium ions. Before and after consumption of high content of oxal or phytic acid foods, they should not occupy a calcium-containing medicinal products for 2 hours.

Pregnancy and breast feeding period:
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.

Pregnancy:
Calcium Sandoz D Osteo intens should not be used because of the high dosage to vitamin D3 during pregnancy. During pregnancy, daily intake should not exceed 1,500 mg calcium and 600 I.e. Vitamin D3. Animal studies have shown a reproductive toxicity of high doses of vitamin D. Overdosings of calcium and vitamin D must be avoided in pregnant women because a permanently increased calcium levels in the blood was associated with undesirable effects on the developing fetus.

Latving:
Calcium Sandoz D Osteo intens can be taken during breast-feeding. Calcium and vitamin D go into breast milk. This is to be considered if the child receives additional gifts of vitamin D.

Driving and ability to operate machines:
There are no data on the influence of this medicine on the ability to drive or the ability to operate machines. However, an influence is unlikely.

Calcium Sandoz D Osteo Intens contains sucrose, sorbitol and sodium:
Please take Calcium Sandoz D Osteo Intens only after consulting with your doctor if you are known to suffer from any intolerance to certain sugars. 1 effervescent tablet contains 4.5 mmol (104 mg) sodium. If you need to meet a saline diet, you should consider this. Note for diabetics: 1 effervescent tablet contains 0.005 BE.

3. How to take Calcium-Sandoz D Osteo Intens?

Always take this medicine exactly as described in this leaflet or just according to the consultation made with your doctor or pharmacist. Ask your doctor or pharmacist if you are not sure. The recommended dose is: Adults take 1 effervescent tablet 1 times a day (corresponding to 1,200 mg of calcium and 800 I.e. Vitamin D3.

Type of application:
The effervescent tablet is dissolved in a glass of water and drunk immediately. You can calcium Sandoz D Osteo intens to eat or take between meals.

Duration of application:
Taking Calcium Sandoz D Osteo Intens should be done in the long term. Talk to your doctor, how long you Calcium Sandoz D should take Osteo intens. Please talk to your doctor or pharmacist if you have the impression that the effect of Calcium Sandoz D Osteo Intens to StARK or too weak.

If you are a larger amount of Calcium Sandoz D have taken Osteo intens than you should:

An overdose can lead to loss of appetite, nausea, vomiting, increased thirst feeling and increased fluid intake, excessive urinary excretion, dehydration, abdominal pain, constipation, muscle weakness, exhaustion, mental disorders, bone pain, lime deposits in kidneys and kidney stones. In severe cases, cardiac arrhythmias can occur. Chronic overdose can lead to vascular and organ clarifications. If overdose is suspected, please contact your doctor immediately. This may take necessary measures if necessary.

If you take CALCIUM Sandoz D Forgot D Osteo intens:

Do not take the double amount when you forget the previous taking.

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

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.

Possible side effects:
Occasionally (can concern up to 1 of 100 treated):
Increased calcium content in the blood (hypercalcaemia), increased calcium excretion in urine (hypercalzuria)

Rarely (can concern up to 1,000 treated):
Hypersensitivity reactions, itching, rash, hives, bloating, constipation, diarrhea, nausea, vomiting, abdominal pain

Very rare (can be up to 1 out of 10,000 treated):
Single cases of systemic allergic reactions (Anaphylactic reaction, facial edema, angioneurotic edema). If you have limited kidney function, the risk of developing increased phosphate quantities in the blood, 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-Sandoz D Osteo Intens?

Keep this medicine inaccessible to children. You may not use this medicine after the expiration date specified on the outer carton and the tube after "usable until". The expiration date refers to the last day of the specified month. After breaking, the medicine is durable until the specified expiration date. Do not store over 30 ° C. Store in the original packaging. Holding the tube firmly closed to protect the content from moisture. 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 Sandoz D Osteo Intens contains:
The active ingredients are: Calcium (as carbonate) and colecalciferol (Vitamin D3). 1 effervescent tablet contains: 3,000 mg calcium carbonate (corresponding to 1,200 mg or 30 mmol calcium), 20 μg colecalciferol (corresponding to 800 I.e. Vitamin D3) The other ingredients are: All-rac alpha-tocopherol, starch, modified (corn), high-disperses silica, sucrose, sodium bicarbonate, sodium carbonate, citric acid, malic acid, medium-chain triglycerides, sodium ascorbate, sodium cyclamate, maltodextrin, saccharin sodium, lemon aroma (consisting of mannitol ph. EUR., Maltodextrin, D-Glucono-1,5-Iacton, Sorbitol Ph.EUR, Arab rubber, lemon flavor).

Like Calcium Sandoz D Osteo intens looks and content of the pack:
Calcium Sandoz D Osteo intens effervescent tablets are white, round, flat effervescent tablets with lemon taste. Calcium Sandoz D Osteo intens effervescent tablets are packed with 15, 20, 30, 40, 45, 50, 90, 100 and 120 effervescent tablets available. It may not bet brought to traffic all pack sizes.

Pharmaceutic entrepreneur:
Hexal AG
Industriestraße 25
83607 Holzkirchen
Telephone: (08024) 908-0
Fax: (08024) 908-1290
E-mail: [email protected]

Manufacturer:
Salutas Pharma GmbH
Otto-von-Guericke-Allee 1
39179 Bar life

This leaflet was recently revised in August 2015.

Source: Information of the leaflet
Status: 09/2016