CALCICARE D3 Forte Brewer Tablets, 20 pcs

Instructions for use for CALCICARE D3 Forte Brewer Tablets, 20 pcs

Application notes

Adults and older people

1 Effervescent tablet

1 times a day

during or between meals

Application areas

Mode of action

How do the ingredients of the drug work?

Calcium ions are of crucial importance in the activation of biological systems. A lack of calcium in the blood increases, but an excess reduces neuromuscular excitability. Oral calcium intake promotes the remineralization of the skeleton in the case of calcium deficiency. Colecalciferol is physiological vitamin D3, which is converted into the kidney and liver to calcitriol, the effective substance of the vitamin D3. Calcitriol is responsible for taking the calcium and phosphate from the intestine. The recovery of calcium and its resumption from the kidney vitamin D are also dependent. The substance promotes the mineralization of the bones and thus inhibits their dismantling.

Composition

Contradictions

What speaks against an application?

- Hypersensitivity to the active ingredients
- Increased calcium values
- Increased calcium excretion in the urine
- Kidney limestones
- Lime deposits in the kidney
- Limited kidney function
- Passage gland diseases
- Vitamin D overdosing
- Myeloma
- Bone metastases
- Immensing the body for treatment purposes
- Sarcoidosis (Boeck illness)

Which age group must be observed?
- Children and adolescents under the age of 18: The drug must not be used.

What about pregnancy and lactation?
- Pregnancy: Contact your doctor. Various considerations play a role in whether and how the medicine used during pregnancycan.
- Still -time: Contact your doctor or pharmacist. He will check your special starting position and advise you accordingly whether and how you can continue with breastfeeding.

If the medicine has been prescribed to you despite a counter -notification, speak to your doctor or pharmacist. The therapeutic benefit can be higher than the risk of using the application.

Side effects

What adverse effects may occur?

- Increased calcium values
- Increased calcium excretion in the urine
- Constipation
- Flatulence
- Stomach pain
- Nausea
- Nessel addiction
- Itching
- Skin rash
- Shifting of the acid-base equilibrium in the blood to the alkaline side (alkalosis)

If you notice a disorder or change during treatment, contact your doctor or pharmacist.

For information at this point, side effects are taken into account that occurs in at least one of 1,000 patients treated.

Hints

What should you consider?
- Be careful with allergy against the sweetener saccharin (E 954)!
- Be careful with allergy against the sweetener cyclamat (E 952)!
- Beware of an intolerance to lactose. If you have to adhere to a diabetes diet, you should take the sugar content into account.
- Beware of an intolerance to sucrose. If you have to adhere to a diabetes diet, you should take the sugar content into account.
- Beware of allergy to peanuts and soy.

Detailed instructions for CALCICARE D3 Forte Brewer Tablets, 20 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 ODErecher 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 overdosing leads to increased blood calcium levels and 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.

Schwangerschaft

• 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, overdosing with vitamin D during pregnancy led to 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

Manufacturer:  Orion Pharma GmbH Marketing, Jürgen-Töpfer-Straße 46, 22763 Hamburg