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About CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC

CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC is a combination medicine primarily used to treat osteoporosis (weak and brittle bones). Osteoporosis is a bone disease that makes the bones weak and brittle by decreasing bone density. Symptoms include backache, easily breaking bones, and hunched or stooped posture.

CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC is a combination of Calcium (mineral), Calcitriol (Vitamin D3), Ibandronic acid (biphosphonate), and Zinc. Calcium and Zinc are minerals that provide essential nutrients to maintain bone formation and maintenance. Calcitriol is a synthetic version of Vitamin D3 that raises Vitamin D levels and increases calcium levels in the blood. Ibandronic acid is a bisphosphonate that reverses bone loss and increases bone mass.

Your doctor will decide the dosage based on your medical condition. In some cases, CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC can cause side effects like bone/muscle pain, muscle cramps, stiffness in joints, headache, back pain, indigestion, heartburn, and diarrhea. Most of these side effects of CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC do not require medical attention and gradually resolve over time. However, if these side effects persist longer, please consult your doctor. 

Do not stop or take CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC on your own unless the doctor has prescribed it for you. Please tell your doctor if you have hypercalcemia (high calcium levels), hypervitaminosis D (high vitamin D levels), and malabsorption syndrome (difficulty absorbing nutrition from food). Brief your medical history to the doctor in advance if you have heart/kidney/liver diseases, kidney stones, and ulcers. Ibandronic acid is CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC is not recommended for pregnant or breastfeeding women. CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC is not recommended for children and adolescents below 18 years.

Uses of CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC

Osteoporosis.

Medicinal Benefits

CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC is used to treat osteoporosis (weak and brittle bones). CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC consists of Calcium, Zinc, Calcitriol (Vitamin D3), and Ibandronic acid. Calcium and Zinc are minerals that provide essential nutrients to maintain bone formation and maintenance. Calcitriol is a synthetic version of Vitamin D3 and treats calcium deficiency. It raises Vitamin D levels and thereby increases calcium levels in the blood. This helps in improving the absorption rate of calcium from the intestine. Ibandronic acid belongs to the class of bisphosphonates. It reverses bone loss and increases bone mass. It works by inhibiting the action of osteoclasts (a bone cell that breaks down bone tissue), thus helping in the reduction of fractures.

Directions for Use

Swallow it as a whole with a glass of water. Do not crush, chew or break it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC

  • Bone/muscle pain
  • Muscle cramps
  • Stiffness in joints
  • Headache
  • Back pain
  • Indigestion
  • Heartburn
  • Diarrhea 

In-Depth Precautions and Warning

Drug Warnings

Do not lie down immediately after you take CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC and wait for at least 60 minutes. Let your doctor know if you are allergic to CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC or its inactive components. CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC is not recommended if you have hypercalcemia (high calcium levels), hypervitaminosis D (high vitamin D levels), and malabsorption syndrome (difficulty absorbing nutrition from food). Brief your medical history to the doctor if you have any heart/kidney/liver diseases, kidney stones, ulcers, swallowing or digestive problems, and inflammation of the gut. CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC is not recommended during pregnancy and breastfeeding since it contains Ibandronic acid. It is advised to limit alcohol consumption since it can affect calcium absorption. CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC is not recommended for children and adolescents below 18 years.

Drug Interactions

Drug-Drug Interaction: CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC may interact with drugs treating high cholesterol levels (cholestyramine), heart-related drugs (digoxin, digitalis), water pills (hydrochlorothiazide), fits medicines (phenobarbital, phenytoin), steroids (prednisone, dexamethasone, fluticasone), pain killers (aspirin, ibuprofen, diclofenac sodium, naproxen), hormones (levothyroxine), and supplements containing magnesium, iron or aluminium.

Drug-Food Interaction: Avoid or reduce the intake of caffeine, soft drinks, and alcohol that inhibit calcium absorption.

Drug-Disease Interaction: CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC should be used with caution in hypercalcemia, hypervitaminosis D, malabsorption syndrome, Vitamin D toxicity, heart/kidney/liver diseases, kidney stones, ulcers, swallowing or digestive problems, and inflammation of the gut.

