Calcium Citrate+zinc Oxide+magnesium Oxide+menaquinone+cholecalciferol

• Do not use the Calcium Citrate+cholecalciferol+magnesium Oxide+menaquinone+zinc Oxide if you are known to be allergic to any components.
• Please inform your doctor if you have malabsorption syndrome (difficulty absorbing nutrition from food), hypercalcemia (high calcium levels in the blood), or hypervitaminosis D (high vitamin D levels in the blood) before starting Calcium Citrate+cholecalciferol+magnesium Oxide+menaquinone+zinc Oxide.
• Brief your medical history if you have kidney, liver, or heart disorders.
• Pregnant or breastfeeding women should consult their doctor before taking Calcium Citrate+cholecalciferol+magnesium Oxide+menaquinone+zinc Oxide.
• Drinking alcohol can affect calcium absorption; hence, limiting the alcohol intake while using Calcium Citrate+cholecalciferol+magnesium Oxide+menaquinone+zinc Oxide is advised.
• Keep your doctor informed about your health condition and all the medicines to rule out any side effects.

Drug-Drug Interactions: Taking Calcium Citrate+cholecalciferol+magnesium Oxide+menaquinone+zinc Oxide with the following medications may cause adverse reactions.

• Antibiotics (tetracycline, doxycycline)
  • Potential effect: May reduce the effectiveness of antibiotics.
• Water pills (hydrochlorothiazide)
  • Potential effect: May cause increased risk of hypercalcemia (elevated calcium levels).
• Medicines used to treat irregular heartbeat (digoxin)
  • Potential effect: May increase the risk of irregular heartbeat.
• Drugs treating bone loss (alendronate)
  • Potential effect: May reduce the absorption of Calcium Citrate+cholecalciferol+magnesium Oxide+menaquinone+zinc Oxide.
• Thyroid hormone (levothyroxine)
  • Potential effect: May reduce the absorption of other drugs.
• Fits medicines (phenobarbital, phenytoin)
  • Potential effect: May reduce the effectiveness of Vitamin D

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

Drug-Disease Interactions: Inform your doctor if you have a history of the following conditions before taking Calcium Citrate+cholecalciferol+magnesium Oxide+menaquinone+zinc Oxide, as it may worsen your condition or cause complications.

• Hypercalcemia (calcium level in your blood is above normal)
• Hypervitaminosis D or Vitamin D toxicity (excessive amounts of vitamin D in your body)
• Malabsorption or malabsorption syndrome (inability to absorb nutrients properly)
• Kidney stones
• Kidney, liver, heart disorders
• Phosphate calcifications (accumulation of calcium)
• Cardiac contraction/conduction
• Renal dysfunction
• Sarcoidosis (growth of small collections of inflammatory cells)
• Electrolyte imbalance.

Healthy eating habits:

• Add foods high in calcium, such as milk, curd, paneer, cheese, ragi, sesame seeds, and almonds.
• Make sure you get enough vitamin D from foods like eggs, salmon, fortified milk, and mushrooms.
• To promote bone health, consume meals high in protein (dal, legumes, eggs, lean meat).
• To improve vitamin D synthesis, spend 15 to 20 minutes in the morning in the sun.
• Reduce your intake of carbonated drinks, salt, and caffeine because they accelerate the loss of calcium.

Lifestyle modifications:

• To strengthen your bones, engage in weight-bearing and strength-building activities such as yoga, stair climbing, and walking.
• To reduce bone stress and fracture risk, maintain a healthy body weight.
• Steer clear of alcohol and tobacco since they weaken bones and decrease the absorption of calcium.
• Wearing appropriate footwear and maintaining well-lit living areas can help prevent falls and injuries.
• To promote bone growth and general health, make sure you get enough sleep.

It is recommended that serum electrolyte concentrations and cardiac function be monitored clinically.