Boron + Calcitriol/ Cholecalciferol + Calcium carbonate + Docosahexaenoic Acid + Eicosapentaenoic Acid + Folic Acid + Methylcobalamin

Dosage Forms Available

• Boron + Calcitriol/ Cholecalciferol + Calcium Carbonate + Docosahexaenoic Acid + Eicosapentaenoic Acid + Folic Acid + Methylcobalamin is available for oral administration in the form of tablets, capsules, oral solutions, powder/sachets.

Age and Dose Restrictions

• This medicine is generally meant for adults over the age of 18, as well as children above 12 years of age.

Contraindications

• This medicine is contraindicated in patients with known allergies to any of its ingredients.
• Patients diagnosed with kidney disease, kidney stones, hyperparathyroidism or high blood calcium levels should avoid this combination.
• Also, patients with malabsorption syndromes affecting nutrient absorption are contraindicated.

Other Medications to Avoid

• This combination may interact with antacids that contain aluminium or magnesium, antibiotics like tetracycline or quinolone (such as Ciprofloxacin), and anticonvulsants (like phenytoin). It may also interact with anti-cancer medicines (like methotrexate).

Overdose and Missed Dose

• An overdose may result in symptoms such as hypercalcemia (high calcium levels), which may include fatigue, nausea, or constipation. If you observe these symptoms, inform your doctor without delay and follow their advice accordingly.
• If you forget to take this medicine, take it as soon as you remember. But if it is near the time for your next dose, skip the missed dose and continue with your regular schedule.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. If you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

• Drinking plenty of fluids can help manage gastrointestinal issues such as nausea or diarrhoea.
• Taking this medicine with food can help reduce the chances of a stomach upset.
• To manage headaches or dizziness, ensure that you get up slowly from a sitting or lying position.

Use in Driving and Operating Machinery

• This combination medicine does not typically interfere with the ability to drive or operate heavy machinery. However, if you experience side effects like dizziness or lightheadedness, avoid driving or operating machinery until you feel better.

Use in Pregnancy and Lactation

• It is recommended to consult your doctor before using this medicine during pregnancy and breastfeeding. Your doctor will be able to advise based on your specific condition and needs.

Caution in Other Conditions

• People with kidney disease should exercise caution when taking this medication since excess calcium may build up in the body.
• Those with bleeding disorders should also be cautious since omega-3 fatty acids (DHA and EPA) may slow blood clotting.

Special Dietary and Lifestyle Recommendations

• Consume a balanced diet that includes foods rich in calcium, vitamin D, and omega-3 fatty acids to support your overall health.
• Regularly engage in weight-bearing exercises such as walking or weightlifting to support bone health.
• Limit consumption of caffeine and alcohol as they can interfere with calcium absorption.