Cissus Quadrangularis + Elemental Calcium + Vitamin D3 (cholecalciferol) + Vitamin K2 / Menaquinone

Dosage Forms Available

• Cissus quadrangularis + Elemental Calcium + Vitamin D3 (Cholecalciferol) + Vitamin K2 / Menaquinone is available as oral formulations. It can be found in the form of tablets, capsules, and powders which are taken orally for consumption.

Age and Dose Restrictions

• This combination is mainly intended for adult use. The use in children should only be considered if prescribed by a paediatrician after careful evaluation of the child's health condition.

Contraindications

• Cissus quadrangularis + Elemental Calcium + Vitamin D3 (Cholecalciferol) + Vitamin K2 / Menaquinone is contraindicated in patients with known hypersensitivity to any of these ingredients.

• It is also contraindicated in patients with hypercalcaemia, a condition characterised by abnormally high levels of calcium in the blood.

Other Medications to Avoid

• This combination may interact with anticoagulants (such as warfarin), calcium supplements, and vitamin D analogs (such as calcitriol or alfacalcidol). These interactions can influence calcium absorption, bone metabolism, and blood clotting mechanisms, potentially altering the efficacy of the combination.

Overdose and Missed Dose

• Overdose of this combination may manifest as symptoms of hypercalcaemia which include constipation, nausea, stomach pain, or extreme tiredness. In case of suspected overdose, it is important to seek immediate medical attention.

• If you miss a dose, take it as soon as you remember. However, if it is nearly 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 on discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor. Here are some tips to manage the common side effects:

• For gastrointestinal discomfort like bloating or constipation, try taking the medication with meals.

• If you experience skin rash or itching, discontinue use and consult a doctor immediately.

Use in Driving and Operating Machinery

• This combination does not affect your ability to drive or operate machinery. However, if you experience dizziness or fatigue as a side effect, it is recommended to avoid such activities until the symptoms subside.

Use in Pregnancy and Lactation

• It is advisable for pregnant and breastfeeding women to consult a doctor before using Cissus quadrangularis + Elemental Calcium + Vitamin D3 (Cholecalciferol) + Vitamin K2 / Menaquinone.

Caution in Other Conditions

• Patients with kidney disorders or a history of kidney stones should use this combination with caution due to the presence of elemental calcium.

• Similarly, those with hormonal disorders affecting calcium metabolism, such as hyperparathyroidism or sarcoidosis should exercise caution.

Special Dietary and Lifestyle Recommendations

• Maintain a diet rich in calcium and vitamin D to support bone health.

• Regular weight-bearing exercises like walking or weight lifting can help improve bone density.

• Limit caffeine and alcohol intake as these can hinder calcium absorption.

• Avoid smoking as it can decrease bone mass.