Calcium Citrate + Folic Acid + Vitamin D3 (cholecalciferol)

Dosage Forms Available

• Calcium Citrate + Folic Acid + Vitamin D3 (Cholecalciferol) is available for oral administration in the form of tablets and capsules.

Age and Dose Restrictions

• This combination is typically prescribed for adults. It can also be given to children if prescribed by a doctor.

Contraindications

• Calcium Citrate + Folic Acid + Vitamin D3 (Cholecalciferol) is contraindicated in patients with severe hypercalcaemia or hypercalciuria.

• This combination should not be taken by patients with known hypersensitivity to any of the components.

• It is also contraindicated in patients with severe kidney failure, unless they are on dialysis.

Other Medications to Avoid

• This combination may interact with thyroid hormones (such as levothyroxine), antibiotics (like fluoroquinolones and tetracyclines), heart medications (including thiazide diuretics and lithium), and seizure medications (such as phenytoin, phenobarbital, and primidone).

Overdose and Missed Dose

• If you take an overdose of this combination, you may experience symptoms such as constipation, nausea, stomach upset, and fatigue. In severe cases, it can cause hypercalcaemia, kidney stones, and allergic reactions. If you suspect an overdose, seek medical attention immediately.

• If you miss a dose of this combination, take it as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take your next dose at the scheduled time. Do not double up to make up for the missed dose.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this combination. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

• If you experience constipation or flatulence, increase your fluid and fibre intake.

• Taking the medicine with food can help manage nausea and stomach upset.

Use in Driving and Operating Machinery

• This medication does not usually affect your ability to drive or operate machinery. However, if you feel drowsy or dizzy after taking this medicine, avoid driving or operating heavy machinery.

Use in Pregnancy and Lactation

• Calcium Citrate + Folic Acid + Vitamin D3 (Cholecalciferol) is commonly prescribed to pregnant women for preventing neural tube defects during pregnancy. However, always consult your doctor for appropriate dosing during pregnancy and lactation.

Caution in Other Conditions

• Caution is advised for patients with a history of kidney stones or other kidney disorders when using this combination.

• Individuals with sarcoidosis or lymphoma should use this combination under close medical supervision due to potential increases in calcium levels.

Special Dietary and Lifestyle Recommendations

• Ensure a balanced diet, including dairy products, leafy greens, and adequate sunlight exposure to maintain sufficient calcium, folate, and vitamin D levels.

• Increase fluid intake to prevent constipation.

• Regular testing for vitamin D levels is recommended to monitor the supplementation.

• Limit intake of foods high in phosphate, which can interfere with calcium absorption.