Calcitriol/ Cholecalciferol + Calcium Citrate

Dosage Forms Available

• Calcitriol/ Cholecalciferol + Calcium Citrate is available for use via oral route in the form of tablets, capsules, effervescent tablets, powders for oral solution, and liquid suspensions or drops.

Age and Dose Restrictions

• This combination is primarily meant for adults. However, it can also be given to children, but under specific circumstances and with careful dose adjustment.

Contraindications

• This medicine is contraindicated in patients with known allergies to calcitriol, cholecalciferol or calcium citrate.
• It is also contraindicated in patients with hypervitaminosis D and hypercalcemia.

Other Medications to Avoid

• Calcitriol/ Cholecalciferol + Calcium Citrate may interact with thiazide diuretics (such as hydrochlorothiazide), digitalis glycosides (like digoxin), corticosteroids (for example, prednisone), and antacids containing magnesium.
• Before starting any prescription or over-the-counter medications, it is crucial to consult a doctor.

Overdose and Missed Dose

• Overdosing on Calcitriol/ Cholecalciferol + Calcium Citrate may cause symptoms such as fatigue, confusion, kidney problems due to high levels of calcium in the blood. If you suspect an overdose, inform your doctor immediately.
• If you forget to take this medicine, take it as soon as you remember. However, if it's close to the time for the next dose, skip the missed one. Do not double the 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 symptoms, please consult your doctor.

• Drinking plenty of fluids can help manage gastrointestinal side effects such as constipation and nausea.
• Regular monitoring of calcium levels can help detect and manage hypercalcemia (high blood calcium levels) and hypercalciuria (increased urinary calcium excretion).

Use in Driving and Operating Machinery

• Calcitriol/ Cholecalciferol + Calcium Citrate does not usually affect the ability to drive or operate heavy machinery. However, if you happen to feel dizzy or sleepy after taking this medication, avoid these activities.

Use in Pregnancy and Lactation

• It is advised to consult your doctor before using this medicine during pregnancy and while breastfeeding.

Caution in Other Conditions

• Patients with kidney or liver conditions should exercise caution when taking this medicine due to altered metabolism of vitamin D and calcium. Frequent monitoring of calcium levels is required in these cases.

Special Dietary and Lifestyle Recommendations

• Ensure a diet rich in vitamin D and calcium to complement the action of this medicine. Good sources include dairy products, fatty fish, soy products, green leafy vegetables, grains and cereals.
• Regular weight-bearing exercises like walking, jogging, or resistance exercises can help strengthen bones.
• Limit intake of alcohol and avoid smoking as they can affect bone health negatively.