Calcitriol/ Cholecalciferol + Elemental Calcium

Dosage Forms Available

• Calcitriol/ Cholecalciferol + Elemental Calcium is available for oral use in the form of tablets and capsules.

• For patients with difficulty in oral administration, this combination can be administered intravenously as a solution.

Age and Dose Restrictions

• This combination is primarily meant for adult patients and children above 12 years of age.

Contraindications

• This combination is contraindicated in patients with known hypercalcemia or hypercalciuria (high calcium levels in blood or urine).

• Patients with malabsorption syndromes affecting vitamin D and calcium absorption are advised not to take this medicine.

Other Medications to Avoid

• Calcitriol/ Cholecalciferol + Elemental Calcium may interact with thiazide diuretics (such as hydrochlorothiazide), cardiac glycosides (e.g., digoxin), corticosteroids (like prednisone) and antibiotics (like quinolones and tetracyclines).

Overdose and Missed Dose

• An overdose of this combination may cause symptoms of hypercalcemia such as fatigue, mental confusion, and muscle weakness. If you observe these symptoms, inform your doctor immediately.

• If you miss a dose of this medication, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed one and continue with your regular schedule.

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.

• If you experience nausea or vomiting, consider taking your medication with meals.

• For constipation, try to maintain a high-fibre diet and drink plenty of fluids.

Use in Driving and Operating Machinery

• This combination does not typically affect your ability to drive or operate heavy machinery. However, if you feel dizzy or fatigued after taking this medication, it is advised to avoid such activities.

Use in Pregnancy and Lactation

• The use of the Calcitriol/ Cholecalciferol + Elemental Calcium combination during pregnancy and lactation should be done only under medical supervision. Consult your doctor before using this medicine in these conditions.

Caution in Other Conditions

• Patients with kidney disease or heart problems should exercise caution when taking this combination.

• Also, patients who have high calcium or vitamin D levels should use this combination with caution.

Special Dietary and Lifestyle Recommendations

• Ensure adequate intake of dietary calcium through dairy products, green leafy vegetables, fish, nuts etc.

• Avoid intake of foods high in phosphorus like soft drinks and processed food as it can inhibit calcium absorption.