Drug Ingredient Information
CALCIUM CARBONATE-500MG+ZINC-7.5MG+CALCITRIOL-0.25MCG
CALCIUM CARBONATE
| Information for
patients
|
| Drug Information |
Calcium carbonate Effervescent Tablets contain
Calcium carbonate as the active ingredient (which when
dispersed in water provide 500mg of elemental
calcium as calcium citrate). The tablets provide
extra calcium, in addition to a normal diet, and are
used to treat conditions in which the body’s
calcium levels need to be increased. Calcium is
essential for healthy growth of bones and teeth. |
| Drug Alert |
| Alert |
if you have:
• an allergy (hypersensitivity) to any of the
ingredients in the product - see Section 6 on
“What Calcium carbonate Effervescent Tablets contain”.
• an overactive parathyroid gland
(hyperparathyroidism) or too much vitamin D in
your body (hypervitaminosis D).
• a high concentration of calcium in your urine
(hypercalciuria) or blood (hypercalcaemia). A high
concentration of calcium in the blood may
be caused by impaired kidney function,
an overactive parathyroid gland, too much
Vitamin D in your body or certain bone tumours |
| Before Consuming
the Medicine
|
| Avoid Drug |
if you have:
• an allergy (hypersensitivity) to any of the
ingredients in the product - see Section 6 on
“What Calcium carbonate Effervescent Tablets contain”.
• an overactive parathyroid gland
(hyperparathyroidism) or too much vitamin D in
your body (hypervitaminosis D).
• a high concentration of calcium in your urine
(hypercalciuria) or blood (hypercalcaemia). A high
concentration of calcium in the blood may
be caused by impaired kidney function,
an overactive parathyroid gland, too much
Vitamin D in your body or certain bone tumours
• been immobilised for long periods and had a high
concentration of calcium in your blood or urine.
• kidney stones |
| Drug Special Care |
Consult your doctor before taking this medicine if
you have:
• a tendency to form kidney stones or impaired
kidney function - your treatment will need to be
monitored carefully if your kidneys are not
working properly to ensure you do not build up
too much calcium in your blood.
• sarcoidosis (formation of nodules especially in
the lymph nodes, lungs, bones and skin |
| Drug Drug Interactions |
Please tell your doctor if you are taking or have
recently taken any other medicines, including those
obtained without a prescription.
Seek medical advice before taking Calcium carbonate
Effervescent Tablets if you are already taking:
• vitamin D
• heart medicines such as digoxin and cardiac
glycosides
• tetracycline antibiotics
• thiazide diuretics (water tablets)
• bisphosphonates and sodium fluoride (drugs
used to treat bone disorders). |
| Drug Pregnancy Interaction |
Women who are pregnant or breast-feeding can
take Calcium carbonate Effervescent Tablets.
Ask your doctor or pharmacist for advice before
taking any medicine |
| Drug Breast feeding Interaction |
Women who are pregnant or breast-feeding can
take Calcium carbonate Effervescent Tablets.
Ask your doctor or pharmacist for advice before
taking any medicine |
| Drug Machinery Interaction |
Calcium carbonate Effervescent Tablets are not expected to
affect your ability to drive or operate machinery |
| Drug More Information |
Allergy is more
common in those people who are allergic to aspirin.
Sodium – This medicine contains up to 100mg
sodium per dose. To be taken into consideration by
patients on a controlled sodium diet. |
| How to take the
Medicine
|
| Consumption Info |
|
| Drug quanitty |
Adults and Elderly:
To treat conditions caused by lack of calcium,
the dose is usually between 2 and 5 tablets per
day.
• To prevent bone damage caused by osteoporosis,
a dose of 1 to 3 tablets is required per day.
• To supplement calcium in your diet, the dose is
up to 3 tablets a day.
Children:
• To treat conditions caused by lack of calcium,
the dose is usually between 2 and 5 tablets
per day.
• To supplement calcium in your diet, the dose is
up to 2 tablets a day. |
| Drug Dose |
The tablets must be dissolved completely in a glass
of water and the solution consumed immediately |
| Excess Drug Consumption |
Do not exceed the recommended dose. If you take
too much medicine, tell your doctor immediately or
visit your nearest Accident & Emergency
Department (take the pack with you if possible).
Symptoms of overdose may include nausea (feeling
sick), polydipsia (excessive thirst), polyuria
(frequent passing of urine), constipation |
| Forgot Drug Consumption |
If you miss a dose, take the next dose as soon as
you remember and continue taking your medicine
as before (do not take a double dose).
