Calcium Citrate Maleate + Elemental Magnesium + Elemental Zinc + Vitamin D3 (cholecalciferol)

Dosage Forms Available

• Calcium Citrate Maleate + Elemental Magnesium + Elemental Zinc + Vitamin D3 (Cholecalciferol) is available for oral consumption in tablet form.

Age and Dose Restrictions

• This combination is suitable for adults aged 18 years and older.

Contraindications

• This combination is contraindicated in patients with hypercalcemia (excess calcium in the blood).

• It is also contraindicated in individuals with severe renal impairment.

• Patients with hypercalciuria (high urine calcium levels) should avoid using this supplement.

Other Medications to Avoid

• This combination may interact with iron supplements (such as ferrous sulphate), certain antibiotics (like tetracycline and ciprofloxacin), bisphosphonates (such as alendronate), certain thiazide diuretics (such as hydrochlorothiazide), and glucocorticoids (like prednisone).

Overdose and Missed Dose

• An overdose of this combination may lead to symptoms such as stomach upset, hypercalcemia, or kidney stones. If you suspect an overdose, it is important to seek immediate medical attention.

• If you miss a dose of this combination, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dose schedule. Do not take a double dose to make up for a missed one.

Management of Side Effects

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

• If experiencing constipation, consider increasing your intake of fluids throughout the day or increasing dietary fibre.

• For those experiencing stomach upset, taking the medication with meals might improve tolerance.

Use in Driving and Operating Machinery

• This combination does not typically affect your ability to drive or operate machinery. However, individual responses can vary.

Use in Pregnancy and Lactation

• The use of Calcium Citrate Maleate + Elemental Magnesium + Elemental Zinc + Vitamin D3 (Cholecalciferol) during pregnancy or lactation has not been fully established. If you are pregnant or breastfeeding, it is prudent to consult your doctor before taking this combination.

Caution in Other Conditions

• Patients with a history of kidney stones should use this medicine cautiously.

• Those with disorders like sarcoidosis or other granulomatous disorders should also proceed with caution due to potential complications related to calcium metabolism.

Special Dietary and Lifestyle Recommendations

• Regular weight-bearing exercise such as walking or jogging can help enhance bone strength alongside the use of this supplement.

• It is beneficial to maintain adequate hydration, especially if susceptible to kidney stones.

• Limiting sodium intake can help mitigate any potential risk of calcium-related kidney stones.