Calcitriol/ Cholecalciferol + Elemental Calcium + Vitamin K / Phytonadione

Dosage Forms Available

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

Age and Dose Restrictions

• This medicine is suitable for adults and children above the age of 12 years.

Contraindications

• This combination is contraindicated in patients with known allergies to any of its constituents.

• Patients with pre-existing hypercalcemia, hypervitaminosis D, or hyperparathyroidism should avoid taking this medicine.

Other Medications to Avoid

• This combination may interact with thiazide diuretics (such as hydrochlorothiazide), bisphosphonates (like alendronate and ibandronate), certain antibiotics (including ciprofloxacin and tetracycline) and anticoagulants (like warfarin).

Overdose and Missed Dose

• Overdose of this medicine may lead to symptoms like nausea, vomiting, constipation, confusion, and kidney stones. If you observe any of these symptoms, inform your doctor immediately.

• If you miss a dose, take it as soon as you remember. However, if it is nearly time for the next dose, skip the missed dose. Never double the dose to make up for the 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.

• Increasing fluid intake can help manage constipation.

• If you experience nausea, taking this medicine with a meal can help.

Use in Driving and Operating Machinery

• As this medicine may cause dizziness or confusion as a side effect, it may affect your ability to drive or operate heavy machinery. It is advisable to avoid driving or using heavy machinery if you experience any such symptoms.

Use in Pregnancy and Lactation

• Pregnant and breastfeeding women should consult their doctor before taking this medicine.

Caution in Other Conditions

• Patients with kidney disease should exercise caution when taking this medicine as impaired renal function can affect the metabolism and excretion of these nutrients.

• Also, patients with a history of kidney stones should use this medicine only under strict medical supervision.

Special Dietary and Lifestyle Recommendations

• Regular intake of calcium-rich foods like milk, cheese, and green leafy vegetables can support bone health.

• Regular exposure to sunlight can help in the synthesis of vitamin D.