If you have any further questions on the use of this
product, ask your pharmacist |
| Stop Drug Consumption |
|
| Possible Side
Effects
|
| General Information |
Like all medicines, Calcium carbonate Effervescent Tablets can
cause side effects, although not everybody gets
them |
| Common Drug Side Effects |
You may suffer an allergic reaction. If you
experience rash, itching, difficulty in breathing
or swelling of the face, lips, throat or tongue,
stop taking the tablets immediately and seek
urgent medical help |
| Rare Drug Side Effects |
• nausea
• abdominal pain
• diarrhoea
• constipation
• wind
• skin rashes and itching
• high concentration of calcium in the blood
(hypercalcaemia) or urine (hypercalciuria) |
| Very Rare Drug Side Effects |
|
| Drug Side Effects Symptoms |
|
| How to Store the
Medicine
|
| How to Store the Medicine |
Keep out of the reach and sight of children.
Store the product in a dry place.
Keep the top of the tube closed with the stopper as
Calcium carbonate Effervescent Tablets can be affected by
moisture.
Do not use Calcium carbonate Effervescent Tablets after the
expiry which is stated on the carton after ‘Exp’.
The date refers to the last day of that month.
Medicines should not be disposed of via
wastewater or household waste. Ask your
pharmacist how to dispose of medicines no longer
required. These measures will help to protect the
environment. |
ZINC
| Information for
patients
|
| Drug Information |
|
| Drug Alert |
| Alert |
|
| Before Consuming
the Medicine
|
| Avoid Drug |
|
| Drug Special Care |
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| Drug Drug Interactions |
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| Drug Pregnancy Interaction |
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| Drug Breast feeding Interaction |
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| Drug Machinery Interaction |
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| Drug More Information |
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| How to take the
Medicine
|
| Consumption Info |
|
| Drug quanitty |
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| Drug Dose |
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| Excess Drug Consumption |
|
| Forgot Drug Consumption |
|
| Stop Drug Consumption |
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| Possible Side
Effects
|
| General Information |
|
| Common Drug Side Effects |
|
| Rare Drug Side Effects |
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| Very Rare Drug Side Effects |
|
| Drug Side Effects Symptoms |
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| How to Store the
Medicine
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| How to Store the Medicine |
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CALCITRIOL
| Information for
patients
|
| Drug Information |
Calcitriol contains a medicine called calcitriol. This belongs to a group of medicines called ‘vitamin D metabolites’.
Calcitriol is used to treat the following:
•Bone disease in people with kidney problems (renal osteodystrophy).
•Weakening of the bones in women after the menopause (change of life). This is also known as post-
menopausal osteoporosis.
Calcitriol works by making your body absorb more calcium from your diet. This helps to form healthy
bones and reduce bone damage |
| Drug Alert |
| Alert |
•Calcitriol or any of the other ingredients of Calcitriol
•Other ‘vitamin D metabolite’ medicines (used to treat bone disease). These include alfacalcidol and colecalciferol.
Do not take Calcitriol if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist
before taking Calcitriol |
| Before Consuming
the Medicine
|
| Avoid Drug |
•Calcitriol or any of the other ingredients of Calcitriolmedicines (used to treat bone disease). These include alfacalcidol and colecalciferol.
Do not take Calcitriol if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist
before taking Calcitriol |
| Drug Special Care |
•You have high levels of calcium in your blood (hypercalcaemia).
•You have extra deposits of calcium in your body (metastatic calcification).
•You are unwell because of high levels of vitamin D in your body.
Do not take Calcitriol if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist
before taking Calcitriol
•You are finding it difficult to move about (for example, after an operation) |
| Drug Drug Interactions |
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines. This
includes medicines that you buy without a prescription and herbal medicines. This is because Calcitriol can
affect the way some medicines work. Also some other medicines can affect the way Calcitriol works.
In particular, tell your doctor or pharmacist if you are taking any of the following medicines:
•Other medicines containing vitamin D.
•Diuretics, also called ‘water tablets’ (used to treat high blood pressure). These include bendroflumethiazide, chlortalidone and indapamide.
•Medicines like digoxin or digitoxin (used to treat heart disease).
•Medicines containing magnesium, such as antacids (used to treat indigestion).
•Phenytoin or phenobarbitol (used to treat epilepsy).
•Steroid medicines, such as hydrocortisone, prednisolone and dexamethasone.
•Colestyramine, or other ‘ion-exchange resins’ (used to treat high levels of cholesterol in your blood).
