Alphacalcidol + Elemental Calcium

Dosage Forms Available

• Alphacalcidol + Elemental Calcium is available in tablet, capsule form for oral administration.

Age and Dose Restrictions

• This medication is intended for use in adults and adolescents above 18 years of age.

Contraindications

• This medicine is contraindicated in patients with known hypersensitivity to Alphacalcidol, calcium, or any other ingredients present in the formulation.

• It is also contraindicated in patients with hypercalcaemia or hypercalciuria.

• Use is contraindicated in patients with severe renal impairment and pseudohypoparathyroidism.

Other Medications to Avoid

• Alphacalcidol + Elemental Calcium may interact with thiazide diuretics (eg., hydrochlorothiazide and metolazone), cardiac glycosides (like digoxin), magnesium and aluminium-containing antacids (eg., magnesium carbonate, aluminium hydroxide), anticonvulsants (eg., barbiturates, phenytoin), bile acid sequestrants (eg., cholestyramine), and other vitamin D containing supplements.

Overdose and Missed Dose

• Overdose of Alphacalcidol + Elemental Calcium may result in hypercalcaemia, with symptoms including abdominal pain, excessive thirst, weakness, and confusion. If you suspect an overdose, it is important to seek immediate medical attention.

• If you miss a dose of this medicine, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Avoid doubling the dose to make up for a 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.

• Drinking plenty of water can help manage constipation and reduce the risk of kidney stones.

• Taking the medication with meals can help minimise gastrointestinal discomfort like nausea and abdominal pain.

Use in Driving and Operating Machinery

• This medicine does not have direct effects that impair driving or motor skills. However, individual responses can vary. Some people may experience side effects like dizziness or fatigue, which could affect their ability to drive safely. Avoid these activities if you experience dizziness or fatigue after taking this medication.

Use in Pregnancy and Lactation

• The use of Alphacalcidol + Elemental Calcium during pregnancy or lactation should be considered only if the potential benefits outweigh the risks. Always consult your doctor before using this medication during pregnancy and breastfeeding.

Caution in Other Conditions

• Caution should be exercised when using Alphacalcidol + Elemental Calcium in patients with impaired renal function due to the increased risk of hypercalcaemia and renal damage.

• It should also be used with caution in patients with a history of kidney stones or hypercalciuria.

Special Dietary and Lifestyle Recommendations

• Ensure a balanced diet rich in vitamin D and calcium to support bone health.

• Regular weight-bearing exercise like walking or weightlifting can help build and maintain strong bones.