Complivit Calcium D3 Forte tabs #100

Complivit Calcium D3 Forte instruction for use

You can buy Complivit Calcium D3 Forte here

See also - Complivit Calcium D3

Composition

Active components:
Calcium 500 mg
(in the form of calcium carbonate - 1,250 g)
Kolekaltsiferol - 0.01 mg (400 IU)
(Vitamin D3)
(in terms of 100% of colcalciferol)
in the form of a granulate containing: colcalciferol - 0.27%, D, L - alpha-tocopherol - 0.0275%,
triglycerides medium-chain - 10,7%, sucrose - 36%, acacia gum - 22%, corn starch - 27%, calcium phosphate (E341) - 0.5%, water up to 100%)
Excipients:
lactose monohydrate (sugar milk) - 343.10 mg,
povidone is a medium molecular weight - 64.30 mg,
polysorbate-80 - 2.90 mg,
potato starch - 8.90 mg,
croscarmellose sodium - 50.20 mg,
citric acid - 3.40 mg,
aspartame (E 951) - 5.90 mg
magnesium stearate - 16.30 mg
orange oil or orange flavor or peppermint oil or mint flavor - 1.30 mg.
Description of Complivit Calcium D3 Forte
Tablets chewing with a rough porous surface of a round biconvex form from white to white with a creamy shade of color with impregnations of grayish color.
Pharmacotherapeutic group:
calcium-phosphorus exchange regulator.
ATX code: [A12AX].

Pharmacological properties

Complivit Calcium D3 Forte is combined drug, the effect of which is due to its constituent components. Regulates the exchange of calcium and phosphate, reduces resorption and increases the density of bone tissue, replenishes the lack of calcium and vitamin D3 in the body, increases calcium absorption in the intestines and reabsorption of phosphates in the kidneys, promotes the mineralization of bones.
Calcium - is involved in the formation of bone tissue, blood clotting, in the maintenance of stable cardiac activity, in the process of transmission of nerve impulses.
Vitamin D3 (colcalciferol) - promotes absorption of calcium in the intestine, the formation and mineralization of bone tissue and dental tissue.
The use of calcium and vitamin D3 prevents the increase in the production of parathyroid hormone, which is a stimulator of increased bone resorption.

Pharmacokinetics

Vitamin D3 is absorbed in the small intestine. Calcium is absorbed in ionized form in the proximal part of the small intestine through an active, D-vitamin dependent transport mechanism.

Indications for use

Prophylaxis and complex therapy of osteoporosis (menopause, senile, "steroid", idiopathic) and its complications (bone fractures).
Replenishment of deficiency of calcium and / or vitamin D3.

Contraindications

Hypersensitivity to the components of the drug (including lactose intolerance, lactase deficiency, glucosogalactose malabsorption), hypercalcemia, hypercalciuria, calcium nefrourolithiasis, hypervitaminosis D, decalcifying tumors (myeloma, bone metastases, sarcoidosis), osteoporosis due to immobilization, phenylketonuria (contains aspartame), pulmonary tuberculosis (active form), chronic renal failure, children under 3 years old.

Carefully

Pregnancy, lactation.

Dosing and Administration of Complivit Calcium D3 Forte

Inside, chew or swallow wholly, mainly while eating, with water.
Adults: in the treatment of osteoporosis - 1 tablet 2-3 times a day, for the prevention of osteoporosis - 1 tablet 2 times a day
To fill the deficiency of calcium and / or vitamin D3:
Adults and children over 12 years - 1 tablet 1-2 times a day.
Children from 3 years to 12 years - 1 tablet a day or as prescribed by a doctor.

Side effects

Allergic reactions.
Dyspeptic disorders from the gastrointestinal tract (constipation, flatulence, nausea, stomach pain, diarrhea).
Hypercalcemia and hypercalciuria (elevated levels of calcium in the blood and urine).
Application Complivit Calcium D3 Forte during pregnancy and breastfeeding
During pregnancy, the daily dose should not exceed 1500 mg of calcium and 600 IU of vitamin D3.
Vitamin D and its metabolites can penetrate into breast milk.
Overdose during pregnancy can lead to disruption of the child's mental and physical development.

Overdose

In case of signs of overdose, see a doctor.
Symptoms: thirst, polyuria, decreased appetite, nausea, vomiting, constipation, dizziness, weakness, headache, fainting, coma; with prolonged use: calcification of blood vessels and tissues.
Treatment: the introduction of a large amount of fluid in the body, the use of "loop" diuretics (eg, furosemide), glucocorticosteroids, calcitonin, biophosphonates.
In case of clinical symptoms of overdose, the concentration of calcium and creatine in the blood should be determined. in the case of elevated concentrations of calcium or creatinine in the blood serum should reduce the dose of the drug or temporarily discontinue treatment.

Interaction Complivit Calcium D3 Forte with other drugs

The activity of vitamin D3 can decrease with its simultaneous application with phenytoin or barbiturates.
With simultaneous treatment with cardiac glycosides, ECG and clinical monitoring are necessary, calcium preparations can potentiate the therapeutic and toxic effects of cardiac glycosides.
Preparations of calcium and vitamin D3 can increase the absorption of tetracyclines from the gastrointestinal tract. Therefore, the time interval between doses should be at least 3 hours.
To prevent the absorption of bisphosphonate or sodium fluoride drugs, it is recommended to take Complyvit® Calcium D3 forte no earlier than two hours after they are taken.
Glucocorticosteroids reduce the absorption of calcium, so treatment with glucocorticosteroids may require an increase in the dose of Complivit® Calcium D3 Forte.
Simultaneous treatment with colestramine preparations or laxatives based on mineral or vegetable oil can reduce the absorption of vitamin D3.
With the simultaneous use of thiazide diuretics, the risk of hypercalcemia increases as they increase tubular calcium reabsorption. Furosemide and other loop diuretics, on the contrary, increase the excretion of calcium by the kidneys.

special instructions

In order to avoid an overdose, it is necessary to take into account the additional intake of calcium from other sources. Complivit® Calcium D3 Forte contains aspartame, which in the body is transformed into phenylalanine, so the drug should not be taken by patients suffering from phenylketonuria.
During the period of treatment, it is necessary to constantly monitor the excretion of calcium in the urine and the concentration of calcium and creatinine in the blood plasma (in case of calcification, exceeding 7.5 mmol / day (300 mg / day), it is necessary to reduce the dose or stop taking).
In the elderly, the need for calcium is 1500 mg / day, in vitamin D3 - 0,5-1 thousand IU / day.

Form of issue

Tablets are chewing [orange, mint].
For 30, 60, 90, 100 or 120 tablets in cans of polymeric.
Banks are capped with screw caps.
On cans containing 30 tablets, stick a self-adhesive label.
On a jar containing 60, 90, 100 or 120 tablets, stick a self-adhesive label or a multi-page self-adhesive label.
Each jar is tightened with a protective thermoshrinkable cap made of a film.
Each bank along with the instruction for use is placed in a pack of cardboard or a jar containing 60, 90, 100 or 120 tablets with a multi-page label is placed in a shipping container.

Storage conditions

At a temperature of no higher than 25 ° C. Keep out of the reach of children.
Shelf life - 3 years.
Do not use after the expiration date printed on the package.

Conditions of leave from pharmacies

You can buy Complivit Calcium D3 Forte without a doctor's prescription.