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

Dosage Forms Available

• Elemental Calcium + Elemental Magnesium + Elemental Zinc + Vitamin D3 (Cholecalciferol) is commonly available as tablets or capsules for oral administration.

• This combination can also be found as a powder form which is meant for oral intake.

Age and Dose Restrictions

• This combination is primarily intended for adults.

• It may also be given to children above the age of 12, under strict doctor's supervision.

Contraindications

• The use of Elemental Calcium + Elemental Magnesium + Elemental Zinc + Vitamin D3 (Cholecalciferol) is contraindicated in individuals with hypercalcemia (high blood calcium levels).

• It should also not be taken by those with kidney diseases and those with high blood magnesium levels (hypermagnesemia).

Other Medications to Avoid

• Elemental Calcium + Elemental Magnesium + Elemental Zinc + Vitamin D3 (Cholecalciferol) can interact with blood pressure-lowering medicines (such as amlodipine, losartan), diuretics (such as furosemide, hydrochlorothiazide), bisphosphonates (such as alendronate, risedronate) and thyroid medications (such as levothyroxine). It may also interact with certain antibiotics (such as tetracycline, ciprofloxacin), antacids (such as aluminum hydroxide, magnesium trisilicate), and corticosteroids (such as prednisone, dexamethasone).

Overdose and Missed Dose

• An overdose of this combination can cause symptoms like nausea, vomiting, diarrhoea, constipation, fatigue, confusion, kidney problems, muscle weakness, difficulty breathing and irregular heartbeat. Inform your doctor immediately if you have taken more than the recommended dosage.

• If you miss a dose, take it as soon as you remember. If it is close to the time for your next dose, skip the missed dose and go back to your normal time. Do not take extra doses or double doses to make up for a missed dose.

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.

• For symptoms like nausea or diarrhoea, ensure adequate hydration by drinking plenty of water.

• In case of constipation, consider increasing your intake of fibres in your diet.

• If you experience fatigue or confusion, try to rest and avoid tasks that require mental alertness until symptoms subside.

Use in Driving and Operating Machinery

• This combination does not usually affect your ability to drive or operate machinery. However, if you feel drowsy or dizzy after taking it, refrain from driving or operating heavy machinery.

Use in Pregnancy and Lactation

• The safe use of Elemental Calcium + Elemental Magnesium + Elemental Zinc + Vitamin D3 (Cholecalciferol) during pregnancy and lactation has not been fully established. Therefore, it is advised to consult your doctor before taking this combination during these periods.

Caution in Other Conditions

• The use of this medicine during pregnancy or breastfeeding is not recommended without a doctor's advice. It is best to consult your doctor before taking this medication if you are pregnant or nursing.

Special Dietary and Lifestyle Recommendations

• To support bone health, consider a diet rich in calcium and vitamin D. Dairy products, leafy green vegetables, and fish such as salmon and herring are good sources.

• Regular weight-bearing exercise like walking or weight training can help maintain strong bones.

• Adequate zinc intake is important for the immune system. Meats, shellfish, legumes and seeds are good dietary sources.

• Balancing calcium intake with magnesium is key as they work together for many bodily functions. Foods rich in magnesium include whole grains, nuts and green leafy vegetables.