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निर्माता/मार्केटर :
वैल्यू फॉर्मूलेशन प्राइवेट लिमिटेड
उपभोग प्रकार :
मौखिक
वापसी नीति :
वापसी नहीं योग्य
Drug-Drug Interactions
Calcium carbonatePatiromer calcium
Severe
Severe
Drug-Drug Interactions
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Calcium carbonatePatiromer calcium
Severe
How does the drug interact with Grocal 500mg Tablet:
Co-administration of Grocal 500mg Tablet may lower the effectiveness of Patiromer calcium in binding potassium.
How to manage the interaction:
Although there is an interaction, Grocal 500mg Tablet can be taken with Patiromer calcium if prescribed by the doctor. Consult the prescriber if you experience symptoms such as metabolic alkalosis like nausea, vomiting, tremor, muscle twitching, lightheadedness, numbness or tingling, prolonged muscle spasms, slowed breathing, irregular heartbeat, and confusion. Do not discontinue the medication without a doctor's advice.
Co-administration of Grocal 500mg Tablet may lower the effectiveness of Patiromer calcium in binding potassium.
How to manage the interaction:
Although there is an interaction, Grocal 500mg Tablet can be taken with Patiromer calcium if prescribed by the doctor. Consult the prescriber if you experience symptoms such as metabolic alkalosis like nausea, vomiting, tremor, muscle twitching, lightheadedness, numbness or tingling, prolonged muscle spasms, slowed breathing, irregular heartbeat, and confusion. Do not discontinue the medication without a doctor's advice.
Severe
How does the drug interact with Grocal 500mg Tablet:
Co-administration of Grocal 500mg Tablet and Digoxin may increase the calcium levels may increase the effects of Digoxin
How to manage the interaction:
Although there is an interaction, Grocal 500mg Tablet can be taken with Digoxin if prescribed by the doctor. Do not discontinue the medication without consulting a doctor.
Co-administration of Grocal 500mg Tablet and Digoxin may increase the calcium levels may increase the effects of Digoxin
How to manage the interaction:
Although there is an interaction, Grocal 500mg Tablet can be taken with Digoxin if prescribed by the doctor. Do not discontinue the medication without consulting a doctor.
How does the drug interact with Grocal 500mg Tablet:
Co-administration of Grocal 500mg Tablet may interfere with the absorption of Raltegravir and reduce its effectiveness.
How to manage the interaction:
Taking Grocal 500mg Tablet with Raltegravir should be avoided. Consult the doctor if you have any concerns, the doctor may recommend alternatives that do not interact with raltegravir. Do not discontinue the medication without consulting a doctor.
Co-administration of Grocal 500mg Tablet may interfere with the absorption of Raltegravir and reduce its effectiveness.
How to manage the interaction:
Taking Grocal 500mg Tablet with Raltegravir should be avoided. Consult the doctor if you have any concerns, the doctor may recommend alternatives that do not interact with raltegravir. Do not discontinue the medication without consulting a doctor.
How does the drug interact with Grocal 500mg Tablet:
Co-administration of Dolutegravir with Grocal 500mg Tablet can reduce the effectiveness of dolutegravir.
How to manage the interaction:
Although there is an interaction, Grocal 500mg Tablet can be taken with dolutegravir if prescribed by the doctor. However, dolutegravir and Grocal 500mg Tablet should not be taken orally at the same time. Maintain a gap of 2-6 hours between both medicines. Do not discontinue using any medications without consulting a doctor.
Co-administration of Dolutegravir with Grocal 500mg Tablet can reduce the effectiveness of dolutegravir.
How to manage the interaction:
Although there is an interaction, Grocal 500mg Tablet can be taken with dolutegravir if prescribed by the doctor. However, dolutegravir and Grocal 500mg Tablet should not be taken orally at the same time. Maintain a gap of 2-6 hours between both medicines. Do not discontinue using any medications without consulting a doctor.
