Calcium Citrate Maleate + Vitamin D3 (cholecalciferol)

Dosage Forms Available

Calcium Citrate Maleate + Vitamin D3 (Cholecalciferol) is available in numerous formulations designed to accommodate various preferences and needs. These include:

• Tablets and caplets for oral use, which are swallowed

• Soft gel capsules

• Chewable tablets offer a potentially more palatable option

• Effervescent powders and tablets that dissolve in water to form a drinkable solution

• Liquid formulations and suspensions are suitable for those who may have difficulty with solid forms

Age and Dose Restrictions

• This combination is formulated for use by adults and children. The safety and efficacy extend across various age groups, making it a versatile option for managing calcium and vitamin D levels in the body. However, always consult your doctor to determine the appropriate dosage.

Contraindications

• This medicine is contraindicated in individuals with hypercalcaemia (elevated calcium levels in the blood), malignancy-induced hypercalcaemia, and hypervitaminosis D (excessive amounts of vitamin D in the body).

• It is also not recommended for use in individuals with hypercalciuria, kidney stones, or decreased kidney function.

• Hypersensitivity to any of the ingredients present in the formulation also serves as a contraindication.

Other Medications to Avoid

• This combination may interact with tetracycline and quinolone antibiotics (such as doxycycline and ciprofloxacin), thyroid hormones (like levothyroxine), seizure medications (including phenytoin), corticosteroids (like prednisone), and bone resorption inhibitors (such as bisphosphonates).

• Thiazide diuretics (including hydrochlorothiazide and chlorthalidone) may increase the risk of hypercalcemia when taken with this medication.

Overdose and Missed Dose

• An overdose of Calcium Citrate Maleate + Vitamin D3 (Cholecalciferol) may lead to symptoms like excessive thirst, frequent urination, constipation, nausea, vomiting, muscle weakness, or confusion. Immediate medical attention is advised if overdose symptoms occur.

• If a dose is missed, it should be taken as soon as remembered. However, if it is nearly time for the next dose, the missed dose should be skipped to avoid doubling 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.

• To manage gastrointestinal discomforts such as constipation or bloating, consider increasing dietary fiber intake and drinking plenty of fluids.

• If experiencing dry mouth or a metallic taste, sipping water frequently or chewing sugar-free gum may help alleviate discomfort.

Use in Driving and Operating Machinery

• There are no specific warnings against driving or operating machinery when taking Calcium Citrate Maleate + Vitamin D3 (Cholecalciferol); however, if you experience dizziness or severe headaches as side effects, it would be prudent to avoid such activities until these symptoms subside.

Use in Pregnancy and Lactation

• While Calcium Citrate Maleate + Vitamin D3 (Cholecalciferol) is generally considered safe during pregnancy and breastfeeding, it is always recommended to consult your doctor before commencing any new medication during these periods to ensure safety for both mother and child.

Caution in Other Conditions

• Individuals with hyperparathyroidism or malabsorption syndromes need to use this medicine cautiously.

• Those with sarcoidosis should also be cautious since vitamin D can exacerbate calcium metabolism disorders in this condition.

Special Dietary and Lifestyle Recommendations

• To enhance the effectiveness of Calcium Citrate Maleate + Vitamin D3 (Cholecalciferol), maintain a balanced diet rich in natural sources of calcium such as dairy products, green leafy vegetables, and fish.

• Regular exercise, particularly weight-bearing activities such as walking or jogging, can help strengthen bones and improve overall health.

• Reducing sodium intake can aid calcium retention in the body.

• Limit caffeine consumption as it can interfere with calcium absorption.