Natecal D3 tabs #60

User manual for Natecal D3

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Composition and release form

1 chewable tablet contains calcium carbonate 1500 mg (which corresponds to 600 mg of calcium) and co-calciferol (vitamin D3) 400 IU; in bottles of 60 pcs., in a cardboard bundle one bottle.

pharmachologic effect

Pharmacological action - regulating calcium-phosphorus metabolism.
Fills the lack of calcium and vitamin D3 in the body, inhibits the production of parathyroid hormone, reduces resorption and increases bone density.

Pharmacokinetics

Vitamin D3 and calcium are absorbed in the small intestine.

Indications of the drug Natecal D3

Osteoporosis (menopausal, senile, steroid, idiopathic, etc.) and its complications, incl. bone fractures (prophylaxis and complex therapy); replenishment of calcium deficiency and vitamin D3 (including in the elderly).

Contraindications

Hypersensitivity, hypercalcemia, hypercalciuria, urolithiasis, sarcoidosis and metastasis of tumors in the bone, pronounced renal impairment; osteoporosis due to prolonged immobilization; overdose of vitamin D3.

Use during pregnancy and lactation

Perhaps, but not more than 1500 mg of calcium and 600 IU of vitamin D3 per day.

Side effects of Natecal D3

Diarrhea (constipation, diarrhea, flatulence, nausea, abdominal pain); increase of calcium in blood and urine (with prolonged use).

Interaction

The effect is weakened by phenytoin and barbiturates, strengthen - cardiac glycosides. Calcium and vitamin D3 increase the absorption of tetracyclines (a 3-hour interval between doses is required), and a decrease in bisphosphonates and fluorides (a 2-hour interval between doses is required). Corticosteroids reduce calcium absorption, furosemide and other loop diuretics increase calcium excretion by the kidneys. Cholestyramine and mineral or vegetable oil-based laxatives reduce the absorption of vitamin D3. The acid reaction of food increases the absorption of calcium, slightly alkaline - reduces.

Dosage and administration

Inside, chewing or rassasyvaya, as a prophylactic: adults - 1-2 tablets. per day; for course prevention of osteoporosis: on 1 tab. 2 times a day, in the morning and in the evening (preferably with meals) for the treatment of osteoporosis: the dosage and duration of the course are determined by the doctor.

Precautionary measures

With caution used in violation of the kidneys, phenylketonuria (the drug contains aspartame). During long-term treatment, the control of calcium in the blood and urine is mandatory. When the level of calcium in the urine is higher than 7.5 mmol per day, increasing the concentration of calcium or creatinine in the blood serum, it is necessary to reduce the dose or temporarily discontinue treatment. The simultaneous use of diuretics from the thiazide group increases the risk of hypercalcemia.

special instructions

It can not be used simultaneously with vitamin-mineral complexes containing calcium and vitamin D3. It is necessary to consider the possible additional intake of vitamin D3 from other sources.

Storage conditions of the drug Natecal D3

At a temperature not higher than 25 ° C.
Keep out of the reach of children.
Expiration date of the drug Natecal D3 - 3 years.
Do not use after the expiration date printed on the package.

Terms of sell

You don't need a prescription to buy Natecal D3.