Calcium + Vitamin D3 + Vitamin C + Vitamin E + Multimineral

Composition

Each film coated tablet contains-
  • Calcium (as calcium carbonate) 600 mg
  • Vitamin D3 (as cholecalciferol) 200 IU
  • Vitamin C 60 mg
  • Vitamin E 15 IU
  • Magnesium 20 mg
  • Manganese 1 mg
  • Zinc 7.5 mg
  • Copper 1 mg
  • Boron 250 mcg

Indications

This combination is indicated to maintain strong bones and teeth as well as the health of the muscles and nerves. It is also indicated for the prevention & treatment of osteoporosis & post-menopausal osteoporosis. It is needed for bone development and constant regeneration of bone as well.

Pharmacology

This medicine is an absolute bone health formula with more than half a dozen key nutrients. Calcium decreases the rate of bone loss from the femoral neck, the spine and the total body. Since calcium is a nutrient, not a drug, the positive effects of supplemental calcium are most pronounced among women with low to moderate calcium intake. Vitamin D3 helps the body to absorb calcium which helps to reduce age-related bone loss and bone fractures related to osteoporosis. Magnesium helps the body to absorb both calcium and vitamin D3. It also helps to synthesize proteins. Low magnesium status has been associated with postmenopausal osteoporosis. The trace minerals Zinc, Copper and Manganese all play a role in bone development. Zinc is a part of an antioxidant enzyme that helps to prevent cellular destruction, which can cause problems with bone growth and maturation. Copper keeps bones free from thinning. Fifty percent of the total copper content in the body is in the bones and muscles. Manganese, in combination with other trace minerals, helps to prevent bone loss and osteoporosis. Boron works with magnesium and vitamin D3 to enhance calcium absorption and helps to maintain calcium levels in the body. Vitamin C works as an antioxidant. It is also essential for the formation of collagen and aids in iron absorption. Vitamin E serves as an antioxidant, protects biological membranes and stabilizes cellular functions.

Dosage & Administration

2 tablets per day, preferably 1 tablet in the morning and 1 tablet in the evening or as directed by the physician.

Interaction

The risk of hypercalcaemia is increased if calcium salts are given with thiazide diuretics as these drugs reduce urinary calcium excretion. The effects of digitalis glycosides on the heart are enhanced by calcium. Calcium salts may reduce the absorption of fluoride, some fluoroquinolones, tetracyclines and iron.

Contraindications

Hypersensitivity to any of the ingredients. Periodic checks of plasma calcium levels and urinary calcium excretion should be made in patients with mild to moderate renal failure or mild hypercalciuria.

Side Effects

Calcium salts may cause mild gastrointestinal side effects such as constipation, flatulence, nausea, abdominal pain & bloating. Hypercalcaemia & in rare cases hypercalciuria have been seen with long term intake of calcium at high doses. Side effects from micronutrients are rare.

Pregnancy & Lactation

Recommended in pregnancy and lactation.

Precautions & Warnings

If there is any pre-existing heart disease or kidney disease, precautions should be taken.

Use in Special Populations

Data is insufficient regarding use in children.

Overdose Effects

Symptoms of overdose may include nausea and vomiting, severe drowsiness, dry mouth, loss of appetite, metalic taste, stomach cramps, unconsciousness, diarrhoea, weakness, headache, constipation, dizziness or irritability.

Therapeutic Class

Specific mineral & vitamin combined preparations

Storage Conditions

Store in a dry and cool place, away from direct light.