CALCIUM VERLA D 400 effervescent tablets, 20 pcs

Instructions for use for CALCIUM VERLA D 400 effervescent tablets, 20 pcs

Field of use:

• This medicine contains the two active ingredients calcium and vitamin D3. Calcium is an important part of the bones and vitamin D3 improves the intake of calcium from the intestine and installation in the bones.
• It is used at.
  • Compensation for combined vitamin D and calcium deficiency in older patients
  • As an addition to an osteoporosis treatment in which the vitamin D and calcium levels are too low or there is a high risk of this.

 

Active ingredients / ingredients / ingredients:

1500 Mg calcium carbonate.
600 mg calcium ion.
0.01 mg Colecalciferol
400 ie Colecalciferol
alpha-tocopherol auxiliary material (+)
ventracic acid auxiliary substances (+)
Citronic acid, water -free auxiliary material (+)
gelatine auxiliary substance (+)
Corn starch auxiliary substance (+)
Maltodextrin auxiliary substance (+)
Sodium carbonate auxiliary substance (+)
Sodium cyclamat auxiliary substance (+)
Sodium hydrogen carbonate auxiliary material (+)
Saccharin, sodium salt auxiliary material (+)
Saccharosis auxiliary substance (+)
Soybean oil, part. Hydrates auxiliary substance (+)
Aroma fabrics, natural and natural identical auxiliary substances (+)

Contradictions

• The medicine must not be taken
  • If you are hypersensitive to calcium carbonate or vitamin D
  • In the case of too high calcium concentrations in the blood (hypercalcemia) and/or increased calcium excretion in the urine (hypercalcuria), there are requirements that lead to hypercalcemia and/or hypercalcuria [z. B. Überfunktion der Nebenschilddrüsen, eine Erkrankung des Knochenmarks (Myelom), ein bösartiger Knochentumor (Knochenmetastasen)]
  • If you are affected by kidney failure
  • if you suffer from kidney stones (nephrolithiasis) or lime deposits in the kidneys (nephrocalcinosis)
  • if you suffer from vitamin D overdosing (hypervitaminosis d)

 

dosage

• always take the medicine exactly according to the instruction in this package insert. Please ask your doctor or pharmacist if you are not quite sure
• dosage
  • The usual dose for adults and the elderly is one tablet twice a day (e.g. one in the morning and one evening). Pregnant women should only take one effervescent tablet a day. With long -term treatment, the calcium levels in the urine and blood must be monitored. This is particularly important if you develop kidney stones more often
  • The effervescent tablet is dissolved in a glass of water and drunk immediately. You should take the medicine in the morning and evening.
  • Please speak to your doctor or pharmacist if you have the impression that the effect of the drug is too strong or too weak:

 

• Duration of the application.
  • The doctor decides on the duration of treatment with the medicine.
  • The medicine is not suitable for use in children and adolescents.
  • Serumscium control should be carried out every 3 - 6 months

 

• If you have taken a larger amount of the drug than you should.
  • If you have received larger amounts of the drug than you should and notice signs of an overdose, please interrupt the taking of the drug and keep up with your doctor immediately. Signs of overdose can be.
  • Dealing, loss of appetite, increased thirsty, nausea, vomiting, constipation, abdominal pain, muscle weakness, fatigue, mental disorders, increased urinary excretion, bone pain, kidney stones.
  • Chronic overdosing can lead to vascular and organ calcification through limescale deposits
  • In the: Cases of considerable overdose can occur.

 

• If you forgot to take the drug
  • Do not take the double dose if you take the prior intake

 

• If you cancel the intake of the drug
  • If you want to end the treatment early, e.g. because the side effects that appear seems too strong for you, please speak to your doctor beforehand.

 

• If you have any further questions about the application of the drug, ask your doctor or pharmacist.

 

Taking

• Type of application:
  • To dissolve in water.
  • The effervescent tablet is dissolved in a glass of water and drunk immediately. You should take the medicine in the morning and evening.

 

Patient information

• Particular caution when taking the drug is required
  • During long -term treatment with the medicine, the calcium level in serum and by measuring the serum creatinine, the kidney function should be checked regularly. This review is particularly important in older patients and at the same time treatment with heart glycosides (e.g. digoxin) and diuretics. Based on the results obtained, your doctor can recommend reducing your dose or even canceling the treatment. However, the dose should be reduced or the therapy is temporarily interrupted if the calcium excretion via the urine 7.5 mmol/24 hours (300 mg/24 hours) exceeds.
  • Before taking the drug, the amount of vitamin D, calcium and alkali such as B. carbonate from other sources (e.g. nutritional supplements or food). Since these products already contain vitamin D and calcium carbonate, the additional intake of the pharmaceuticalszum BurnetSyndrome can lead. BurnetSyndrome (milk alkali syndrome) is a calcium metabolic disorder with an increase in blood-calcium level. It can be triggered by absorbing very large amounts of milk and/or calcium carbonate from other sources or by excessive use of antacids (agent against stomach acidification). This can lead to side effects. Therefore, an additional administration of the medicinal product must be carried out under strict medical control with regular checking of calcium levels in blood (calcaemia) and urine (calciurie).
• Before taking the drug should be consulted with your doctor or pharmacist:
  • if you suffer from kidney stones
  • if you suffer from an illness of the immune system (sarcoidosis), since the calcium level must be checked in blood and urine
  • if your ability to move is restricted and you suffer from a reduced bone mass (osteoporosis). This can increase your blood calcium level so much that side effects can occur.
  • if you also take other vitamin D3 or calcium-containing preparations. Your blood calcium level can increase so much that side effects can occur.
  • if you suffer from kidney function.

 

Pregnancy

• Pregnancy and breast feeding period
  • Ask your doctor or pharmacist for advice before taking/using all drugs.
  • The medicine can be used during pregnancy, but the daily intake should not exceed 1,500 mg calcium and 600 i.e. vitamin D. In the event of pregnancy, you should therefore not take more than a effervescent tablet every day. Higher doses can affect the unborn child.
  • The medicine can be used during breastfeeding. Since calcium and vitamin D3 pass into breast milk, you must first consult your doctor whether your child already receives products that contain vitamin D3.
  • Pregnant and breastfeeding women should take the medicine two hours before or after meals in order to avoid a possible impairment of iron absorption.

 

Indicatedse

Miscellaneous

- During long-term intake, the blood and urine calcium levels and the kidney function should be checked by the doctor.
- Since the drug already contains vitamin D, additional use of vitamin D or calcium may only be carried out under strict medical control. In this case, a weekly review of the blood and urine calcium levels must be carried out.

Manufacturer:  Verla-Pharm Arzneimittel GmbH & , Hauptstraße 98, 82327 Tutzing