Calcitriol/ Cholecalciferol + Elemental Calcium + Vitamin K2 / Menaquinone

Dosage Forms Available

• Calcitriol/ Cholecalciferol + Elemental Calcium + Vitamin K2 / Menaquinone is available for oral use in the forms of tablets, liquids, chewable tablets, and soft gel capsules.

Age and Dose Restrictions

• This medicine is primarily meant for adults. It can also be given to children to prevent and treat rickets, but only under the supervision of a doctor.

Contraindications

• This combination should not be taken by patients with hypercalcaemia or hypervitaminosis D, severe kidney disease or kidney stones, and malabsorption syndromes affecting calcium and vitamin D absorption.

Other Medications to Avoid

• Calcitriol/ Cholecalciferol + Elemental Calcium + Vitamin K2 / Menaquinone may interact with thiazide diuretics (such as hydrochlorothiazide), Digoxin, anticonvulsants (like phenytoin, phenobarbital), cholestyramine, and mineral oil.

Overdose and Missed Dose

• Overdose of this medication may cause hypercalcemia. Symptoms include confusion, fatigue, and increased urination. If you observe these symptoms, inform your doctor immediately.

• If you forget to take a dose of this medication, take it as soon as you remember. If it is close to your next dose, skip the missed dose and continue 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 severe side effects or worsening symptoms, please consult your doctor.

• Constipation can be managed by staying hydrated and eating fibre-rich foods.

• For headaches and fatigue, ensure you get enough rest.

Use in Driving and Operating Machinery

• There are no specific restrictions on driving or operating machinery while taking this medicine. However, if you experience side effects such as dizziness or fatigue, avoid these activities.

Use in Pregnancy and Lactation

• Calcitriol/ Cholecalciferol + Elemental Calcium + Vitamin K2 / Menaquinone is generally considered safe for pregnant and breastfeeding women when used at recommended dosages. However, it is essential to consult a doctor before use to ensure proper dosing and to avoid potential interactions or excessive intake.

Caution in Other Conditions

• Patients with kidney disease should exercise caution when taking this medicine. Regular monitoring of blood calcium and vitamin D levels is advised.

Special Dietary and Lifestyle Recommendations

• Try to include enough vitamin D and calcium-rich foods in your diet. Foods rich in calcium include dairy products, leafy green vegetables, fish such as salmon and sardines, and fortified foods.

• Regular sun exposure can also help your body produce vitamin D naturally. Aim for at least 15-20 minutes of sunlight exposure daily on your face and arms.

• Avoid excessive intake of alcohol and caffeinated drinks as they might interfere with the absorption of calcium.

• Quit smoking if you are a smoker, as smoking can reduce bone density.