Alfacalcidol + Docosahexaenoic Acid + Eicosapentaenoic Acid + Elemental Boron + Elemental Calcium + Folic Acid + Methylcobalamin

Dosage Forms Available

• Alfacalcidol + Docosahexaenoic Acid + Eicosapentaenoic Acid + Elemental Boron + Elemental Calcium + Folic Acid + Methylcobalamin is available for use in oral tablet and capsule formulations, as well as in liquid form.

• The tablets and capsules should be swallowed, while the liquid should be taken orally with a spoon or measuring cup.

Age and Dose Restrictions

• This medicine is meant for use by adults and is not typically prescribed for children.

Contraindications

• This medicine is contraindicated in patients with hypercalcaemia (high calcium levels).

• This medicine is contraindicated in patients with hypervitaminosis D (excess vitamin D).

• This medicine is contraindicated in patients with a known allergy to any of its components.

Other Medications to Avoid

• This combination may interact with antacids and laxatives containing magnesium or aluminium, antibiotics (such as tetracyclines and quinolones), anticonvulsants (including phenytoin and phenobarbital), cholesterol-lowering agents (like cholestyramine and colestipol), cardiac medications (such as digoxin), corticosteroids (like prednisone), and diuretics (like thiazide diuretics).

Overdose and Missed Dose

• An overdose of Alfacalcidol + Docosahexaenoic Acid + Eicosapentaenoic Acid + Elemental Boron + Elemental Calcium + Folic Acid + Methylcobalamin can lead to symptoms such as nausea, vomiting, weakness, confusion, increased urination, thirst, irregular heartbeat, muscle weakness, and bone pain. Immediate medical attention is required in case of overdose.

• If you miss a dose of this medicine, take it as soon as you remember. However, if it is nearly time for the next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for the missed one.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

• Take this medicine with food if it causes stomach upset or nausea.

• Stay hydrated if experiencing constipation or diarrhoea.

• Rest in a quiet environment if you develop a headache.

Use in Driving and Operating Machinery

• This medicine does not generally affect your ability to drive or operate machinery.

• However, individual responses can vary; observe how you feel after taking the medication before engaging in such activities.

Use in Pregnancy and Lactation

• The safety of using Alfacalcidol + Docosahexaenoic Acid + Eicosapentaenoic Acid + Elemental Boron + Elemental Calcium + Folic Acid + Methylcobalamin during pregnancy and lactation has not been fully established. It is essential to consult your doctor before using this medicine if you are pregnant or breastfeeding.

Caution in Other Conditions

• Patients with renal (kidney) disorders or those prone to forming kidney stones should use this medicine cautiously due to its potential to affect mineral balance.

• Individuals with liver conditions should also be cautious, as alterations in liver function may affect the metabolism of certain components of this medication.

Special Dietary and Lifestyle Recommendations

To support the effectiveness of Alfacalcidol + Docosahexaenoic Acid + Eicosapentaenoic Acid + Elemental Boron + Elemental Calcium + Folic Acid + Methylcobalamin in managing nutritional deficiencies:

• Incorporate a balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats to ensure adequate nutrient intake.

• Regular physical activity can help improve overall health and aid the body in absorbing and utilising nutrients effectively.

• Limit intake of foods high in oxalates (such as spinach and rhubarb) if prone to kidney stones.

• Ensure adequate hydration to assist in proper metabolic functions and nutrient absorption.

• Avoid smoking and limit alcohol consumption, as these can affect nutrient levels and overall health.