Vitamin K2 7+calcitriol+calcium Citrate

• Inform your doctor if you are allergic to any ingredients in Calcitriol+calcium Citrate+vitamin K2 7 or if you have heart, liver, kidney, or blood vessel problems.
• Calcitriol+calcium Citrate+vitamin K2 7 is not recommended if you have hypercalcemia (high calcium levels), hypervitaminosis D (high vitamin D levels), and malabsorption syndrome (difficulty absorbing nutrients from food).
• Let your doctor know if you have conditions such as 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.
• Consult your doctor before using Calcitriol+calcium Citrate+vitamin K2 7 if you are pregnant or breastfeeding.
• Avoid or limit alcohol consumption while taking Calcitriol+calcium Citrate+vitamin K2 7, as it may affect calcium absorption.

Drug-Drug Interaction: Calcitriol+calcium Citrate+vitamin K2 7 may interact with certain medicines, potentially increasing side effects or altering its effects. Inform your doctor if you are taking any of the following:

• Vitamin D analogues (Doxercalciferol, Ergocalciferol)
  • Potential effect: May lead to toxic effects related to increased calcium levels in the blood and urine.
• Drugs used for tuberculosis (Isoniazid, Rifapentine)
  • Potential effect: May decrease the effects of the medication.
• Diuretics/water pills (Metolazone)
  • Potential effect: May cause the blood calcium levels to become too high.
• Phosphate-regulating agent (Burosumab)
  • Potential effect: May raise phosphorus and vitamin D levels in the blood, which may lead to an increased risk of kidney stones.
• Drugs used for epilepsy (Carbamazepine)
  • Potential effect: May decrease the effects of the medication.
• Drugs used for heart failure (Digitoxin)
  • Potential effect: May increase the risk or severity of Digitoxin toxicity and irregular heart rhythm.

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

Drug-Disease Interaction:

• Calcitriol+calcium Citrate+vitamin K2 7 should be avoided in people with hypercalcemia, hypervitaminosis D, malabsorption syndrome, and Vitamin D toxicity
• Calcitriol+calcium Citrate+vitamin K2 7 should be used with caution in people with kidney stones, sarcoidosis, Crohn's disease, Whipple's disease, achlorhydria, low bile levels, and phosphate imbalance.

Dietary recommendations:

• Consume calcium- and vitamin D-rich foods as recommended by your doctor.
• Add dairy foods such as milk, yoghurt, cheese, or milk-based custard to your meals.
• Snack on calcium-rich nuts like Brazil nuts or almonds.
• Replace meat with tofu or tempeh for additional calcium.
• Eat a daily serving of broccoli, cabbage, bok choy, and other green leafy vegetables.
• Add sesame seeds to your meals or salads, as they are a good source of calcium.
• Avoid or reduce the intake of caffeine, soft drinks, and alcohol, as they may inhibit calcium absorption.

Lifestyle measures:

• Do weight-bearing exercises such as walking, jogging, or dancing regularly to help keep your bones strong.
• Keep a healthy body weight and do balance exercises to help prevent falls.
• Practice gentle stretching and relaxation exercises to prevent muscle cramps.
• Get safe sunlight exposure daily to help your body naturally produce vitamin D.
• Avoid smoking and limit alcohol consumption.