Calcitriol/ Cholecalciferol + Elemental Calcium + Soya Isoflavones

Dosage Forms Available

• Calcitriol/ Cholecalciferol + Elemental Calcium + Soya Isoflavones can be taken orally, and it comes in various dosage forms. These forms include tablets, capsules, softgels, powders, and liquids.

Age and Dose Restrictions

• This combination is designed for use by adults and children. However, the suitability and dosing for children should always be determined by a doctor.
• There may be specific dosage adjustments or restrictions for elderly individuals due to potential changes in renal function.

Contraindications

• This medicine is contraindicated in patients with hypercalcemia (excess calcium in their blood) and malabsorption syndrome (a condition where nutrients are not properly absorbed from the diet).
• Patients who are hypersensitive or allergic to any component of this combination should refrain from using it.

Other Medications to Avoid

• Calcitriol/Cholecalciferol + Elemental Calcium + Soya Isoflavones can interact with bile acid sequestrants (such as cholestyramine), mineral oil, and lipase inhibitors (orlistat).
• Calcium can interfere with the absorption of bisphosphonates (like alendronate), fluoroquinolones (like ciprofloxacin), levothyroxine, and tetracyclines (like doxycycline).
• Soya Isoflavones may interact with estrogens (like ethinyl estradiol), selective estrogen receptor modulators (like tamoxifen), and blood-thinning medications (like warfarin).

Overdose and Missed Dose

• An overdose of this combination can lead to hypercalcemia, causing symptoms like fatigue, confusion, increased thirst and urination, and kidney failure. If you suspect an overdose, seek medical attention immediately.
• In case of a missed dose, take it as soon as you remember. However, if it is close to the time for your next dose, skip the missed dose and go back to your regular schedule. Do not double up on doses 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 alleviate constipation.
• If you experience stomach upset or nausea after taking this medication, try taking it with food.

Use in Driving and Operating Machinery

• There is no evidence to suggest that Calcitriol/ Cholecalciferol + Elemental Calcium + Soya Isoflavones affects your ability to drive or operate machinery.

Use in Pregnancy and Lactation

• This combination is generally considered safe for use during pregnancy and breastfeeding when used appropriately. However, excessive amounts can cause issues. Thus, always consult your doctor before using this combination when pregnant or breastfeeding.

Caution in Other Conditions

• Patients with hyperphosphatemia (high phosphate levels in the blood), renal insufficiency (poor kidney function), kidney stones, cardiovascular disease, sarcoidosis (an inflammatory disease), and lymphoma (a type of cancer) should use this medicine with caution.
• Individuals with soy allergies should avoid taking this combination as it contains Soya Isoflavones.

Special Dietary and Lifestyle Recommendations

• A diet rich in vitamin D can support the actions of this combination; foods like fatty fish, cheese, egg yolks, and fortified foods can be beneficial.
• Regular exposure to sunlight can also help your body produce vitamin D.
• Consuming a diet high in calcium-rich foods such as dairy products, leafy greens, and fortified foods can help maintain bone health.
• Regular weight-bearing exercise, such as walking, can help strengthen bones and reduce the risk of osteoporosis.
• Limiting intake of alcohol and quitting smoking can also support bone health.