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compositionComposition:CALCIUM OROTATE+CHOLECALCIFEROL
prescription
Prescription Medicine
info
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Nanogem Tablet is used to treat nutritional deficiencies. It effectively treats various conditions caused by low calcium levels in the body, such as vitamin D deficiency. It provides essential nutrients to maintain bone formation and improves blood calcium and phosphorus levels, as well as bone mineralisation.

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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

CALCIUM OROTATE+CHOLECALCIFEROL

Manufacturer/Marketer :

Cooper Pharma Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Nanogem Tablet

Nanogem Tablet is a prescription oral supplement designed to treat and prevent low calcium levels in the body. It is commonly prescribed to support overall bone health, manage osteoporosis, and address nutritional deficiencies. By providing essential nutrients, this medication helps maintain strong bones and healthy muscle function.

To get the best results, you must take Nanogem Tablet consistently at the same time each day. You can take this medication with or without food, as its unique formula is designed to be easily absorbed by the body. Incorporating calcium-rich foods into your diet and participating in regular, low-impact weight-bearing exercises can also help maximize the benefits of this treatment.

While taking Nanogem Tablet, some people may experience mild, temporary side effects such as constipation or a mild upset stomach. These issues usually resolve on their own as your body adjusts to the medication. However, if you develop signs of unusually high calcium levels, such as extreme thirst, frequent urination, or severe nausea, you should contact your doctor right away.

Do not take this if you have high calcium levels in your blood or urine, or if you suffer from severe kidney problems. Before you start taking this medicine, talk to your doctor if you have a history of kidney stones, heart disease, or sarcoidosis. Your doctor will help determine if this is the safest option for your specific health needs.

Certain medications, including specific antibiotics and thyroid treatments, can interact with Nanogem Tablet because calcium can block their absorption in your system. If you are pregnant, breastfeeding, or managing chronic health conditions as an older adult, consult your doctor or pharmacist to ensure this supplement is safe for you to use.

Uses of Nanogem Tablet

Nanogem Tablet is used in the treatment of calcium deficiency and vitamin D3 deficiency. The detailed uses of Nanogem Tablet are as follows:

  • Calcium deficiency: Nanogem Tablet helps replenish low calcium levels in the blood, ensuring that your bones, nerves, and muscles have the essential minerals they need to function properly.
  • Osteoporosis: This medicine helps slow down bone loss and strengthen the overall bone structure, which reduces the risk of painful fractures in individuals with weak or thinning bones.
  • Hypoparathyroidism: Nanogem Tablet is used to manage low parathyroid hormone levels, helping to keep blood calcium levels within a safe and stable range.
  • Osteomalacia and Rickets: It assists in correcting bone softening caused by a lack of vitamin D, promoting proper bone mineralisation and strength.
     

Key Benefits

  • Nanogem Tablet works to improve your daily comfort and physical function by strengthening your skeletal system from the inside out.
  • Over time, regular use of this medication helps protect your bones against unexpected fractures, allowing you to maintain better mobility and engage in daily physical activities with greater ease.
  • In addition to supporting structural bone strength, this medicine provides the essential nutrients required for smooth muscle contractions and proper nerve signaling.
  • This helps prevent painful muscle cramps and physical weakness, helping you feel more energized and secure during movement.

 

Directions for Use

To get the full therapeutic benefit of Nanogem Tablet, follow these step-by-step instructions carefully:

  • Swallow the tablet whole with a full glass of water. Do not crush, chew, or break the tablet, as this can affect how the medicine is absorbed in your body.
  • You can take this medicine with or without food, but taking it at the same time every day will help you remember your doses.
  • Always follow the exact instructions provided by your doctor or pharmacist, and do not change your dose without consulting them first.
     

How Nanogem Tablet Works

Nanogem Tablet combines two active components that work together to support healthy bones and maintain normal calcium levels in the body. • The first component is calcium orotate, which provides calcium—the primary mineral needed for strong bones and teeth. Calcium orotate is one of several calcium salts used in supplements. Some studies suggest it may be well absorbed, but evidence comparing its absorption with other calcium forms is still emerging. Regardless of the calcium salt used, calcium helps maintain healthy bones, muscles, nerves, and heart function. • The second component is cholecalciferol (vitamin D3), which is an inactive precursor form of vitamin D. After it is absorbed, it is converted first in the liver and then in the kidneys into its active form, calcitriol. Calcitriol helps your intestines absorb calcium more effectively and supports normal bone mineralization, helping ensure that calcium is available where your body needs it most.
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Alcohol

Caution

Drinking alcohol can affect calcium absorption; hence, it is advised to limit alcohol intake while using Nanogem Tablet.

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Pregnancy

Consult your doctor

Inform your doctor if you are pregnant or suspect pregnancy. Your doctor will weigh the benefits and potential risks before prescribing Nanogem Tablet.

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Breast Feeding

Consult your doctor

Inform your doctor if you are a nursing mother. Your doctor will weigh the benefits and potential risks before prescribing Nanogem Tablet.

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Driving

Safe if prescribed

Nanogem Tablet does not impact your ability to drive or operate machinery.

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Liver

Caution

Let your doctor know if you have any history of liver diseases before taking Nanogem Tablet. Hepatic impairment/liver disease can alter the metabolic and therapeutic activity of certain Vitamin D forms.

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Kidney

Caution

Seek a doctor's advice before starting Nanogem Tablet if you have kidney diseases like kidney stones or are undergoing dialysis. Cholecalciferol in Nanogem 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).

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Children

Caution

Nanogem Tablet should be used with caution in children and only if recommended by a doctor.

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Heart

Consult your doctor

Please inform your doctor if you have any pre-existing heart problems.

