Calcitriol/ Cholecalciferol + Elemental Calcium + Phosphorus

Dosage Forms Available

• Calcitriol / Cholecalciferol + Elemental Calcium + Phosphorus is available in the form of tablets, powder and capsules. These are taken orally.

Age and Dose Restrictions

• This combination is mainly used in adults of age above 18 years.

Contraindications

• The combination of Calcitriol / Cholecalciferol + Elemental Calcium + Phosphorus is contraindicated in individuals with hypercalcemia, a condition characterised by excessively high levels of calcium in the blood.
• It should also be avoided in individuals with severe kidney disease, as these patients may have trouble eliminating excess calcium and phosphorus from their bodies.

Other Medications to Avoid

• This combination may interact with antibiotics (such as tetracycline and ciprofloxacin), bisphosphonates (like alendronate and risedronate) and thyroid hormones (including levothyroxine).

Overdose and Missed Dose

• In case of an overdose, symptoms could include fatigue, confusion, constipation, and kidney problems due to hypercalcemia. If you notice any of these symptoms after taking the medicine, please inform your doctor immediately.
• If you have missed a dose of this medication, take it as soon as you remember. However, if it is nearly time for your next dose, skip the missed dose and continue with your regular dosing 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.

• Drinking plenty of water may help to manage side effects such as constipation.
• Taking the medication with food can reduce the possibility of stomach upset.

Use in Driving and Operating Machinery

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

Use in Pregnancy and Lactation

• Adequate calcium and vitamin D intake is essential during pregnancy and lactation to support the mother's and baby's bone health. However, high doses should be avoided unless specifically recommended by a doctor.

Caution in Other Conditions

• Patients with kidney diseases should exercise caution when taking this combination due to potential risk of hypercalcemia and hyperphosphatemia.
• Individuals with certain rare genetic disorders affecting vitamin D metabolism should also use this combination with caution.

Special Dietary and Lifestyle Recommendations

• Limit intake of foods high in phosphorus, such as red meat, dairy products, and processed foods.
• Regular check-ups are recommended to monitor serum calcium, phosphorus, and vitamin D levels.