Boron + Calcitriol/ Cholecalciferol + Calcium Carbonate + Dha / Docosahexaenoic Acid + Epa / Eicosapentaenoic Acid + Folic Acid + Methylcobalamin

Dosage Forms Available

• Boron + Calcitriol/ Cholecalciferol + Calcium Carbonate + DHA / Docosahexaenoic Acid + EPA / Eicosapentaenoic Acid + Folic Acid + Methylcobalamin is available in oral forms, such as tablets, capsules, syrup/liquid and granules/powder.

• This combination is taken by mouth.

Age and Dose Restrictions

• This combination is meant for use by adults and children, typically above the age of 12 years.

Contraindications

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

• It is also contraindicated in those with hypercalcaemia or vitamin D toxicity due to the risk of exacerbating these conditions.

Other Medications to Avoid

• Boron + Calcitriol/ Cholecalciferol + Calcium Carbonate + DHA / Docosahexaenoic Acid + EPA / Eicosapentaenoic Acid + Folic Acid + Methylcobalamin may interact with antacids (such as aluminium hydroxide and magnesium hydroxide), weight loss aids (orlistat), and cholestyramine (used to lower cholesterol levels).

• These interactions can affect the absorption and effectiveness of the vitamins and minerals in this combination.

Overdose and Missed Dose

• An overdose of this combination may lead to symptoms such as nausea, vomiting, constipation, muscle weakness, confusion, and in severe cases, kidney stones or renal dysfunction. If you suspect an overdose, it is crucial to seek medical attention immediately.

• 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. Do not take a double dose to make up for a forgotten dose.

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.

• To manage minor nausea or stomach upset, try taking this medicine with food or after meals.

• If experiencing constipation, increasing water intake may help alleviate this issue.

Use in Driving and Operating Machinery

• This medication does not typically affect your ability to drive or operate machinery. However, individual responses can vary, and it is important to know how you react to this medication before engaging in such activities.

Use in Pregnancy and Lactation

• Consultation with a doctor is advised before using this combination during pregnancy or while breastfeeding.

Caution in Other Conditions

• Caution is advised when using this medicine in patients with renal impairment or diseases affecting nutrient absorption such as Crohn’s disease or celiac disease. These conditions may alter the metabolism and effectiveness of the nutrients contained within the medicine.

• Individuals with a history of kidney stones should use this medicine cautiously due to the calcium content.

Special Dietary and Lifestyle Recommendations

• To support bone health, include dietary sources rich in vitamin K such as green leafy vegetables along with regular calcium intake.

• Incorporate sources of omega-3 fatty acids in your diet like fish or flaxseeds which can help manage cardiovascular health.

• Engage in regular weight-bearing exercises like walking or jogging which are beneficial for maintaining strong bones.

• Avoid smoking and limit alcohol consumption as these can adversely affect bone density and overall nutrient absorption.

• For those managing anaemia or neurological health with this supplement, ensure adequate intake of Vitamin B12-rich foods like dairy products, eggs, and meat if not vegan; if vegan, fortified cereals or supplements might be necessary.