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Calcium Orotate+vitamin D3

About Calcium Orotate+vitamin D3

Calcium Orotate+vitamin D3 is used to treat low calcium levels in conditions such as vitamin D deficiency, osteoporosis (weak bones), hypoparathyroidism (low levels of parathyroid hormone), and latent tetany (a muscle disease with low blood calcium levels).

Calcium Orotate+vitamin D3 consists of calcium orotate and vitamin D3, which help maintain blood calcium and phosphorus levels and support bone mineralisation.

Take Calcium Orotate+vitamin D3 as advised by your doctor. Sometimes, it may cause side effects like constipation and stomach upset. These side effects do not require medical attention and gradually resolve over time.

Do not take Calcium Orotate+vitamin D3 if you are allergic to any ingredient in it. Pregnant or breastfeeding women should consult their doctor before taking Calcium Orotate+vitamin D3. Do not use Calcium Orotate+vitamin D3 if you have kidney problems/stones or have a high vitamin D level in your blood.

Uses of Calcium Orotate+vitamin D3

Calcium Orotate+vitamin D3 treats and prevents various conditions caused by low blood calcium levels. The detailed uses of Calcium Orotate+vitamin D3 are as follows:
• Calcium Deficiency: Calcium Orotate+vitamin D3 is primarily used to treat calcium deficiency by providing the body with the necessary calcium for bone formation and maintenance.
• Osteoporosis: It helps in the treatment of osteoporosis, a condition where bones become weak and brittle, by supporting bone density and strength.
• Vitamin D Deficiency: Calcium Orotate+vitamin D3 addresses Vitamin D deficiency, which can lead to poor calcium absorption, bone softening, and weakness.
• Hypoparathyroidism: This condition results in low calcium levels due to underactive parathyroid glands. Calcium Orotate+vitamin D3 helps restore normal calcium levels.
• Latent Tetany: Calcium Orotate+vitamin D3 is used to treat latent tetany, a condition characterised by muscle spasms and twitching caused by low calcium levels in the blood.
• Rickets and Osteomalacia: Calcium Orotate+vitamin D3 helps in the treatment of rickets (softening of bones in children) and osteomalacia (bone softening in adults) due to insufficient calcium.

Medicinal Benefits

When used as advised, Calcium Orotate+vitamin D3 may offer the following benefits:

For Vitamin D deficiency:

  • Increases total vitamin D levels and treats vitamin D insufficiency.
  • Increases bone mineral density and fortifies teeth and bones.
  • Relieves deficiency-related bone pain, muscle pains, and weakness.
  • Reduces the chance of bone fractures, particularly in older people.

For Osteoporosis:

  • Reduces bone loss and increases bone mineral density
  • Lowers the chance of fragility fractures, particularly those of the wrist, hip, and spine.
  • Reduces osteoporosis-related muscular weakness and bone discomfort.
  • Reduces the incidence of falls in elderly patients by promoting normal muscle strength.

For Osteomalacia:

  • Decreases the chance of bone fractures and pseudofractures and gradually improves bone softness and abnormalities.
  • Promotes healthy muscular movement and function.
  • Helps with overall skeletal recovery when taken regularly.

For Tetany:

  • Relieves tetany-related muscular stiffness, cramps, and spasms.
  • Keeps calcium levels steady, helping prevent recurring tetany episodes.
  • Promotes healthy muscle and nerve function.

Directions for Use

  • Calcium Orotate+vitamin D3 can be taken with or without food, or as directed by the healthcare provider.
  • Follow your doctor's instructions on the dosage and timing of this medication.
  • Swallow the medicine as a whole with a full glass of water.
  • Do not crush, chew, or break it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Calcium Orotate+vitamin D3

  • Constipation
  • Stomach upset

Drug Warnings

  • Do not take Calcium Orotate+vitamin D3 if you're allergic to any ingredient in it.
  • Calcium Orotate+vitamin D3 is not recommended if you have hypercalcemia (high calcium levels), metastatic calcification (extra deposits of calcium in the body), hypervitaminosis D (high vitamin D levels), and malabsorption syndrome (difficulty absorbing nutrition from food).
  • Consult your doctor if you are pregnant or breastfeeding.
  • Calcium Orotate+vitamin D3 should be used with caution in children and only if recommended by a doctor.
  • Inform your doctor before taking Calcium Orotate+vitamin D3 if you have any heart/kidney/liver/blood vessel diseases, 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.

Drug Interactions

Drug-Drug Interactions: Taking Calcium Orotate+vitamin D3 with the following medication classes 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 result in high risk of cardiac arrhythmias.
  • Drugs treating bone loss (alendronate)
    • Potential effect: May reduce the absorption of Calcium Orotate+vitamin D3.
  • 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
  • Other Vitamin D supplements (Doxercalciferol, ergocalciferol)
    • Potential effect: May cause elevated risk of vitamin D toxicity.

Drug-Food Interactions: Avoid or reduce caffeine intake, 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 Orotate+vitamin D3, as it may worsen your condition or cause complications.

  • Heart problems
  • Malabsorption
  • Kidney disease
  • High calcium levels

Drug-Drug Interactions Checker List:

  • LEVOTHYROXINE
  • PHENYTOIN
  • ALENDRONATE
  • DOXERCALCIFEROL
  • DIGOXIN
  • TETRACYCLINE
  • DOXYCYCLINE
  • HYDROCHLOROTHIAZIDE
  • PHENOBARBITAL
  • ERGOCALCIFEROL
  • Safety Advice

    • Safety Warning

      Alcohol

      caution

      Drinking alcohol can affect calcium absorption; hence, it is advised to limit/avoid consuming alcohol while using Calcium Orotate+vitamin D3.

