Ipical DX600mg+400IU

• Osteoporosis
• Osteomalacia
• Tetany
• Hypoparathyroidism
• Disorders of osteogenesis
• Inadequate calcium intake in childhood diet
• Rickets
• Pregnancy and lactation
• Elderly patients
• Pancreatitis
• Phosphate binder in chronic renal failure

Adults: 1-2 tablets daily (one each morning and evening) or as directed by a physician.

Effervescent tablet: Dissolve 1 tablet in a glass of water and drink orally. Stir the solution with a spoon before drinking.

Note: Taking on a full stomach ensures better absorption. Take with plenty of water.

Common side effects: Constipation, flatulence, nausea, vomiting, diarrhea, headache, drowsiness, dry mouth, anorexia, abdominal pain.

Rare: Hypercalcemia, hypophosphatemia, acid rebound, milk-alkali syndrome, allergic reactions, irregular heartbeats, decreased appetite.

Occasional skin rash has been reported with vitamin D supplements.

• When hypercalcemia occurs, discontinuation of the drug is usually sufficient to return serum calcium to normal.
• Use cautiously in patients with sarcoidosis, renal or cardiac disease, and patients receiving cardiac glycosides.
• Patients with a history of stone formation should increase their fluid intake.
• During long-term treatment, monitor serum calcium levels and renal function (serum creatinine).
• In severe renal insufficiency, vitamin D (cholecalciferol) is not metabolized normally; other forms of vitamin D should be used.
• Use with caution in immobilized patients with osteoporosis due to increased risk of hypercalcemia.