Calcium Citrate + Elemental Magnesium + Elemental Zinc + Vitamin D3 (cholecalciferol)

Dosage Forms Available

• The combination of Calcium Citrate + Elemental Magnesium + Elemental Zinc + Vitamin D3 (Cholecalciferol) can be taken orally (tablet and capsule).

Age and Dose Restrictions

• This combination is meant for adults and children over the age of 12 years.

Contraindications

• The medicine is contraindicated in patients with known allergies to Calcium Citrate, Elemental Magnesium, Elemental Zinc or Vitamin D3 (Cholecalciferol). It is also contraindicated in individuals with hypercalcemia or severe kidney disease.

Other Medications to Avoid

• This combination may interact with tetracycline antibiotics (such as doxycycline and minocycline), thyroid medications (such as levothyroxine and liothyronine), diuretics (like furosemide and hydrochlorothiazide), and bisphosphonates (such as alendronate and risedronate).

Overdose and Missed Dose

• An overdose of this combination may cause symptoms such as fatigue, loss of appetite, dry mouth, and frequent urination. If you observe these symptoms after taking a higher dose, inform your doctor immediately.

• If you forget to take a dose, take it as soon as you remember. However, if it is close to the time for your next dose, skip the missed dose. Do not 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.

• To manage constipation or bloating, try to take the medicine with meals and increase your liquid intake.

• If you feel nauseous after taking the medicine, try taking it with food.

Use in Driving and Operating Machinery

• This combination does not usually affect the ability to drive or operate heavy machinery. However, if you feel dizzy or sleepy after taking this medicine, avoid driving or operating machinery until these effects pass.

Use in Pregnancy and Lactation

• It is essential to consult your doctor before using this combination during pregnancy and breastfeeding.

Caution in Other Conditions

• Caution should be taken in patients with kidney disease or heart disease as they may be more susceptible to the effects of high levels of calcium.

• Special consideration should be given to individuals with gastrointestinal disorders as some components of this medicine can have a laxative effect.

Special Dietary and Lifestyle Recommendations

• To support bone health, consider a diet rich in calcium-containing foods such as dairy products, green leafy vegetables, and fish with edible bones.