Calcium Sandoz forte

Active material: Calcium carbonate, kalytsiya lactate gluconate
When ATH: A12AA20
CCF: Preparation, filling shortage of calcium in the body
ICD-10 codes (testimony): E55, E55.0, E58, M81.0, M81.1, M81.2, M81.4, M81.8, M82, M83, O25, R29.0
When CSF: 13.03.04
Manufacturer: NOVARTIS CONSUMER HEALTH S.A. (Switzerland)

Pharmaceutical form, composition and packaging

◊ Effervescent tablets round, flat, with a beveled edge, white, weak orange odor.

Excipients: natriya carbonate, sodium saccharin, orange flavor powder, sucrose, lemon acid, macrogol 4000.

10 PC. – Packaging Polypropylene (1) – packs cardboard.
20 PC. – Packaging Polypropylene (1) – packs cardboard.

Pharmacological action

Calcium supplementation for oral. Calcium – a vital mineral element, required to maintain the balance of electrolytes in the body and the proper functioning of numerous regulatory mechanisms. The product fills the shortage Ca²⁺ body, is involved in calcium and phosphorus metabolism, protivorahiticheskoe and has anti-allergic effect.

Effervescent tablets Calcium Sandoz^® Forte contains a high dose of fast-ionized calcium. This formulation provides an adequate intake of calcium in the body in the form of a delicious drink.

Pharmacokinetics

About 30% ionized calcium is absorbed from the gastrointestinal tract. The bones and teeth found 99% total body calcium. 50% total serum calcium is represented by ionized calcium, 5% It is composed of anionic complexes and 45% associated protein.

About 20% calcium excreted in the urine and 80% – with feces. Since feces derived as unabsorbed calcium, and that it absorbed part, which is released in the bile and pancreatic secretion.

Testimony

- Osteoporosis of various genesis (postmenopauzny, senile, due to long-term treatment with glucocorticoids, immobilizaciej, gastrectomy) – often in combination therapy;

- Prophylactic ago- and post-menopausal bone demineralization;

- Osteomalacia (as an adjunct to primary therapy);

- Latent tetany flow;

- State, accompanied by an increased need for calcium, incl. pregnancy, lactation, the period of intensive growth in children, advanced age, physical and mental stress;

- Allergic reactions (as adjuvant therapy).

Dosage regimen

Assign 1-2 tab. / day. In severe cases, in the first week of treatment may increase the dose to 4 tab. / day (2 Mr. ionized calcium). Before taking a tablet dissolved in a glass of water.

Side effect

From the digestive system: rarely – slabovыrazhennыe flatulence, constipation or diarrhea.

Other: allergic reactions, breathlessness, fever; when taken in high doses – headache, fatigue, thirst, polyuria.

Contraindications

- Hypersensitivity to the drug;

- Hypercalcemia (incl. when hyperparathyroidism, overdose of vitamin D, dekaltsifitsiruyuschih tumors, such as plasmacytoma, bone metastases);

- Expressed hypercalciuria;

- Nephrocalcinosis;

- Nefrourolitiaz;

- Chronic renal failure.

Pregnancy and lactation

In pregnancy, the daily dose of calcium should not exceed 1500 mg. Hypercalcemia during pregnancy can cause defects in physical and mental development of the fetus.

When the body is extra calcium perhaps his selection with breast milk, but it is unlikely, that the concentration would be sufficient to, to lead to the development of side effects in a newborn.

Cautions

Patients with minor hypercalciuria (exceeding 300 mg or 7.5 mg / day), with mild to moderate renal impairment, as well as the presence of indications of a history of urolithiasis requires regular monitoring of calcium excretion in the urine. If necessary, reduce the dose or cancel. In patients with a tendency to form stones in the urinary tract is recommended to increase fluid intake.

When treating calcium preparations must be avoided for vitamin D or its derivatives with high doses, if this is not only for special indications.

Observe interval of at least 3 hours between the intake of Calcium Sandoz tablets^® forte and estramustine, and other bisphosphonates etidronate, phenytoin, khinolonov, tetracycline antibiotics and oral formulations of fluoride.

In appointing the drug to patients with diabetes should be considered, that carbohydrate content 1 Effervescent tablets Calcium Sandoz^® Forte is 870 mg.

In appointing the drug to patients, We are on a low-salt diet, it should be understood, content of sodium 1 Effervescent tablets Calcium Sandoz^® Forte is 270 mg.

Overdose

No cases of acute overdose have been reported. It can be expected, overdose cause disorders of the digestive tract, but will not cause hypercalcemia, except in cases of simultaneous administration of vitamin D in high doses, and its derivatives.

Drug Interactions

In connection with the possible formation of complexes nonabsorbable effervescent tablets Calcium Sandoz^® Forte can reduce the absorption of estramustine, and etidronate, perhaps, other bisphosphonates, phenytoin, khinolonov, tetracycline antibiotics and oral formulations of fluoride.

Co-administration of vitamin D and its derivatives increases the absorption of calcium.

Calcium absorption from the gastrointestinal tract may be decreased while taking certain foods, such as spinach, Rhubarb, bran and grain.

When administered in high doses, together with vitamin D and its derivatives can reduce the calcium responses to verapamil and, perhaps, other calcium channel blockers.

When administered in high doses of calcium in patients, receiving digitalis preparations, may increase the risk of arrhythmias.

Thiazide diuretics reduce calcium excretion in the urine, so their application with effervescent tablets Calcium Sandoz^® Fort there is a risk of hypercalcaemia.

Conditions of supply of pharmacies

The drug is resolved to application as an agent Valium holidays.

Conditions and terms

The drug should be protected from exposure to moisture at a temperature no higher than 25 ° C. Shelf life – 3 year.