Calcium Sandoz D Osteo chewable tablets, 50 pcs

Instructions for use for Calcium Sandoz D Osteo chewable tablets, 50 pcs

Important notes (compulsory information):

Calcium Sandoz D Osteo chewable tablets 500 mg / 400 I.e. active ingredients: Calcium (as carbonate) / colecalciferol (vitamin D3). Areas of application: For the prevention and treatment of vitamin D and calcium deficiency states in older people and as vitamin D and calcium supplement to support specific therapy for the prevention and 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 chewable tablets 500 mg / 400 I.E.
Active substance: Calcium (as carbonate) / 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 and what is it used for?
2. What should you consider before taking CALCIUM SANDOZ D OSTEO?
3. How to take Calcium-Sandoz D Osteo?
4. WHAT SIDE EFFECTS ARE POSSIBLE?
5. How to keep Calcium-Sandoz D Osteo?
6. Content of the pack and further information

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

Calcium Sandoz D Osteo is a calcium vitamin D3 preparation. Calcium Sandoz D Osteo is used:

• for the prevention and treatment of vitamin D and calcium deficiency states in the elderly
• as a vitamin D and calcium supplement to support a specific therapy for the prevention and treatment of osteoporosis.

2. What should you consider before taking CALCIUM SANDOZ D OSTEO?

Calcium Sandoz D Osteo may not be taken:

• if they are allergic to calcium carbonate, colecalciferol or one of the other ingredients of this medicine referred to in section 6
• in case of disease states that result in an increase in the calcium content in the blood (hypercalcalemia) or increased calcium excretion in urine (hypercalzuria
• for kidney stones
• for hypervitaminosis D.

Warnings and Precautions:
Please talk to your doctor or pharmacist before you Calcium Sandoz Dake Osteo:

• if you are at a specific pulmonary disease (sarcoidosis) To suffer. 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.
• During a long-term application, your doctor must check the calcium level in the blood and monitor kidney function by measurements of serum creatinine value. Monitoring is particularly important in older patients, which simultaneously with heart-force-enhancing (heart glycosides) or urinary agents (Diuretics) are treated (see section 2 "Taking Calcium Sandoz D Osteo together with other medicines"). This applies if there is a pronounced tendency for stone formation. When a hypercalemia occurs (increased calcium content in the blood) or signs of renal functionthe dose must be reduced or taking the dose.
• if you suffer from a kidney function fault, Calcium Sandoz D Osteo with caution, under monitoring of the calcium and phosphate mirrors to apply. The risk of calcification of the soft tissues must be taken into account. 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 section 2 "What should you consider before taking Calcium Sandoz D Osteo?").
• if you are on immobilization osteoporosis (bone loss after a longer complete immobilization of limbs) suffer, as an increased risk of hypercalemia occurrence (too high calcium concentrations in the blood) consists.
• if you simultaneously prescribe other vitamin D preparations, your doctor should use Calcium Sandoz D Osteo administered dose of 400 i.e. Take a chewable vitamin D per chewable. An additional taking of calcium or vitamin D should only be carried out under tight-to-string medical supervision. In these cases, regular monitoring of calcium levels in serum and urine is required.

Children:
Calcium Sandoz D Osteo is not intended for an application by children.

Taking Calcium Sandoz D Osteo 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. Urinary medium (Diuretics) from the thiazide type lead to a reduction in calcium excretion in the urine. Due to the increased risk for increased calcium content in the blood (hypercalcaemia), serum calcium levels should be monitored regularly with accompanying treatment with Thiazid-Diuretics. Systemic corticosteroids (Cortisone and Cortisone descendants) reduce the calcium recording. With simultaneous application, it may be necessary to dose the Dose of Calcium Sandoz D to increase Osteo. The simultaneous treatment with ion exchange resins such as colestyramine or laxatives (laxants) such as paraffin oil can reduce the intake in the gastrointestinal tract (gastrointestinal absorption) of vitamin D. The recording of tetracycline preparations (Certain antibiotics) can be reduced by simultaneously occupied calcium preparations. For this reason, tetracycline preparations should be taken at least 2 hours or 4-6 hours after oral calcium intake. The toxicity of heart glycosides may be increased in hypercalcaemia (elevated calcium content in the blood) as a result of treatment with calcium. These patients should be monitored with regard to electrocardiogram (ECG) and serum calcium levels. With simultaneous use of oral bisphosphonates or sodium fluoride, these should at least 3 hours before taking Calcium Sandoz D OSTEO, otherwise the recording of oral bisphosphonates or sodium fluoride could be restricted in the gastrointestinal tract.

Taking Calcium Sandoz D Osteo together with food and beverages:
Oxalic acid (included in spinach and rhubarb) as well as phytic acid (included in wholegrain products) can inhibit the calcium recording by forming insoluble connections with calcium ions. Before and after the consumption of foods with a high content of oxal or phytic acid, they should not occupy 2 hours no calcium-containing medicines.

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:
During pregnancy, daily ingestion should not exceed 1,500 mg calcium and 600 I.e. Vitamin D. For overdoses of vitamin D during pregnancy, malformations were detected in the animal experiment. Overdosings of calcium and vitamin D must be avoided during pregnancy because a permanently increased calcium content in the blood (hypercalcalemia) Unwanted effects on the developing, unborn child can have. There is no indications that vitamin D in therapeutic doses in the humblen acting (teratogenic). Calcium Sandoz D Osteo can be taken during pregnancy in the presence of a calcium and vitamin D deficiency.

