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Drug-Drug Interactions
Drug-Drug Interactions
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Co-administration of Gemcal Capsule may lower the effectiveness of Patiromer calcium in binding potassium.
How to manage the interaction:
Although there is an interaction, Gemcal Capsule 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 Gemcal Capsule and Digoxin may increase the calcium levels may increase the effects of Digoxin
How to manage the interaction:
Although there is an interaction, Gemcal Capsule can be taken with Digoxin if prescribed by the doctor. Do not discontinue the medication without consulting a doctor.
Co-administration of Gemcal Capsule may interfere with the absorption of Raltegravir and reduce its effectiveness.
How to manage the interaction:
Taking Gemcal Capsule 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 Dolutegravir with Gemcal Capsule can reduce the effectiveness of dolutegravir.
How to manage the interaction:
Although there is an interaction, Gemcal Capsule can be taken with dolutegravir if prescribed by the doctor. However, dolutegravir and Gemcal Capsule 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 Gemcal Capsule may interfere with the absorption of Gefitinib and reduce its effectiveness.
How to manage the interaction:
Although there is an interaction, Gemcal Capsule can be taken with Gefitinib if prescribed by the doctor. However, Gefitinib and Gemcal Capsule 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 Gemcal Capsule with Ketoconazole may decrease the effects of Ketoconazole.
How to manage the interaction:
Although there is an interaction, Gemcal Capsule 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.
Coadministration of dolutegravir with Gemcal Capsule can reduce the efficacy of dolutegravir.
How to manage the interaction:
Although taking Dolutegravir and Gemcal Capsule together can possibly result in an interaction, they can be taken together if prescribed by your doctor. It is advised to take dolutegravir either two hours before or six hours after taking a dose of Gemcal Capsule. Do not discontinue using 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 Gemcal Capsule 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 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 Gemcal Capsule 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.
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 Gemcal Capsule 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.
Drug-Food Interactions
Drug-Food Interactions
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Spinach
How to manage the interaction:
Taking Gemcal Capsule with food containing oxalic acid (spinach or rhubarb) or phytic acid results in decreased absorption of Gemcal Capsule. It is advised to take Gemcal Capsule two hours before or after consumption of food containing oxalic acid or phytic acid.
Product Substitutes
शराब
Caution
शराब पीने से कैल्शियम अवशोषण प्रभावित हो सकता है; इसलिए जेमकल कैप्सूल 15's का उपयोग करते समय शराब का सेवन सीमित करने की सलाह दी जाती है।
गर्भावस्था
Caution
गर्भावस्था के दौरान, डॉक्टर की सलाह पर ही दैनिक आहार भत्ते से अधिक खुराक का उपयोग करें। अधिक खुराक में कैल्सीट्रियोल भ्रूण को नुकसान पहुंचा सकता है। आपका डॉक्टर जेमकल कैप्सूल 15's की सिफारिश करने से पहले संभावित जोखिमों और लाभों का मूल्यांकन करेगा।
स्तनपान
Caution
यदि आप स्तनपान करा रही हैं तो जेमकल कैप्सूल 15's लेने से पहले अपने डॉक्टर से सलाह लें। जेमकल कैप्सूल 15's स्तन के दूध में जा सकता है। यदि जेमकल कैप्सूल 15's का उपयोग स्तनपान के दौरान किया जाता है, तो कृपया माँ और शिशु के सीरम कैल्शियम के स्तर की निगरानी करें।
ड्राइविंग
Caution
कोई अंतःक्रिया नहीं पाई गई/स्थापित नहीं हुई।
जिगर
Caution
अगर आपको लिवर की बीमारियों का कोई इतिहास है तो जेमकल कैप्सूल 15's लेने से पहले अपने डॉक्टर को बताएँ। हेपेटिक दुर्बलता/लिवर रोग कुछ विटामिन डी रूपों की चयापचय और चिकित्सीय गतिविधि को बदल सकता है।
किडनी
Caution
यदि आपको गुर्दे की पथरी जैसी किडनी की बीमारी है या आप डायलिसिस करवा रहे हैं तो जेमकल कैप्सूल 15's शुरू करने से पहले डॉक्टर की सलाह लेने की सलाह दी जाती है। जेमकल कैप्सूल 15's में मौजूद कैल्सीट्रियोल सीरम में अकार्बनिक फॉस्फेट के स्तर को बढ़ाता है; इसलिए डायलिसिस करवाने वाले मरीजों को पर्याप्त फॉस्फोरस के स्तर को बनाए रखने और एक्टोपिक कैल्सीफिकेशन (कैल्शियम जमाव) से बचने के लिए सावधानी बरतनी चाहिए।
बच्चे
Caution
जेमकल कैप्सूल 15's का प्रयोग बच्चों में सावधानी के साथ किया जाना चाहिए तथा केवल तभी किया जाना चाहिए जब डॉक्टर द्वारा इसकी सिफारिश की गई हो।
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