• 10 mg Colecalciferol Dry Concentrate
• 1250 mg calcium carbonate

• Silica, colloidal
• silicon dioxide hydrate
• 0.5 mg aspartame
• Corn starch, modified
• Magnesium stearate (vegetable)
• Orange flavor CPB
• Orange flavor CVT
• Triglycerides, medium chain
• sodium ascorbate
• carmellose sodium
• sucrose
• citric acid
• acesulfame potassium
• xylitol
• 58.3 mg sorbitol
• DL-α-tocopherol
• sodium dihydrogen citrate
• isomalt

Natural treatment for osteoporosis, CALCIMED D3 500 mg, 1000 IU chewable tablets indication

• The chewable tablets are a calcium-vitamin D ₃ preparation.
• It is applied
  • for the prophylaxis and treatment of calcium and vitamin D deficiencies in the elderly
  • as a calcium and vitamin D supplement to support the treatment of osteoporosis (bone loss)

Natural treatment for osteoporosis, CALCIMED D3 500 mg, 1000 IU chewable tablets dosage

• Always take this medicine exactly as described here or as your doctor or pharmacist has told you.
• Check with your doctor or pharmacist if you are not sure.
• The recommended dose is:
  • Adults and the elderly take 1 chewable tablet daily (equivalent to 500 mg calcium and 1000 IU (International Units) vitamin D ₃ ).

• Taking the chewable tablets is a long-term treatment. Talk to your doctor about how long you should take the medicine.

• If you take more chewable tablets than you should
  • Overdosing on the chewable tablets can lead to symptoms such as B. nausea, vomiting, feeling thirsty or excessive thirst, increased urination, dehydration or constipation.
  • If you suspect an overdose, contact your doctor or pharmacist immediately.

• If you forget to take a dose
  • take the tablet as soon as you remember.
  • However, do not take a double dose to make up for a forgotten tablet.

• If you stop taking it
  • If you wish to interrupt or prematurely end the treatment, please consult your doctor.

• If you have any further questions on taking the medicine, ask your doctor or pharmacist.

Natural treatment for osteoporosis, CALCIMED D3 500 mg, 1000 IU chewable tablets way

• The tablet must be chewed before swallowing. It can be taken at any time of the day, regardless of meals.
• Make sure you get enough calcium from food (e.g. dairy products, vegetables and mineral water).

side effects

• Like all medicines, this medicine can cause side effects, although not everybody gets them.
• The frequency of side effects is based on the following categories:
  • Very common: affects more than 1 in 10 people
  • Common: affects 1 to 10 users in 100
  • Uncommon: affects 1 to 10 users in 1,000
  • Rare: affects 1 to 10 users in 10,000
  • Very rare: affects less than 1 in 10,000 people
  • Not known: frequency cannot be estimated from the available data
• If any of the following allergic reactions occur (frequency cannot be estimated from the available data), stop taking the chewable tablets and seek medical advice immediately:
  • Swelling of the face, lips, tongue or throat with sudden shortness of breath and severe skin rash
• Other reported side effects:
  • Rare side effects:
    • Nausea, diarrhea, abdominal pain, constipation, gas, bloating
    • Rash, itching, hives
  • Uncommon side effects:
    • High levels of calcium in the blood (hypercalcaemia) or urine (hypercalciuria)
• If you get any side effects, talk to your doctor or pharmacist. This also applies to side effects that are not specified.

Natural treatment for osteoporosis, CALCIMED D3 500 mg, 1000 IU chewable tablets interactions

