Calcium gluconate

Calcium a gluconate – the drug influencing fabric exchange.

Pharmacological effect of Calcium gluconate

Calcium the gluconate fills shortage of calcium – the substance necessary for formation of a bone tissue, reduction of unstriated, skeletal muscles, transfer of nervous impulses, activity of a myocardium, a blood coagulation.

Use of a gluconate of calcium renders smaller irritant action, than Calcii chloridum.

Release form

Drug is produced in tablets, powder, solution.

Indications to use

Calcium the gluconate according to the instruction is appointed at the diseases which are followed by a hypocalcemia, increase in permeability of membranes of cells, disturbance of conductivity of nervous impulses in muscles.

Also use a gluconate of calcium is shown at a hypoparathyrosis, vitamin D exchange disturbances (a hyperphosphatemia at a renal chronic failure, rickets), the strengthened removal of calcium at a long bed rest, diarrhea chronic, hypocalcemias secondary, caused by prolonged use of diuretics, glucocorticosteroids, antiepileptic means.

Bleedings of a different etiology, allergic diseases (fever, a serum disease, a small tortoiseshell, an itch, a dermatosis pruritic, reactions to drugs, foodstuff, a Quincke's disease), asthma bronchial, hypostases alimentary dystrophic, tuberculosis pulmonary, lead colicas, an eclampsia, poisonings with magnesium salts, fluoric, oxalic acids and their salts, hepatitis parenchymatous, damages of a liver of toxic character, a paroxysmal mioplegiya of a giperkaliyemichesky form are also indications to use of a gluconate of calcium.

The calcium gluconate at pregnancy is effective, during a lactation, the strengthened growth, the postmenopauzny period, at a diet with a lack of calcium.

Application instruction

Calcium the gluconate in tablets is accepted before meal or in 1-1,5 h after food. Wash down tablets with milk. Adults accept one-three grams 2-3 р / day. Children up to one year are given 0,5 гр drug, at the age of 2-4 years – 1 гр, 5-6 years – 1-1,5 гр, 7-9 years – 1,5-2 гр, 10-14 years – 2-3 гр. Calcium a gluconate in tablets children are given 2-3 р / day.

The calcium gluconate at pregnancy, during a lactation is appointed by one-three grams 2-3 р / day. It is impossible to accept more, than 9 гр calcium a gluconate in days.

Intravenously the drug needs to be administered slowly as well as calcium pricks a gluconate – them do for two-three minutes. The adult enter 5-10 ml of 10% of solution every day, in one day or two days.

To children calcium injections a gluconate intramusculary are not given (because of danger of a necrosis of fabrics), administer the drug only intravenously (slowly or kapelno) – 1-5 ml of 10% of solution each two-three days.

Before introduction solution needs to be heated to usual body temperature.

Side effects

Means at internal use can cause irritation mucous a GIT, a lock. At administration of solution intramusculary, diarrhea, vomiting, bradycardia, nausea can intravenously develop.

Also at intravenous administration there can be a burning in a mouth, the general feeling of heat, pressure at bystry introduction can go down, develop arrhythmia, stop heart, the patient can faint.

At intramuscular pricks of calcium the gluconate can appear a necrosis of fabrics in an injection site.

The overdose causes development of a hypercalcemia for which elimination enter a calcitonin – 5-10ME on kilogram of weight a day.

Contraindications to use

According to the instruction the gluconate of calcium is contraindicated at the hypercalcemia expressed to a hypercalcuria, hypersensitivity, a nefrourolitiaza, a sarcoidosis. It is impossible to accept at the same time drug with cardiac glycosides because of risk of developing of arrhythmia.

Care at use of drug should be shown to patients with dehydration, electrolytic disturbances, diarrhea, a sprue, a nefrourolitiaza calcic, the insignificant hypercalcuria moderated by renal, heart chronic failure, atherosclerosis widespread, hypercoagulation.