    • Safety Warning

      Pregnancy

      consult your doctor

      Calcium Orotate+vitamin D3 is considered safe to be used in pregnancy. However, if you are pregnant, consult your doctor before using this medicine.

    • Safety Warning

      Breast Feeding

      consult your doctor

      Calcium Orotate+vitamin D3 is considered safe to be used in breastfeeding. However, if you are a nursing mother, consult your doctor before using this medicine.

    • Safety Warning

      Driving

      safe if suggested

      Calcium Orotate+vitamin D3 usually does not interfere with your driving ability.

    • Safety Warning

      Liver

      consult your doctor

      Let your doctor know before taking Calcium Orotate+vitamin D3 if you have liver problems or a history of liver disease. Hepatic impairment or liver disease can alter the metabolic and therapeutic activity of certain forms of vitamin D.

    • Safety Warning

      Kidney

      caution

      Seek a doctor's advice before starting Calcium Orotate+vitamin D3 if you have kidney diseases like kidney stones or are undergoing dialysis. Caution should be taken in patients undergoing dialysis to maintain adequate phosphorus levels and avoid ectopic calcification (calcium deposition).

    • Safety Warning

      Children

      caution

      Calcium Orotate+vitamin D3 should be used with caution in children and only if recommended by a doctor.

    Habit Forming

    No

    Diet & Lifestyle Advise

    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.

    Special Advise

    • It is recommended to regularly monitor your Vitamin D levels through blood testing.

    Patients Concern

    Disease/Condition Glossary

    Vitamin D deficiency: When a person cannot get enough Vitamin D through food and exposure to sunlight, it leads to vitamin D deficiency. It often leads to thin, brittle or misshapen bones. 

    Osteoporosis: It is a bone disorder that makes the bones weak and brittle by decreasing bone density. 

    Tetany: It is a condition occurring due to low calcium levels (hypocalcaemia) in the body that causes cramps and spasms in the hands, feet, and larynx (voice box).

    Osteomalacia/Rickets: It is a disease caused by softening and weakening of bones in children due to inadequate vitamin D.

    Hypoparathyroidism: It is a disease characterised by low levels of parathyroid hormone. This can cause low calcium levels and trigger tetany (muscle cramps, spasms or tremors).

    FAQs

    Calcium Orotate+vitamin D3 is used for the treatment of Osteoporosis, Osteomalacia (Rickets), Vitamin D deficiency, Hypoparathyroidism, and Latent tetany.

    Calcium Orotate+vitamin D3 consists of Calcium orotate and Vitamin D3. Calcium orotate is a mineral that prevents or treats calcium deficiency. Vitamin D3 (Cholecalciferol) helps maintain blood calcium and phosphorus levels and mineralisation of bone. When you don't get enough Vitamin D from food sources and sunlight exposure, Calcium Orotate+vitamin D3 helps replenish those low levels.

    Milk is considered to be the best source of calcium. You can take Calcium Orotate+vitamin D3 with milk.

    Calcium Orotate+vitamin D3 is used to increase low levels of calcium in the body. Hence, it is not advised to use Calcium Orotate+vitamin D3 if you have hypercalcaemia since it causes an overdose of calcium, leading to kidney stones and other effects.

    Antacids may increase the absorption of Calcium from Calcium Orotate+vitamin D3. Hence, it is advised to take Calcium Orotate+vitamin D3 one hour before or two hours after taking antacids.

    The food sources of Vitamin D include fatty fish like salmon, mackerel, and tuna. Cod liver oil has a lot of vitamin D, as do egg yolks, beef liver, and fortified foods like milk, orange juice, and cereals. Sun-exposed mushrooms are another source of vitamin D.

    Vitamin D is essential for maintaining healthy bones, as it helps the body absorb calcium, thereby preventing weakness and fractures. It raises vitamin D levels in your blood. It prevents cartilage degeneration. It helps maintain blood calcium levels, phosphorus levels, and bone mineralisation. You can get vitamin D from sunlight, foods like fatty fish, or supplements if necessary.

    Calcium Orotate+vitamin D3 may cause side effects such as constipation and stomach upset. These do not require any medical treatment as they will gradually reduce over time. Please consult a doctor if these side effects persist for longer than expected.

    While taking Calcium Orotate+vitamin D3, avoid taking alcohol, caffeine, and soft drinks as they may affect calcium absorption.

    Calcium Orotate+vitamin D3 is not recommended if you are allergic to any of its ingredients. Inform your doctor if you have heart, kidney, liver, or blood vessel problems, kidney stones, or malabsorption syndrome. Pregnant or breastfeeding women should consult their doctor before use.

    While taking Calcium Orotate+vitamin D3, add dairy products like milk, yoghurt, cheese, or milk-based custard to your diet. Eat a daily portion of green vegetables such as broccoli, cabbage, spinach, and beans. Include vitamin D sources like fish liver oils or fortified milk. Calcium-rich nuts like almonds or Brazil nuts as snacks, and sprinkle sesame seeds on foods and salads for extra calcium. Reduce caffeine, soft drinks, and alcohol, as they can inhibit calcium absorption.

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