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About IBANDRONIC ACID+ELEMENTAL CALCIUM+CALCITRIOL

IBANDRONIC ACID+ELEMENTAL CALCIUM+CALCITRIOL 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.

IBANDRONIC ACID+ELEMENTAL CALCIUM+CALCITRIOL contains Elemental Calcium (mineral), Calcitriol (Vitamin D3), and Ibandronic acid (biphosphonate). Elemental Calcium provides essential nutrients necessary for 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 duration based on your medical condition. In some cases, IBANDRONIC ACID+ELEMENTAL CALCIUM+CALCITRIOL can cause side effects like bone/muscle pain, muscle cramps, stiffness in joints, headache, back pain, indigestion, heartburn, and diarrhoea. Most of these side effects of IBANDRONIC ACID+ELEMENTAL CALCIUM+CALCITRIOL do not require medical attention and gradually resolve over time. However, if these side effects persist longer, please consult your doctor. 

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. Consult your doctor if you are pregnant or breastfeeding. IBANDRONIC ACID+ELEMENTAL CALCIUM+CALCITRIOL is not recommended for children and adolescents below 18 years.

Uses of IBANDRONIC ACID+ELEMENTAL CALCIUM+CALCITRIOL

Osteoporosis.

Medicinal Benefits

IBANDRONIC ACID+ELEMENTAL CALCIUM+CALCITRIOL is used to treat osteoporosis (weak and brittle bones). IBANDRONIC ACID+ELEMENTAL CALCIUM+CALCITRIOL consists of Elemental Calcium, Calcitriol (Vitamin D3), and Ibandronic acid. Elemental Calcium provides essential nutrients necessary for bone formation and maintenance. Calcitriol is a synthetic version of Vitamin D3 which 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. You can take it with or without food at regular intervals, as prescribed by the doctor. Do not crush, chew or break it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of IBANDRONIC ACID+ELEMENTAL CALCIUM+CALCITRIOL

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

In-Depth Precautions and Warning

Drug Warnings

Let your doctor know if you are allergic to any of the components in IBANDRONIC ACID+ELEMENTAL CALCIUM+CALCITRIOL. IBANDRONIC ACID+ELEMENTAL CALCIUM+CALCITRIOL 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, or inflammation of the gut. Consult your doctor if you are pregnant and breastfeeding. It is advised to limit alcohol consumption since it can affect calcium absorption. IBANDRONIC ACID+ELEMENTAL CALCIUM+CALCITRIOL is not recommended for children and adolescents below 18 years.

Drug Interactions

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

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

Drug-Disease Interaction: Inform your doctor if you have 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
  • HYDROCHLOROTHIAZIDE
  • PHENOBARBITAL
  • PHENYTOIN
  • PREDNISONE
  • DEXAMETHASONE
  • ASPIRIN
  • 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 IBANDRONIC ACID+ELEMENTAL CALCIUM+CALCITRIOL.

    • Safety Warning

      Pregnancy

      caution

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

    • Safety Warning

      Breast Feeding

      caution

      Consult your doctor before taking IBANDRONIC ACID+ELEMENTAL CALCIUM+CALCITRIOL if you are breastfeeding. Ibandronic acid in IBANDRONIC ACID+ELEMENTAL CALCIUM+CALCITRIOL is not recommended during breastfeeding.

    • Safety Warning

      Driving

      safe if prescribed

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

    • Safety Warning

      Liver

      caution

      Let your doctor know if you have any history of liver diseases before taking IBANDRONIC ACID+ELEMENTAL CALCIUM+CALCITRIOL. 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 IBANDRONIC ACID+ELEMENTAL CALCIUM+CALCITRIOL if you have kidney stones or undergoing dialysis.

    • Safety Warning

      Children

      unsafe

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

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Include dairy products like milk, yoghurt, 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, as they may inhibit calcium absorption.
    • Replace the meat with tofu or tempeh for extra calcium in your food.

    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 IBANDRONIC ACID+ELEMENTAL CALCIUM+CALCITRIOL work?

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

    What 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 IBANDRONIC ACID+ELEMENTAL CALCIUM+CALCITRIOL cause kidney stones?

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

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

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

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

    Calcitriol in IBANDRONIC ACID+ELEMENTAL CALCIUM+CALCITRIOL 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

    IBANDRONIC ACID+ELEMENTAL CALCIUM+CALCITRIOL