Calcium + Vitamin C

General characteristics. Structure:

Active components:
Calcium carbonate          of 500 mg
Ascorbic acid    of 180 mg

Excipients: sodium bicarbonate, lemon k.islota, sorbitol, saccharin, polyethyleneglycol, aromatic orange additive, E-110 dye.

Pharmacological properties:

Drug regulates calcium-phosphorus exchange, vitamin C.

Indications to use:

Deficit of calcium, prevention of a hypovitaminosis of vitamin C.
The raised intellectual and exercise stresses, the period of pregnancy and lactation, asthenic states, inertly healing wounds, fractures of bones, complex therapy of allergic diseases.

Route of administration and doses:

Inside. Before reception the tablet is dissolved in a glass of water.
The adult –1-2 tablets a day.

Features of use:

Regular control of excretion of calcium with urine is required from patients with the insignificant hypercalcuria (exceeding 300 mg =7,5 mmol/days), with poorly or moderately expressed renal failures, and also in the presence of anamnestic instructions on an urolithiasis. If necessary it is necessary to reduce a dose of drug or to cancel it. The patient with tendency to formation of concrements in urinary tract recommend to increase liquid reception.

At treatment by drugs of calcium it is necessary to avoid reception of high doses of vitamin D or its derivatives if only for this purpose there are no special indications.

Side effects:

In rare instances there can be poorly expressed disturbances from digestive tract (a meteorism, a lock or diarrhea); allergic reactions, an asthma, heat, at reception in high doses – a headache, increased fatigue, thirst, a polyuria.

Interaction with other medicines:

Drug can reduce absorption of estramustinum, etidronat and, perhaps, other bisfosfonat, Phenytoinum, hinolon, peroral tetracycline antibiotics and drugs of fluorine. The interval between reception of the tablets Calcium + Vitamin C and the above-stated drugs has to make at least 3 h.
Co-administration of vitamin D and its derivatives increases calcium absorption.
Absorption of calcium from a GIT can decrease at a concomitant use of some types of food, for example, of spinach, a rhubarb, bran and grain.
At appointment in high doses together with vitamin D and its derivatives calcium can reduce effect of verapamil and, perhaps, other blockers of calcium channels. Peroral purpose of high doses of calcium the patient receiving foxglove drugs can increase risk of developing of arrhythmias.
Thiazide diuretics reduce calcium excretion with urine. Therefore it must be kept in mind risk of development of a hypercalcemia at their simultaneous use with the sparkling tablets Calcium + Vitamin C.

Contraindications:

Hypersensitivity to drug components, the increased concentration of calcium in blood and urine (a hypercalcemia, a hypercalcuria), a chronic renal failure, нефроуролитиаз, a nephrocalcinosis.
Use during pregnancy and breastfeeding.
Calcium gets into breast milk. During pregnancy the daily dose of calcium should not exceed 1500 mg. The hypercalcemia, during pregnancy can cause defects of physical and intellectual development in a fruit.

Overdose:

About cases of acute overdose it was not reported. Disturbances from digestive tract are possible that will not lead to emergence of a hypercalcemia, except for cases of co-administration of high doses of vitamin D and its derivatives. Treatment: symptomatic.

Storage conditions:

To store in the dry, protected from light place at a temperature not above 25 °C.
To store in the place, unavailable to children.

Issue conditions:

Without recipe

Packaging:

Tablets sparkling 0,18 + 0,5 g. On 10,12 tablets in a plastic case; 1 case in a cardboard pack together with the application instruction.