D3 TABLET belongs to the class of ‘Multi-minerals’ primarily used to treat low blood calcium levels. D3 TABLET effectively treats various conditions caused by low calcium levels in the body, such as osteoporosis (weak and brittle bones), osteomalacia/rickets (weak bones), hypoparathyroidism (low levels of parathyroid hormone) and latent tetany (a muscle disease with low blood calcium levels). D3 TABLET can also be given to pregnant, nursing, and postmenopausal women to ensure that they are getting enough calcium.
D3 TABLET consists of two medicines, namely: Calcium carbonate(mineral) and Cholecalciferol(Vitamin D3). Calcium carbonate is a mineral that is used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation and maintenance. Cholecalciferol(Vitamin D3) is used in the absorption of calcium in the blood. Which helps in the processing of essential minerals in the body like Calcium and Phosphorus. Lack of Vitamin D3 results in bone weakening, bone pain, and skin diseases.
Take D3 TABLET as prescribed by your doctor. You are advised to take D3 TABLET for as long as your doctor has prescribed it for you depending on your medical condition. In some cases, D3 TABLET can cause side effects like constipation or stomach upset, nausea, vomiting, loss of appetite, mood changes, weakness, tiredness, fast or pounding heartbeat, bone/muscle pain, and headache. Most of these side effects of D3 TABLET do not require medical attention and gradually resolve over time. However, if these side effects persist longer, please consult your doctor.
If you are known to be allergic to D3 TABLET or its inactive components, please inform your doctor. Pregnant or breastfeeding women should consult their doctor before taking D3 TABLET. Higher doses of Vitamin D than the recommended daily dose should be used in pregnant women only when advised by the doctor. D3 TABLET may pass into the breast milk, hence breastfeeding mothers need to seek medical advice before starting D3 TABLET. Do not take D3 TABLET if you have hypercalcemia (high calcium levels), hypervitaminosis D (high vitamin D levels), and malabsorption syndrome (difficulty absorbing nutrition from food).
Osteoporosis, Postmenopausal osteoporosis Osteomalacia, Rickets, Calcium deficiency, Hypoparathyroidism
D3 TABLET is a combination of three drugs, namely; Calcium carbonate(mineral), Cholecalciferol(Vitamin D3) used to treat low blood calcium levels and various associated conditions caused by low calcium levels in the body, such as osteoporosis (weak and brittle bones), osteomalacia/rickets (weak bones), hypoparathyroidism (low levels of parathyroid hormone) and tetany (a muscle disease with low blood calcium levels). Calcium carbonate is a mineral and prevents or treats calcium deficiency. It helps to maintain bone and teeth health. Cholecalciferol(Vitamin D3) treats calcium deficiency with hypoparathyroidism (the parathyroid glands' decreased activity) and metabolic bone diseases in people with chronic kidney failure.
If you are known to be allergic to D3 TABLET or any other medicines, please tell your doctor. If you are pregnant or planning to become pregnant, it is advised to inform your doctor before using D3 TABLET. Higher doses of Vitamin D than the recommended daily dose should be used in pregnant women only when advised by the doctor. Cholecalciferol in higher doses may harm the foetus. D3 TABLET may pass into the breast milk, hence consult your doctor before taking D3 TABLET if you are a breastfeeding mother. D3 TABLET should be used with caution in children and only if prescribed by a doctor. Cholecalciferol in D3 TABLET can affect growth in children. Inform your doctor if your child is not growing at a normal rate while using D3 TABLET. D3 TABLET is not recommended if you have hypercalcemia (high calcium levels), metastatic calcification (extra deposits of calcium in the body), hypervitaminosis D (high vitamin D levels), and malabsorption syndrome (difficulty absorbing nutrition from food). Inform your doctor before taking D3 TABLET if you have any heart/kidney/liver/blood vessel diseases, kidney stones, sarcoidosis (growth of inflammatory cells in different parts of the body), Crohn's disease (inflammatory bowel disease), Whipple's disease (bacterial infection affecting joints and digestive system), achlorhydria (little or no stomach acid), low levels of bile, and phosphate imbalance. D3 TABLET contains sugar or sorbitol; hence caution should be taken to have an intolerance to sugars, diabetes, and phenylketonuria (increased levels of an amino acid called phenylalanine).