• Taking the chewable tablets with other medicines
  • Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.
  • Simultaneous treatment with digitalis glycosides (cardiac glycosides from foxgloves) can lead to cardiac arrhythmia. Strict medical control including an ECG examination and control of the calcium blood level is therefore necessary.
  • If diuretics from the thiazide group of substances (water tablets) are administered at the same time, the calcium level in the blood should be checked regularly, since thiazides restrict the excretion of calcium in the urine.
  • The absorption and thus the effectiveness of certain antibiotics (so-called tetracyclines) is reduced by the simultaneous administration of this drug. These medicines should be taken at least 2 hours before or 4-6 hours after this medicine.
  • In addition, interactions with other medicines such as B. sodium fluoride (used to harden tooth enamel or to treat osteoporosis) and bisphosphonates (used to treat osteoporosis). These preparations should therefore be taken at least 3 hours before this medicine.
  • Between giving cholestyramine (a drug used to lower high cholesterol) or laxatives such as B. Paraffin oil and this drug should be kept as long as possible, otherwise vitamin D cannot be properly absorbed.
  • Taking this medicine at the same time as phenytoin (a medicine used to treat epilepsy) or barbiturates (hypnotics) may make vitamin D less effective.
  • Simultaneous administration of this medicine and glucocorticoids (e.g. cortisone) can lead to a reduced effect of vitamin D and reduced blood calcium levels.
  • The additional intake of calcium and vitamin D should only be done under medical supervision and requires regular monitoring of the calcium levels in the blood and urine.
  • Calcium may reduce the effect of levothyroxine (used to treat thyroid deficiency). For this reason, levothyroxine should be taken at least 4 hours before or 4 hours after this medicine.
  • The effect of quinolone antibiotics can be reduced if they are taken at the same time as calcium. Quinolone antibiotics should be taken 2 hours before or 6 hours after this medicine.
• Take with food and drink
  • You can take the chewable tablets at any time of the day, regardless of meals.
  • Please note that oxalic acid (found in spinach and rhubarb) and phytic acid (found in whole grain products) can reduce calcium absorption in the intestine. You should not take medicines containing calcium for 2 hours before and after eating foods with a high content of oxalic or phytic acid.

Contraindications

• The chewable tablets should not be taken
  • if you are allergic to calcium, vitamin D3 _or any of the other ingredients of this medicine
  • with increased calcium blood levels (hypercalcemia)
  • with increased excretion of calcium in the urine (hypercalciuria)
  • if you suffer from an overactive parathyroid gland (hyperparathyroidism)
  • in bone marrow cancer (myeloma)
  • if you have cancer that is spreading to your bones (bone metastases)
  • with prolonged immobilization of the limbs (prolonged immobilization) accompanied by hypercalcemia and/or hypercalciuria
  • in kidney stones (nephrolithiasis)
  • calcium deposits in the kidneys (nephrocalcinosis)
  • in case of vitamin D overdose (hypervitaminosis D)
  • with severe kidney problems

pregnancy and breast feeding period

• If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
• pregnancy
  • If you are pregnant, you should not take the chewable tablets.
  • During pregnancy, the daily dose of calcium should not exceed 1,500 mg and the daily dose of vitamin D ₃ should not exceed 600 IU (International Units).
  • Long-term overdoses of calcium and vitamin D during pregnancy must be avoided, as this can lead to high levels of calcium in the blood and have negative effects on the unborn child.
• lactation
  • The chewable tablets can be used while breastfeeding. Since calcium and vitamin D pass into breast milk, first consult your doctor as to whether your child is already taking preparations containing vitamin D.

patient notes

• Warnings and Precautions
  • Please talk to your doctor or pharmacist before taking the chewable tablets.
    • Calcium levels in the blood and urine and your kidney function must be monitored regularly during long-term therapy. This is especially important if you are prone to kidney stone formation. If necessary, depending on your
      blood levels, your doctor may reduce the dose or interrupt the treatment.
    • If you are being treated concomitantly with cardiac glycosides or thiazide diuretics (water tablets) for heart problems, the levels of calcium in your blood and urine and your kidney function must be monitored regularly. If necessary, depending on your blood levels, your doctor may reduce the dose or interrupt the treatment.
    • If you have kidney problems, you should take the medicine with particular caution. Your blood and urine calcium levels will need to be monitored. If you have severe kidney problems, take other forms of vitamin D instead of colecalciferol.
    • Only take additional calcium or vitamin D supplements under medical supervision. Regular monitoring of calcium levels in the blood and urine by your doctor is required.
    • Take special care if you have sarcoidosis (an immune system disease that can affect your liver, lungs, skin or lymph nodes). There is a risk that this medicine will be too potent and could lead to an overdose of calcium in the body. Blood and urine calcium levels must be monitored.
    • If you have reduced mobility and suffer from osteoporosis, this medicine must be used with particular care, as the level of calcium in your blood may increase.
    • Before taking the chewable tablets, the amount of calcium and alkali, e.g. B. Carbonates from other sources (food, fortified food or other drugs) should be considered. If calcium-rich products at the same time with z. B. Taking carbonates can lead to milk-alkaline syndrome (Burnett syndrome). Milk-alkali syndrome is a calcium metabolism disorder with an increase in the calcium level in the blood (hypercalcaemia), hypoacidity of the blood (metabolic alkalosis), kidney failure and soft tissue calcification. Therefore, an additional administration of the drug may only be carried out under strict medical supervision with regular monitoring of the calcium levels in the blood and urine.
• children and young people
  • The chewable tablets are not intended for use in children and adolescents.

• Ability to drive and use machines
  • The chewable tablets have no influence on the ability to drive and use machines.