CALCIGEN D 600 mg/400 IU effervescent tablets, 100 pcs

Areas of application

This medicine contains the two active ingredients calcium and vitamin D3.Calcium is an important component of bones and vitamin D3 improves the absorption of calcium from the intestine and its incorporation into the bones.It is used to correct combined vitamin D and calcium deficiencies in elderly patients and as an adjunct to osteoporosis treatment in which vitamin D and calcium levels are too low or there is a high risk of this.

Active ingredients / ingredients / ingredients

The active ingredients are calcium carbonate 1500 mg, corresponding to elemental calcium 600 mg, and colecalciferol dry concentrate 4 mg, corresponding to vitamin D3 10 µg (400 IU).The other ingredients are alpha-tocopherol, modified starch, sucrose, sodium ascorbate, medium chain triglycerides, silicon dioxide, sodium bicarbonate, sodium carbonate, citric acid, (R,S)-hydroxysuccinic acid, sodium cyclamate, maltodextrin, saccharin sodium and lemon flavor, which contains sorbitol.

Contraindications

This medicine must not be taken if you are allergic to calcium carbonate, vitamin D or any of the other ingredients of this medicine.Its use is also contraindicated if calcium concentrations in the blood are too high (hypercalcemia) and/or increased calcium excretion in the urine (hypercalciuria).It is also not suitable if there are conditions that lead to hypercalcemia and/or hypercalciuria, such as overactive parathyroid glands, bone marrow disease (myeloma), a malignant bone tumor (bone metastases), kidney failure, kidney stones (nephrolithiasis), calcium deposits in the kidneys (nephrocalcinosis) or a vitamin D overdose (hypervitaminosis D).

Dosage

The usual dose for adults and the elderly is one tablet twice a day, for example one in the morning and one in the evening.Pregnant women should only take one effervescent tablet per day.During long-term treatment, calcium levels in urine and blood must be monitored.This is especially important if you develop kidney stones more often.The preparation is not suitable for use in children and adolescents.

The doctor decides on the duration of the treatment.A serum calcium check should be carried out every 3 to 6 months.Please talk to your doctor or pharmacist if you have the impression that the effect is too strong or too weak.

If you have taken more than you should and notice signs of overdose, please stop taking it and consult your doctor immediately.Signs of overdose may include: dehydration, loss of appetite, increased thirst, nausea, vomiting, constipation, abdominal pain, muscle weakness, fatigue, mental disorders, increased urine output, bone pain and kidney stones.Chronic overdose can lead to vascular and organ calcification due to calcium deposits.In the event of a significant overdose, cardiac arrest may occur.

Do not take a double dose if you forget to take the previous dose.If you want to interrupt the treatment or end it prematurely, please consult your doctor.

Intake

To be taken after dissolving in water.The effervescent tablet is dissolved in a glass of water and drunk immediately.You should take the preparation morning and evening.

Patient information

Please talk to your doctor or pharmacist before taking the product.During long-term treatment, serum calcium levels and renal function should be monitored regularly by measuring serum creatinine.This review is particularly important in elderly patients and during concurrent treatment with cardiac glycosides (e.g. digoxin) and diuretics.Based on the results obtained, your doctor may recommend reducing your dose or even stopping treatment.However, the dose should be reduced or therapy temporarily interrupted if urinary calcium excretion exceeds 7.5 mmol/24 hours (300 mg/24 hours).

Before taking the preparation, the amount of vitamin D, calcium and alkali already taken must be taken into account, such as:B. Carbonate from other sources (e.g. dietary supplements or food).Since these products already contain vitamin D and calcium carbonate, additional intake of this preparation can lead to Burnett syndrome.Burnett syndrome (milk-alkaline syndrome) is a calcium metabolism disorder with an increase in blood calcium levels. It can be triggered by ingesting very large amounts of milk and/or calcium carbonate from other sources or by excessive use of antacids (medicines for stomach acid).This can lead to side effects.Therefore, additional administration of the preparation must be carried out under strict medical supervision with regular checking of the calcium levels in the blood (calcaemia) and urine (calciuria).

Before taking, you should consult your doctor or pharmacist if you suffer from kidney stones, an immune system disorder (sarcoidosis) as the calcium level in your blood and urine needs to be checked, if your ability to move is restricted and you suffer from reduced bone mass (osteoporosis), if you are also taking other vitamin D3 or calcium-containing preparations or if you suffer from mild to moderate kidney dysfunction.If you have severe kidney impairment, you should not take this medicine.

No effects on the ability to drive or use machines are expected.

Pregnancy

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.Pregnant and breastfeeding women should take the preparation two hours before or after meals to avoid possible interference with iron absorption.

The preparation can be used during pregnancy, but the daily intake should not exceed 1,500 mg calcium and 600 IU vitamin D.If you are pregnant, you should not take more than one tablet per day.Higher doses may be harmful to the unborn child.

This preparation can be used during breastfeeding.Since calcium and vitamin D3 are excreted in breast milk, you must first consult your doctor whether your child is already receiving products that contain vitamin D3.

Notes

No prescription is required for this product.For information about risks and side effects, read the package leaflet and ask your doctor or pharmacist.

Other

During long-term use, blood and urine calcium levels as well as kidney function should be checked by a doctor.Since the medicine already contains vitamin D, additional use of vitamin D or calcium may only be carried out under strict medical supervision.In this case, it is essential to check blood and urine calcium levels weekly.

Manufacturer: MEDA Pharma GmbH & Co. KG, Benzstraße 1, 61352 Bad Homburg.