How does the drug interact with Grocal 500mg Tablet:
Co-administration of Grocal 500mg Tablet may interfere with the absorption of Gefitinib and reduce its effectiveness.
How to manage the interaction:
Although there is an interaction, Grocal 500mg Tablet can be taken with Gefitinib if prescribed by the doctor. However, Gefitinib and Grocal 500mg Tablet should not be taken orally at the same time. Maintain a gap of 2-6 hours between both medicines. Do not discontinue using any medications without consulting a doctor.
Co-administration of Grocal 500mg Tablet may interfere with the absorption of Gefitinib and reduce its effectiveness.
How to manage the interaction:
Although there is an interaction, Grocal 500mg Tablet can be taken with Gefitinib if prescribed by the doctor. However, Gefitinib and Grocal 500mg Tablet should not be taken orally at the same time. Maintain a gap of 2-6 hours between both medicines. Do not discontinue using any medications without consulting a doctor.
How does the drug interact with Grocal 500mg Tablet:
Co-administration of Grocal 500mg Tablet with Ketoconazole may decrease the effects of Ketoconazole.
How to manage the interaction:
Although there is an interaction, Grocal 500mg Tablet can be taken with Ketoconazole if prescribed by the doctor. However, maintain a gap of 2 or more hours between both medicines. Do not discontinue the medication without consulting a doctor.
Co-administration of Grocal 500mg Tablet with Ketoconazole may decrease the effects of Ketoconazole.
How to manage the interaction:
Although there is an interaction, Grocal 500mg Tablet can be taken with Ketoconazole if prescribed by the doctor. However, maintain a gap of 2 or more hours between both medicines. Do not discontinue the medication without consulting a doctor.
ColecalciferolDihydrotachysterol
Severe
How does the drug interact with Grocal 500mg Tablet:
Cholecalciferol and dihydrotachysterol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects.
How to manage the interaction:
Although there is a possible interaction between Grocal 500mg Tablet and dihydrotachysterol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - contact a doctor right away. Do not discontinue any medications without consulting a doctor.
Cholecalciferol and dihydrotachysterol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects.
How to manage the interaction:
Although there is a possible interaction between Grocal 500mg Tablet and dihydrotachysterol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - contact a doctor right away. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Grocal 500mg Tablet:
Cholecalciferol and doxercalciferol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects.
How to manage the interaction:
Although there is a possible interaction between Grocal 500mg Tablet and doxercalciferol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - make sure to call a doctor right away. Do not discontinue any medications without consulting a doctor.
Cholecalciferol and doxercalciferol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects.
How to manage the interaction:
Although there is a possible interaction between Grocal 500mg Tablet and doxercalciferol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - make sure to call a doctor right away. Do not discontinue any medications without consulting a doctor.
Severe
How does the drug interact with Grocal 500mg Tablet:
Co-administration of Cholecalciferol and Calcitriol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects.
How to manage the interaction:
Although there is a possible interaction between Grocal 500mg Tablet and calcitriol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - contact a doctor right away. Do not discontinue any medications without consulting a doctor.
Co-administration of Cholecalciferol and Calcitriol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects.
How to manage the interaction:
Although there is a possible interaction between Grocal 500mg Tablet and calcitriol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - contact a doctor right away. Do not discontinue any medications without consulting a doctor.
ColecalciferolParicalcitol
Severe
How does the drug interact with Grocal 500mg Tablet:
The combined use of cholecalciferol and paricalcitol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects.
How to manage the interaction:
Although there is a possible interaction between Grocal 500mg Tablet and paricalcitol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - contact a doctor right away. Do not discontinue any medications without consulting a doctor.
The combined use of cholecalciferol and paricalcitol are forms of vitamin D, and taking too much vitamin D may lead to toxic effects.
How to manage the interaction:
Although there is a possible interaction between Grocal 500mg Tablet and paricalcitol, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, dry mouth, strange taste in your mouth, muscle or bone pain, thirst, losing weight, eye infection, sensitivity to light, runny nose or itching - contact a doctor right away. Do not discontinue any medications without consulting a doctor.
