Calcium Citrate Maleate + Magnesium Sulphate + Vitamin D3 (cholecalciferol) + Zinc Sulphate

Dosage Forms Available

• Calcium Citrate Maleate + Magnesium Sulphate + Vitamin D3 (Cholecalciferol) + Zinc Sulphate is available for oral use in various dosage forms, including tablets, capsules, effervescent granules, liquids, and powders. Each form is designed to facilitate ease of ingestion and to enhance the absorption of the nutrients contained within the medication.

Age and Dose Restrictions

• This medicine is meant for use in both adults and children. The appropriateness of the supplement for different age groups depends on the specific nutritional needs as determined by a doctor.

Contraindications

• This medicine is contraindicated in patients with severe renal disease or severe hypercalcemia.

• It is also contraindicated in individuals with malabsorption syndromes where nutrient absorption is impaired.

• Patients with hyperparathyroidism should avoid this medication.

Other Medications to Avoid

• This combination may interact with antibiotics (such as tetracyclines and quinolones), bisphosphonates (used for osteoporosis treatment like alendronate), diuretics (particularly thiazides), antacids containing aluminium or magnesium, thyroid hormones (like levothyroxine), and certain anticonvulsants (such as phenytoin).

Overdose and Missed Dose

• An overdose of this medication may lead to symptoms such as stomach discomfort, severe constipation, nausea, or signs of hypercalcemia like confusion and irregular heartbeats. If you suspect an overdose, it is important to seek medical attention immediately.

• If you miss a dose of this medicine, take it as soon as you remember unless it is almost time for your next dose. In that case, skip the missed dose and resume your normal dosing schedule. Do not double the dose to catch up.

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.

• Try taking this medicine with food to manage minor stomach upset or nausea.

• If experiencing constipation, consider increasing your intake of water and other fluids.

• For those experiencing a metallic taste, rinsing your mouth with water or consuming citrus-flavoured drinks may help mask the taste.

Use in Driving and Operating Machinery

• There is no evidence to suggest that Calcium Citrate Maleate + Magnesium Sulphate + Vitamin D3 (Cholecalciferol) + Zinc Sulphate impairs your ability to drive or operate machinery. However, individual reactions can vary so it is advisable to know how you react to the medication before engaging in such activities.

Use in Pregnancy and Lactation

• The use of this medicine during pregnancy and lactation should be approached with caution. It is advisable to consult your doctor before starting this medication if you are pregnant or breastfeeding to ensure it is safe for both you and your baby.

Caution in Other Conditions

• Patients with kidney disease or a history of kidney stones need to be cautious when using this medication due to its calcium and vitamin D content, which can affect stone formation.

• Individuals with a history of allergies to any component of this medicine should avoid its use.

Special Dietary and Lifestyle Recommendations

• Ensure adequate hydration by drinking plenty of fluids throughout the day to support kidney function while taking this supplement.

• Maintain a balanced fibre-rich diet to prevent constipation associated with calcium supplements.

• Regular weight-bearing exercises such as walking or jogging can help improve bone strength alongside taking this medication.

• Limit intake of caffeine and alcohol as they can interfere with the absorption of minerals.

• Smoking cessation is advised as smoking can further reduce bone density.