Drug-Drug Interactions: D3 TABLET may interact with calcium supplements (ergocalciferol, calcitriol), drugs treating bone loss (alendronate), diuretics (bendroflumethiazide, chlortalidone, indapamide), a drug used to treat heart disease (digoxin), antacids (magnesium hydroxide), steroid medicines (hydrocortisone, prednisolone, dexamethasone), central nervous system stimulants (dextroamphetamine, amphetamine), anti-depressants (duloxetine), minerals (ferrous sulfate), anti-ulcer drugs (ranitidine), synthetic thyroid hormone (levothyroxine), painkillers (aspirin), anti-clotting drugs (anisindione, dicumarol, warfarin), drugs treating high cholesterol levels (cholestyramine, colesevelam, colestipol), and drugs that treat high blood phosphorus levels (sevelamer), antibiotics (tetracycline, doxycycline, minocycline), quinolone antibiotics (ciprofloxacin, levofloxacin), weight-loss drugs (orlistat), and anti-cancer medication (estramustine).
Drug-Food Interactions: Avoid or reduce the intake of caffeine, soft drinks, and alcohol that inhibit calcium absorption.
Drug-Disease Interactions: D3 TABLET is contraindicated in hypercalcemia (high calcium level in blood), hypervitaminosis D (high vitamin D level in the body), Vitamin D toxicity, malabsorption syndrome, heart/kidney/liver/blood vessel diseases, kidney stones, sarcoidosis (growth of tiny collections of inflammatory cells (granulomas) in any part of your body), Crohn's disease, Whipple's disease (a bacterial infection that most often affects joints and digestive system), achlorhydria (absence of stomach acid), low levels of bile, and phosphate imbalance.
Drinking alcohol can affect calcium absorption; hence it is advised to limit the alcohol intake while using D3 TABLET.
During pregnancy, use higher doses of D3 TABLET than the daily dietary allowance only when advised by the doctor. Calcitriol in higher doses may harm the foetus. Your doctor will weigh the potential risks and benefits before prescribing D3 TABLET.
Consult your doctor before taking D3 TABLET if you are breastfeeding. D3 TABLET can pass into the breast milk. If D3 TABLET is used during breastfeeding, please monitor the mother and the infant's serum calcium levels.
No interaction found/established
Let your doctor know if you have any history of liver diseases before taking D3 TABLET. Hepatic impairment/liver disease can alter the metabolic and therapeutic activity of certain Vitamin D forms.
It is advised to seek doctor advice before starting D3 TABLET if you have kidney diseases like kidney stones or undergoing dialysis. Calcitriol in D3 TABLET increases inorganic phosphate levels in serum; hence caution should be taken in patients undergoing dialysis to maintain adequate phosphorus levels and avoid ectopic calcification (calcium deposition).
D3 TABLET should be used with caution in children and only if prescribed by a doctor.
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Osteoporosis: It is a bone disease that weakens and brittle bones by decreasing bone density. As bones become less dense, they weaken and are more likely to break. Breaking a bone is a serious complication of osteoporosis, especially with older patients. Women are much more likely to develop osteoporosis than are men. Sign and symptoms include back pain caused by a fractured or collapsed vertebra, loss of height over time, a stooped posture, a bone that breaks much more easily than expected.
Osteomalacia/Rickets: A bone disease caused by softening and weakening bones in children due to inadequate vitamin D. Adults can experience a similar condition known as osteomalacia. It causes bone pain, poor growth, and soft, weak bones that can lead to bone deformities.
Tetany: A disease condition due to low levels of calcium (hypocalcemia) in the body causes cramps and spasms in the hands, feet, and larynx (voice box).
Hypoparathyroidism: It is a disease characterized by low levels of parathyroid hormone. This can cause low calcium levels and trigger tetany.
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