Calcitriol/ Cholecalciferol + Cyanocobalamin / Vitamin B12 + Elemental Calcium

Dosage Forms Available

• Calcitriol / Cholecalciferol + Cyanocobalamin / Vitamin B12 + Elemental Calcium is available in the form of oral capsules, tablets, and liquid solutions.

Age and Dose Restrictions

• This combination medicine is usually prescribed for adults and children above the age of 12 years.

Contraindications

• This medicine should not be used by individuals with known hypersensitivity to any of its ingredients.
• It is also contraindicated in patients with hypercalcemia, severe kidney disease, hyperphosphatemia, and hypervitaminosis D.

Other Medications to Avoid

• Calcitriol / Cholecalciferol + Cyanocobalamin / Vitamin B12 + Elemental Calcium can interact with antibiotics (such as tetracycline and quinolones), bisphosphonates for osteoporosis (like alendronate), diuretics (like furosemide), bile acid sequestrants (like cholestyramine) and anticonvulsants (like phenytoin).

Overdose and Missed Dose

• Overdosing on this combination can lead to symptoms like constipation, nausea, vomiting, metallic taste in the mouth, skin rash, or itching. If you suspect an overdose, contact your doctor immediately.
• If a dose is missed, take it as soon as you remember. However, if it is near the time for your next dose, skip the missed dose and stick to your regular dosing schedule.

Management of Side Effects

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

• Drinking plenty of water can help manage constipation and bloating.
• Taking the medicine with meals can help reduce nausea.

Use in Driving and Operating Machinery

• This combination does not usually affect your ability to drive or operate machinery. However, if you feel dizzy or tired after taking this medicine, avoid such tasks.

Use in Pregnancy and Lactation

• Always consult your doctor before taking this medicine if you are pregnant or breastfeeding.

Caution in Other Conditions

• Special caution should be exercised by individuals with kidney disease or kidney stones, hyperparathyroidism, malabsorption syndromes, and those with a history of allergies to any of the ingredients in this combination.
• Regular monitoring of blood calcium, phosphorus and vitamin levels is necessary while taking this medication.

Special Dietary and Lifestyle Recommendations

• Include calcium-rich food items like dairy products, leafy vegetables and fortified cereals in your diet.
• Ensure adequate exposure to sunlight for proper synthesis of vitamin D.
• Include vitamin B12 rich foods like eggs, milk, cheese and meat in your diet.
• Regular weight-bearing exercises can help strengthen bones.