Generic: Calcium Lactate Gluconate Calcium Carbonate Vitamin C  |  Dosage Form: Effervescent Tablet  |  Manufacturer: ACI Limited

Indications

This preparation is indicated in-

• Increased demand for Calcium and Vitamin-C, e.g. pregnancy, lactation, periods of rapid growth (childhood, adolescence), in old age
• During infectious disease and convalescence
• Treatment of calcium and vitamin-C deficiency
• Osteoporosis
• Premenstrual syndrome
• Postmenopausal problems
• Adjuvant in colds and influenza

Dosage & Administration

Children 3 to 7 years: ½ effervescent tablet daily.
Adults & children above 7 years: 1 effervescent tablet daily.
Dissolve 1 tablet in a glass of water before consumption.

Interaction

Potentially hazardous interactions:

• Digoxin, tetracycline, furosemide, pentagastrin.
• Aminophylline, bleomycin, erythromycin, lactobionate, nafcillin, nitrofurantion, conjugated estrogens, salfafurazole, diethanolamine, chloramphenicol.

Potentially useful interactions:

• Vitamin-D, oxytocin and prostaglandins
• Vitamin-C enhances iron absorption

Contraindications

Hypercalcemia (e.g. in hyperparathyroidism, vitamin-D overdosage, decalcifying tumors such as plasmocytoma, bone metastases); severe hypercalciuria; severe renal failure.

Patients with hyperoxalauria, glucose-6- phosphate dehydrogenase deficiency, or iron overload. Larger doses may lead to gastrointestinal tract upset.

Side Effects

In rare cases, mild gastrointestinal disturbances (bloating, diarrhea) can occur. In predisposed patients, prolonged treatment with high doses may promote the formation of calculi in the urinary tract.

Precautions & Warnings

For patients with mild hypercalciuria (exceeding 300 mg = 7.5 mmol/24 hours), with mild or moderate impairment of renal function or with a history of urinary concrements, monitoring of calcium excretion in the urine is required. If necessary, the dosage should be reduced or therapy should be discontinued. High doses of vitamin-D and derivatives should be avoided during treatment with this preparation unless especially indicated.

Since citrate salts have been reported to increase aluminium absorption, this medicine  should be used with caution in patients with severely impaired renal function, especially those receiving aluminium-containing preparations. The sugar content should be taken into account by diabetic patients.

Overdose Effects

Acute overdosage has not been reported. It would be expected to cause gastrointestinal disturbances but not to result in hypercalcemia, except in patients treated with a very high dosage of vitamin-D and derivatives.

Therapeutic Class

Specific mineral & vitamin combined preparations

Storage Conditions

Store in a cool & dry place. Protect from heat, light and moisture & keep out of reach of children. Keep the tube tightly closed after each use.