Drug-Food Interactions
CALCIUM CARBONATE-1250MG+CHOLECALCIFEROL-250IUFiber rich foods
Moderate
Drug-Food Interactions
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CALCIUM CARBONATE-1250MG+CHOLECALCIFEROL-250IUFiber rich foods
Moderate
Common Foods to Avoid:
Spinach
How to manage the interaction:
Taking Calcium carbonate and Colecalciferol with food containing oxalic acid (e.g., spinach) or phytic acid (e.g., whole grains) can decrease the absorption of Calcium carbonate and Colecalciferol. It is advised to take Calcium carbonate and Colecalciferol 2 hours after or before consumption of food containing oxalic acid or phytic acid.
Spinach
How to manage the interaction:
Taking Calcium carbonate and Colecalciferol with food containing oxalic acid (e.g., spinach) or phytic acid (e.g., whole grains) can decrease the absorption of Calcium carbonate and Colecalciferol. It is advised to take Calcium carbonate and Colecalciferol 2 hours after or before consumption of food containing oxalic acid or phytic acid.
Product Substitutes
शराब
सावधानी
शराब पीने से कैल्शियम के अवशोषण पर असर पड़ सकता है; इसलिए ग्रोकल 500एमजी टैबलेट का उपयोग करते समय शराब का सेवन सीमित करने की सलाह दी जाती है।
गर्भावस्था
सावधानी
गर्भावस्था के दौरान, डॉक्टर की सलाह पर ही दैनिक आहार भत्ते से अधिक मात्रा में ग्रोकल 500एमजी टैबलेट का उपयोग करें। अधिक मात्रा में कैल्सीट्रिऑल भ्रूण को नुकसान पहुंचा सकता है। आपका डॉक्टर ग्रोकल 500एमजी टैबलेट předepisující पहले संभावित जोखिमों और लाभों का वजन करेगा।
स्तनपान
सावधानी
अगर आप स्तनपान करा रही हैं तो ग्रोकल 500एमजी टैबलेट लेने से पहले अपने डॉक्टर से सलाह लें। ग्रोकल 500एमजी टैबलेट स्तन के दूध में जा सकता है। अगर स्तनपान के दौरान ग्रोकल 500एमजी टैबलेट का उपयोग किया जाता है, तो कृपया माँ और शिशु के सीरम कैल्शियम के स्तर की निगरानी करें।
ड्राइविंग
सावधानी
कोई इंटरैक्शन नहीं मिला/स्थापित नहीं हुआ
जिगर
सावधानी
ग्रोकल 500एमजी टैबलेट लेने से पहले अगर आपको लिवर से जुड़ी कोई बीमारी रही है तो अपने डॉक्टर को बताएं। हेपेटिक दुर्बलता/लिवर की बीमारी कुछ विटामिन डी रूपों की चयापचय और चिकित्सीय गतिविधि को बदल सकती है।
गुर्दा
सावधानी
यह सलाह दी जाती है कि अगर आपको गुर्दे की पथरी जैसी किडनी की बीमारियाँ हैं या डायलिसिस चल रहा है, तो ग्रोकल 500एमजी टैबलेट शुरू करने से पहले डॉक्टर की सलाह लें। ग्रोकल 500एमजी टैबलेट में कैल्सीट्रिऑल सीरम में अकार्बनिक फॉस्फेट के स्तर को बढ़ाता है; इसलिए डायलिसिस के दौर से गुजर रहे मरीजों में पर्याप्त फास्फोरस के स्तर को बनाए रखने और एक्टोपिक कैल्सिफिकेशन (कैल्शियम जमाव) से बचने के लिए सावधानी बरतनी चाहिए।
बच्चे
सावधानी
बच्चों में ग्रोकल 500एमजी टैबलेट का उपयोग सावधानी के साथ और केवल डॉक्टर द्वारा निर्धारित किए जाने पर ही किया जाना चाहिए।
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