Latving:
Calcium Sandoz D Osteo can be taken during breast-feeding. Calcium and Vitamin D3 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. However, an influence is unlikely.

Calcium Sandoz D Osteo contains aspartame, sorbitol, isomalt and sucrose:
Calcium Sandoz D Osteo contains aspartam as a source of phenylalanine and can be harmful if you have a phenyl ketoneuria. Please take Calcium Sandoz D Osteo only after consulting with your doctor, if you know you are suffering from intolerance to certain sugars.

3. How to take Calcium-Sandoz D Osteo?

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, including older people, chew or suck 2 times a day 1 chewing tablet. For hepatic impairment, no dose adjustment is required. For renal impairment, calcium Sandoz D Osteo of patients with severe renal impairment not applied. Please talk to your doctor or pharmacist if you have the impression that the effect of Calcium Sandoz D Osteo is too strong or too weak.

If you are a larger amount of calcium Sandoz D have taken Osteo as they should:
An overdose can lead to loss of appetite, thirst, nausea, vomiting, constipation or abdominal pain. If overdose is suspected, please contact your doctor immediately. This may take necessary measures if necessary.

If you are taking CAL CIUM Sandoz D Forgot D Osteo:
If you have forgotten Calcium Sandoz D to take Osteo, continue the treatment as usual. Do not take the double amount.

If you are taking Calcium Sandoz D Cancel Osteo:
If you want to interrupt the treatment or terminate prematurely, please talk to your doctor.

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. The frequency information on side effects is based on the following categories:

The frequency information on side effects is based on the following categories:
Very often:	more than 1 treated from 10
Frequently:	1 to 10 treated from 100
Occasionally:	1 to 10 treated from 1 000
Rarely:	1 to 10 treated from 10 000
Very rare:	less than 1 treated from 10 000
Not known:	Frequency on the basis of the available data does not estimate.

Diseases of the immune system:
Rarely: overpricular reactions
Very rare: single cases of systemic allergic reactions (Anaphylactic reaction, facial edema, angioneurotic edema) were reported.

Metabolic and nutritional disorders:
Occasionally: elevated calcium content in the blood (hypercalemia), increased calcium excretion in urine (hypercalzuria)

Diseases of the gastrointestinal tract:
Rare: bloating, constipation, diarrhea (diarrhea), nausea, vomiting, abdominal pain

Diseases of the skin and subcutaneous cellewebes:
Rare: itching (pruritus), rash, hives (Urticaria)

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 share effects directly

Federal Institute for Pharmaceuticals and Medical Products,
Dept. Pharmacovigilance,
Kurt-Georg-Kiesinger Allee 3,
D-53175 Bonn,
Website: www.bfarm.de,

Show. 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?

Keep this medicine inaccessible to children. You must not use the medicinal product according to the expiration date specified on the label and the outer carton to "usable until". The expiration date refers to the last day of the specified month. Do not store over 30 ° C. Store in the original packaging. Keep the container 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 contains:
The active ingredients are: Calcium (as carbonate) and colecalciferol (Vitamin D3). 1 chewing tablet contains: 1250 mg calcium carbonate (corresponding to 500 mg of calcium) and 4.0 mg of colecalciferol dry concentrate (corresponding to 10 μg colecalciferol or 400 I.e. Vitamin D3).

The other ingredients are:
Sorbitol (Ph.eur.) E 420, Orange Aroma (contains: isomalt, orange aroma, glycerol (mono / di) feeding fatty acid ester), Povidon K 30, magnesium stearate (pH. EUR.) PFL decisive, aspartame, all-rac-a-tocopherol, sucrose, sodium ascorbate, medium-chain triglycerides, high-dispersed silica, starch, modified (Corn)

Like Calcium Sandoz D Osteo looks and content of the pack:
Calcium Sandoz D Osteo chewable tablets are round, white, non-coated chewable tablets with orange taste.
Calcium Sandoz D Osteo chewable tablets are packed with 20, 30, 40 (2x20), 50, 60, 90, 100, 120 and 180 chewing tablets available. Not all pack sizes may be placed on the market.

Dear patient, dear patient,
The "building material" calcium contributes significantly to the strength of our bones. Since calcium can not be formed by the body itself, it must be supplied from the outside. Due to the modern dietary habits, the daily calcium requirement may not be covered. Furthermore, a reduced recording of the dietary calcium from the intestine or an increased calcium excretion can result in a deficiency. This can lead to a loss of bone substance and thus to bone stability. The recording of calcium into the body takes place in the intestine. Vitamin D is required for this purpose. The vitamin supports the installation of calcium into the bones. Vitamin D is slightly fed over the food and formed under the skin under the skin. However, this ability leaves with age. In addition, the sunshine is often not enough due to our geographical location or due to overwhelming stay in closed rooms. Because hormonal changes in women from about 45 And in men from about 60 years can lead to an accelerated bone reduction, the optimal and effective recycling of calcium comes to a supporting role. Therefore, in particular, and in case of already existing osteoporosis also to ensure sufficient supply of vitamin D.

Pharmaceutic entrepreneur:
Sandoz Pharmaceuticals GmbH
Raiffeisenstraße 11
83607 Holzkirchen

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

This information information was last revised in August 2013.

Source: Information of the leaflet
Status: 01/2015