Drug-Drug Interactions Checker List:

  • CHOLESTYRAMINE
  • DIGOXIN
  • DIGITALIS
  • HYDROCHLOROTHIAZIDE
  • PHENOBARBITAL
  • PHENYTOIN
  • PREDNISONE
  • DEXAMETHASONE
  • FLUTICASONE
  • ASPIRIN
  • IBUPROFEN
  • DICLOFENAC
  • NAPROXEN
  • LEVOTHYROXINE
  • Safety Advice

    • Safety Warning

      Alcohol

      caution

      Drinking alcohol can affect calcium absorption; hence it is advised to limit the alcohol intake while using CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC.

    • Safety Warning

      Pregnancy

      caution

      Ibandronic acid in CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC is not recommended during pregnancy. Please consult your doctor for more information.

    • Safety Warning

      Breast Feeding

      caution

      Consult your doctor before taking CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC if you are breastfeeding. CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC can pass into the breast milk. Ibandronic acid in CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC is not recommended during breastfeeding.

    • Safety Warning

      Driving

      safe if prescribed

      CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC has negligible effects on driving ability.

    • Safety Warning

      Liver

      caution

      Let your doctor know if you have any history of liver diseases before taking CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC. Hepatic impairment/liver disease can alter the metabolic and therapeutic activity of certain Vitamin D forms.

    • Safety Warning

      Kidney

      caution

      It is advised to seek doctor advice before starting CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC if you have kidney stones or undergoing dialysis. Calcitriol in CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC 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).

    • Safety Warning

      Children

      unsafe

      CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC is not recommended for children and adolescents below 18 years.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Include dairy products like milk, yogurt, cheese, or milk-based custard in your diet.
    • Eat daily a serving of broccoli, cabbage, bok choy, spinach, and other green leafy vegetables.
    • Include zinc-rich sources like meat, shellfish, legumes, hemp seeds, nuts, eggs, dairy products, whole grains, potatoes, kale, and dark chocolate in your diet.
    • Snack on calcium-rich nuts like Brazil nuts or almonds. 
    • Sprinkle sesame seeds over your food, vegetables, and salads. Sesame seeds are high in calcium.
    • Avoid or reduce the intake of caffeine, soft drinks, and alcohol that inhibit calcium absorption.
    • Replace the meat with tofu or tempeh for extra calcium in your food.

    Special Advise

    Zinc in CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC may decrease the absorption of antibiotics, thereby reducing their effectiveness. It is advised to maintain at least an hour gap between CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC and other antibiotics.

    Patients Concern

    Disease/Condition Glossary

    Osteoporosis: It is a bone disease that makes the bones weak and brittle by decreasing bone density. It is a silent disease since it is not revealed until a bone is broken easily or fractured. Osteoporosis can be triggered by many factors like age, sex, low calcium diet, hormonal changes, and medical conditions like gastrointestinal diseases, rheumatoid arthritis, certain types of cancer, and HIV/AIDS. Symptoms include backache, easily breaking bones, and hunched or stooped posture. Thinning of bones can be prevented by treatment with medications, calcium supplements, a calcium-rich diet, and lifestyle changes.

    FAQs

    How does CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC work?

    CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC treats low levels of calcium in the blood and osteoporosis. It consists of Calcium, Calcitriol, Zinc, and Ibandronic acid. These medicines help in providing calcium to the body and help in bone formation and maintenance. CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC further helps in restoring bone mass and reduces the chances of easy fractures.

    What happens if I miss a dose?

    If you miss a dose, take it as soon as you remember. However, if it is time for the next scheduled dose, skip the missed dose and follow your usual dosage.

    Does CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC cause kidney stones?

    CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC may cause kidney stones due to excess calcium deposition when used for a prolonged period. Please consult your doctor before taking CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC if you have any kidney problems or a history of kidney stones.

    Can I take CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC if I suffer from hypercalcemia (high levels of calcium in the blood)?

    CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC is used to increase low levels of calcium in the body. Hence it is not advised to use CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC during hypercalcemia since it causes the overdose of calcium leading to kidney stones and other effects.

    Can I take CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC if I am undergoing dialysis?

    Calcitriol in CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC 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 patients undergoing dialysis.

    Available Medicines for

    CALCITRIOL+CALCIUM+IBANDRONIC ACID+ZINC