This combination medication is used to lớn prevent or treat low blood calcium levels in people who vì chưng not get enough calcium from their diets. It may be used khổng lồ treat conditions caused by low calcium levels such as bone loss (osteoporosis), weak bones (osteomalacia/rickets), decreased activity of the parathyroid gland (hypoparathyroidism), and a certain muscle disease (latent tetany). It may also be used in certain patients khổng lồ make sure they are getting enough calcium (including women who are pregnant, nursing, or postmenopausal, people taking certain medications such as phenytoin, phenobarbital, or prednisone).Calcium plays a very important role in the body. It is necessary for normal functioning of nerves, cells, muscle, and bone. If there is not enough calcium in the blood, then the toàn thân will take calcium from bones, thereby weakening bones. Vitamin D helps your toàn thân absorb calcium and phosphorus. Having the right amounts of vi-ta-min D, calcium, và phosphorus is important for building & keeping strong bones.
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Take this medication by mouth with food. If your product contains calcium citrate, then it may be taken with or without food. Follow all directions on the product package, or take as directed by your doctor. For best absorption, if your total daily dose is more than 600 milligrams, then divide your dose & space it throughout the day. If you have any questions, ask your doctor or pharmacist.
If you are using the liquid khung of this medication, carefully measure the dose using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose.
If you are taking the chewable size of this medication, chew thoroughly before swallowing. If you are taking capsules, swallow each capsule whole.
Do not crush or chew extended-release tablets. Doing so can release all of the drug at once, increasing the risk of side effects. Swallow the whole tablet without crushing or chewing.
Use this medication regularly to get the most benefit from it. To lớn help you remember, take it at the same time(s) each day.
If your doctor has recommended that you follow a special diet, it is very important to follow the diet khổng lồ get the most benefit from this medication và to prevent serious side effects. Vày not take other supplements/vitamins unless ordered by your doctor.
Calcium supplements come in different forms that contain different amounts of calcium/vitamin D. Ask your doctor or pharmacist to lớn help select the best sản phẩm for you.
If you think you may have a serious medical problem, seek immediate medical attention.
Constipation or stomach upset may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.
If your doctor has directed you lớn use this medication, remember that your doctor has judged that the benefit lớn you is greater than the risk of side effects. Many people using this medication bởi vì not have serious side effects.
Tell your doctor right away if any of these unlikely but serious side effects occur: nausea/vomiting, loss of appetite, unusual weight loss, mental/mood changes, signs of kidney problems (such as change in the amount of urine), bone/muscle pain, headache, increased thirst, increased urination, weakness, tiredness, fast/pounding heartbeat.
A very serious allergic reaction lớn this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete danh mục of possible side effects. If you notice other effects not listed above, tương tác your doctor or pharmacist.
In the US - điện thoại tư vấn your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - điện thoại tư vấn your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
Before taking this medication, tell your doctor or pharmacist if you are allergic to it; or to lớn other vitamin D products (such as calcitriol); or if you have any other allergies. This hàng hóa may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: high calcium/vitamin D levels (hypercalcemia/hypervitaminosis D), difficulty absorbing nutrition from food (malabsorption syndrome).
Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart/blood vessel disease, kidney stones, kidney disease, certain immune system disorder (sarcoidosis), liver disease, certain bowel diseases (Crohn"s disease, Whipple"s disease), little or no stomach acid (achlorhydria), low levels of bile, untreated phosphate imbalance.
Chewable tablets may contain sugar or aspartame. Caution is advised if you have diabetes, phenylketonuria (PKU), or any other condition that requires you to lớn limit/avoid these substances in your diet. Ask your doctor or pharmacist about using this hàng hóa safely.
Tell your doctor if you are pregnant before using this medication. During pregnancy, doses of vitamin D greater than the recommended dietary allowance should be used only when clearly needed. Discuss the risks and benefits with your doctor.
This medication passes into breast milk. Consult your doctor before breast-feeding.
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs và herbal products) and share it with your doctor & pharmacist. Bởi not start, stop, or change the dosage of any medicines without your doctor"s approval.
Some products that may interact with this drug include: digoxin, phosphate binders.
Calcium can decrease the absorption of other drugs such as tetracycline antibiotics (for example, doxycycline, minocycline), bisphosphonates (such as alendronate), estramustine, levothyroxine, và quinolone antibiotics (such as ciprofloxacin, levofloxacin). Also, certain medications can decrease the absorption of vi-ta-min D (bile acid sequestrants such as cholestyramine/colestipol, mineral oil, orlistat). Separate your doses of these medications as far as possible from your doses of calcium/vitamin D. Ask your doctor or pharmacist about how long you should wait between doses và for help finding a dosing schedule that will work with all your medications.
Check the labels on all your prescription & nonprescription/herbal products (such as antacids, laxatives, vitamins) because they may contain calcium, phosphate, or vi-ta-min D. Ask your pharmacist about using those products safely.
Vitamin D is very similar to calcitriol. Vì chưng not use medications containing calcitriol while using vitamin D.
This medication may interfere with certain laboratory tests (including cholesterol tests), possibly causing false chạy thử results. Make sure laboratory personnel và all your doctors know you use this drug.