Generic
Calcium Carbonate + Calcium Lactate + Vitamin-C
At a glance
Calcium Carbonate + Calcium Lactate + Vitamin-C is an effervescent tablet used to prevent and treat calcium and vitamin C deficiency, osteoporosis, hypocalcemia and osteomalacia.
Description
Each effervescent tablet contains Calcium Carbonate, Calcium Lactate and Vitamin C. It supports bone health, immunity and tissue repair. Can be taken with or without food.
Indications
Osteoporosis, calcium and vitamin C deficiency, hypocalcemia, calcium supplement, osteomalacia, increased demand for calcium and vitamin C during pregnancy and lactation, periods of rapid growth (childhood, adolescence), in old age.
Therapeutic class
Specific mineral & vitamin combined preparations
Pharmacological class
Calcium supplement + Vitamin C
Pharmacology
Calcium is essential for neurotransmission, muscle contraction, and signal transduction pathways. Vitamin C is necessary for collagen formation and tissue repair; plays a role in oxidation/reduction reactions and synthesis of catecholamines, carnitine, and steroids; also plays a role in conversion of folic acid to folinic acid.
Mechanism of action
Calcium helps maintain bone mineralization and density and ensures normal nerve and muscle function. Vitamin C acts as an antioxidant, aids in collagen synthesis and plays a vital role in fighting infections. The combined action ensures bone health, immunity and overall wellness.
Dosage
Adults and children above 7 years: 1 effervescent tablet daily. Children 3 to 7 years: 1/2 effervescent tablet daily. Or as directed by the physician.
Administration
Pour 1 tablet in a glass of water, dissolve within 1-2 minutes, drink immediately. Can be taken with or without food.
Missed dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
Side effects
Common side effects: Anorexia, constipation, flatulence, nausea, vomiting, xerostomia, acid rebound, diarrhea, headache. Rare side effects: Hypercalcemia, hypophosphatemia, hypotension, milk-alkali syndrome.
Precautions & warnings
Patients with mild to moderate renal failure or mild hypercalciuria should have periodic checks of plasma calcium and urinary calcium excretion. In patients with history of renal stones, urinary calcium excretion should be measured. Monitor serum and urinary calcium and kidney function during long-term treatment.
Contraindications
Hypercalcemia (myeloma, bone metastases or other malignant bone disease), sarcoidosis, primary hyperparathyroidism, vitamin D overdosage, severe renal failure, severe hypercalciuria, hypersensitivity to any component.
Drug interactions
Digoxin/cardiac glycosides: calcium may enhance cardiac effects and precipitate digitalis intoxication. Thiazide diuretics: increased risk of hypercalcemia and milk-alkali syndrome. Decreases absorption of tetracyclines, atenolol, iron, quinolones, alendronate, sodium fluoride, zinc and calcium-channel blockers. Decreased absorption with corticosteroids. Enhanced absorption with vitamin D. Vitamin C enhances iron absorption. May interact with deferoxamine, hormonal contraceptives, warfarin, disulfiram, mexiletine.
Food interactions
Calcium and vitamin C supplements can be taken with or without food. Absorption of calcium is enhanced when taken with fatty foods.
Use in pregnancy
Calcium and vitamin C requirements increase during pregnancy. This tablet can be used during pregnancy. Oral calcium has shown no increase in teratogenic risk to the fetus. Use under medical supervision.
Pregnancy Category: C — always consult a doctor before taking during pregnancy.
Use in lactation
Calcium is excreted in breast milk, but concentration is unlikely to produce adverse effects on the neonate. Vitamin C can be safely used during breastfeeding.
Pediatric use
Children: 3-7 years: 1/2 tablet daily; above 7 years: 1 tablet daily. Consult a pediatrician.
Geriatric use
Elderly (especially homebound) have higher risk of calcium and vitamin C deficiency, making this supplement particularly beneficial.
Renal / hepatic impairment
Contraindicated in severe renal failure. Caution required in mild to moderate renal failure or mild hypercalciuria.
Overdose effects
Symptoms of overdose: gastrointestinal disturbances, nausea, vomiting, constipation, diarrhea. Serious overdose may cause hypercalcemia (especially in patients receiving high doses of vitamin D).
Storage conditions
Store below 25°C in a cool and dry place, protected from light and moisture. Keep out of reach of children.
Chemical structure
Each effervescent tablet contains: Calcium Carbonate, Calcium Lactate and Vitamin C.