Also tell your doctor or pharmacist if you have taken a medicine containing vitamin D over the last few
months that has long-lasting effects. These medicines include ergocalciferol and colecalciferol. |
| Drug Pregnancy Interaction |
•Talk to your doctor before taking Calcitriol if you are pregnant, think you are pregnant, or plan to get pregnant. Your doctor will then decide if you should take Calcitriol.
•You can take Calcitriol if you are breast-feeding. However, your doctor will take blood samples from you and your child to check that there are no unwanted effects. |
| Drug Breast feeding Interaction |
•Talk to your doctor before taking Calcitriol if you are pregnant, think you are pregnant, or plan to get pregnant. Your doctor will then decide if you should take Calcitriol.
•You can take Calcitriol if you are breast-feeding. However, your doctor will take blood samples from you and your child to check that there are no unwanted effects. |
| Drug Machinery Interaction |
Calcitriol is not likely to affect you being able to drive or use any tools or machines. |
| Drug More Information |
Calcitriol contains sorbitol, which is a type of sugar. If you have been told by your doctor that you cannot
tolerate or digest some sugars (have an intolerance to some sugars), talk to your doctor before taking this
medicine |
| How to take the
Medicine
|
| Consumption Info |
|
| Drug quanitty |
Bone disease in people with kidney problems (renal osteodystrophy)
•The usual starting dose for adults and elderly people is one capsule once a day.
•After 2 to 4 weeks your doctor may start increasing your dose slowly by at a time.
•Eventually, depending on your blood test results, your doctor may need to adjust your dose again. He or she may ask you to take Calcitriol two or three times a week instead of every day. The maximum dose each week is 12 s.
Bone disease after the menopause (post-menopausal osteoporosis)
• The usual dose for adult and elderly women is one capsule twice a day.
Children
If Calcitriol is being given to a child, the doctor will decide the correct dose |
| Drug Dose |
Always take Calcitriol exactly as your doctor has told you. You should check with your doctor if you are
not sure.
Swallow the whole with a little water
While you are taking Calcitriol, your doctor will want you to have regular blood tests to check that the level
of calcium in your blood does not get too high |
| Excess Drug Consumption |
•If you take more Calcitriol than you should, talk to a doctor or go to a hospital straight away. Take the
medicine pack with you.
•If you take too many tablets, you may get too much calcium in your blood (hypercalcaemia). The signs include loss of appetite, weight loss, feeling sick, being sick, constipation, headache and feeling sluggish, drowsy or weak. |
| Forgot Drug Consumption |
•If you forget to take a dose, skip the missed dose. Then take your next dose as normal.
•Do not take a double dose (two doses at the same time) to make up for a forgotten dose |
| Stop Drug Consumption |
Do not stop taking Calcitriol without talking to your doctor. This is because weakness of your bones needs
long term treatment.If someone else takes your Calcitriol tablets by mistake, they should talk to a doctor or go to a hospital straight away. If you have any further questions on the use of this medicine, ask your doctor or pharmacist. |
| Possible Side
Effects
|
| General Information |
•The signs include loss of appetite, feeling sick, being sick, headache and feeling sluggish, drowsy or weak.
•Very high levels of calcium in your blood may lead to high temperature (fever), feeling thirsty, dehydration, passing more water than normal, wetting the bed, constipation, stomach pain, blockage of the bowel and an uneven heart beat. There may be infections in the bladder and normal growth may stop.
•Occasionally, mental problems may occur. Also there may be deposits of calcium in areas other than your bone (for example, in your kidneys as ‘kidney stones’). Your doctor may change your dose of Calcitriol if this happens.
Liver
• Changes in how well your liver is working (shown by blood tests)
Allergic reactions
• The signs can include itchy skin, skin rashes and reddening of the skin (which may be severe).
If any of the side effects become serious or troublesome, or if you notice any side effects not listed in this
leaflet, please tell your doctor or pharmacist |
| Common Drug Side Effects |
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| Rare Drug Side Effects |
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| Very Rare Drug Side Effects |
|
| Drug Side Effects Symptoms |
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| How to Store the
Medicine
|
| How to Store the Medicine |
•Calcitriol should be kept in their original blisters and outer carton (to protect them from light and moisture) at a temperature below 25°C.
•Keep out of the reach and sight of children.
•Do not use Calcitriol after the expiry date printed on the pack.
•Do not throw away any left over . Instead, return them to your pharmacist so that they can be disposed of carefully. Only keep them if your doctor tells you to. |
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