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Geriatrics

Consult your doctor

Limited information available for use of Nanogem Tablet in elderly patients. Please consult your doctor.

What if I have taken an overdose of Nanogem Tablet

If you accidentally take more than your prescribed dose of Nanogem Tablet, seek immediate medical attention or contact a local poison control center. Symptoms of an overdose may include severe nausea, vomiting, loss of appetite, mental changes, or extreme weakness.

Diet & Lifestyle Advise

  • Include calcium-rich foods in your meals daily, such as low-fat dairy products, dark green leafy vegetables, and fortified foods.
  • Spend a short, safe amount of time in natural sunlight when possible to help your body produce its own vitamin D.
  • Engage in regular weight-bearing physical activities like walking, jogging, or light strength training to help keep your bones strong.
  • Limit your intake of caffeine, alcohol, and highly processed foods, as these substances can interfere with your body's ability to absorb and retain calcium.
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How Soon It Starts Working

  • The time required for Nanogem Tablet to start to work: The time required for Nanogem Tablet to show its action is unknown.
  • The time for which the effects of Nanogem Tablet last: The duration of action for Nanogem Tablet is unknown.

What if you forget to take Nanogem Tablet

If you miss a dose of Nanogem Tablet, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.

Storage

• Store in a cool and dry place away from sunlight. • Keep out of sight and reach of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.

Drug Warnings

  • Do not take other calcium or vitamin D supplements alongside Nanogem Tablet unless your doctor specifically tells you to do so.
  • If you take iron supplements, thyroid medications, or certain antibiotics, space them at least 2 hours before or 4 to 6 hours after taking Nanogem Tablet to prevent absorption problems.
  • Be sure to attend all scheduled medical appointments so your doctor can monitor your blood calcium levels and kidney function during long-term therapy.
  • Always inspect the bottle and tablets before taking your dose; do not use the medicine if the packaging appears damaged or altered.

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Drug-Drug Interactions:

  • Thyroid medications (like levothyroxine): Calcium can decrease how well your body absorbs thyroid hormones. Space these medications several hours apart.
  • Certain antibiotics (like tetracyclines and quinolones): Taking these with calcium can significantly lower the antibiotic's effectiveness.
  • Thiazide diuretics: Taking these water pills alongside calcium may increase the risk of developing too much calcium in your blood.
  • Cardiac glycosides (like digoxin): High levels of calcium can increase the risk of serious heart rhythm problems if you are taking heart medications.

Drug-Food Interactions:

  • High-fiber foods or foods containing oxalates (like spinach or rhubarb): These foods can bind with calcium in your digestive system and temporarily reduce the amount of mineral your body absorbs.

Drug-Disease Interactions:

  • Hypercalcemia: Do not take this medicine if you currently have abnormally high levels of calcium in your bloodstream.
  • Kidney stones: Talk to your doctor before taking this supplement if you have a history of kidney stones, as extra calcium can increase the risk of new stones forming.
  • Severe kidney disease: If your kidneys are not working properly, taking this supplement can lead to a dangerous buildup of calcium in your body.

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Habit Forming

No

Therapeutic Class

[MULTIMINERALS]

FAQs

Nanogem Tablet is used to treat low blood calcium levels. It 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). It can also be given to pregnant, nursing, and postmenopausal women to ensure that they are getting enough calcium. Additionally, Nanogem Tablet is used to treat hyperparathyroidism (overactive parathyroid glands) and metabolic bone disease in people with chronic kidney disease, surgery, or other conditions.
Nanogem Tablet is a combination of two medicines: Calcium orotate (mineral) and Cholecalciferol (Vitamin D3). Calcium orotate helps build and maintain bones. Cholecalciferol helps your body absorb Calcium orotate and supports the muscles needed to avoid falls.
Nanogem Tablet can cause kidney stones due to excess calcium deposition when used for a prolonged period. Please consult your doctor before taking Nanogem Tablet as a daily supplement if you have a history of kidney problems or kidney stones.
Cholecalciferol in Nanogem Tablet can increase inorganic phosphate levels in serum; hence, it should be cautiously used in patients undergoing dialysis to maintain adequate phosphorus levels and avoid ectopic calcification (calcium deposition). It is advised to follow a low-phosphate diet to control serum phosphorus levels in dialysis patients.
Nanogem Tablet is used to increase low levels of calcium in the body. Hence, it is not advised to use Nanogem Tablet if you have hypercalcemia since it causes an overdose of calcium, leading to kidney stones and other effects.
Nanogem Tablet may cause side effects like constipation and stomach upset. These side effects do not require medical attention and gradually resolve over time.
It is best to avoid taking this medicine with tea or coffee, as caffeine can reduce how much calcium your body absorbs. Take it with a full glass of water instead. Talk to your doctor if you have further dietary questions.
You can take this medicine at any time of day, but it is highly recommended to take it at the same time each day to build a consistent routine. Talk to your doctor to find the best schedule for you.
Drinking plenty of water, eating high-fiber foods, and staying physically active can help relieve mild constipation. If the issue continues, talk to your doctor or pharmacist for safe solutions.
Some multivitamins already contain calcium or vitamin D, and combining them might lead to taking too much of these nutrients. Talk to your doctor or pharmacist to review all your supplements before starting.
Yes, if you are taking this medication long-term, your doctor may recommend regular blood tests to check your calcium, phosphorus, and vitamin D levels to ensure they stay within a safe range. Talk to your doctor for more information.

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While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Country of origin

India

Manufacturer/Marketer address

3M India Ltd, Concorde Block, UB City, #24, Vittal Mallya Road, Bangalore, Karnataka - 560001 India
Other Info - NAN0093

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