Ha Tay Letbaby solution provides calcium, vitamin D3, prevention of rickets, osteoporosis (20 tubes x 10ml)

calcium gluceheptonate

Hypacentia occurs in the following cases: chronic hypothyroidism and fake hypothyroidism, bone puree, rickets, chronic kidney failure, lower blood calcium due to anti -convulsed drugs, or when vitamin D deficiency.

Lack of calcium occurs when the daily diet does not provide enough calcium, especially in girls and the elderly, women before and after menopause and teenagers. Due to increased demand for calcium, children and women are the most risky.

vitamin D

Increased calcium absorption in the intestine, increasing mobilization of calcium from bones into the blood, increasing the absorption of calcium and phosphate in the blood, in the direction of increasing calcium and blood phosphate. Vitamin D, affecting calcification in cartilage.

pharmacokinetics

calcium gluceheptonate

The absorption of calcium in the intestine is inversely proportional to the amount of calcium, so when a low -calcium diet will lead to increased compensation, partly due to the effects of vitamin D.

The level of absorption is significantly reduced by age. Diseases with fat stool, IA melting, malabsorption chronic in the intestine also increase calcium excretion through feces.

After use, the amount of calcium ions discharged in the urine is the difference of the amount filtered in the glomerular and the amount of reabsorption.

The reabsorption in the renal tubules is very effective because more than 98% of the glomerular filtered calcium ion is reabsorbed into the bloodstream. Calcium is only affected by a calcium diet in normal people.

A significant amount of calcium is deducted from milk during breastfeeding, a part of sweat and feces.

vitamin D3

Easy absorption through the intestinal mucosa, this absorption needs bile.

Vitamin D, Hydroxylation in the liver produces calcidiol, then into plasma attached to globulin, this complex to the kidneys converts into calcitriol thanks to the effect of hydroxylase in the mitochondria of the kidney cells, calcitriol is active format.

Vitamin D and its metabolites are excreted mainly in bile and feces, only a small amount appears in the urine.

Treatment of osteoporosis in adults: Take 10ml x 3 times/ day.

Note: The above dose is for reference only. Specific dosage depends on the condition and level of progression of the disease. For a suitable dose, you need to consult a doctor or medical specialist.What to do when overdose?

Symptoms:

Anorexia, nausea, vomiting, constipation, abdominal pain, muscle weakness, mental disorders, thirst, multi -urinary, kidney calcium infection, arrhythmia and coma.

Management:

intravenously sodium chloride solution 0.9%. Use beta-adrenergic blockers to prevent heavy arrhythmia. Bloody stool can be used, Calcitonin and Adrenocorticoid can be used in treatment. Monitor the calcium concentration in the blood regularly.

vitamin D

Symptoms:

Anorexia, fatigue, nausea and vomiting, constipation or diarrhea, multi -urinary, night urine, sweating, headache, thirst, sleep, and dizziness.

Management:

Discontinue vitamin D and maintain a diet with low calcium until the blood calcium levels return to normal.

Causes vomiting or gastric lavage if new to medication. Mineral oil can promote the elimination of vitamin D that has been absorbed through feces.

corticosteroids are effective in reducing calcium absorption in the gastrointestinal tract, these drugs are added to intravenous injection in case of severe water hypercalcemia, and orally orally when lighter calcium hypercalcemia.

Diuretics such as Furosemid and ethacrynic acid are also helpful in reducing calcium absorption in the stomach. Sodium Celulose Phosphate orally can be attached to calcium in the digestive tract ..

In an emergency, call the 115 emergency center immediately or go to the nearest local health station.

What to do when you forget 1 dose? However, if the time to relax with the next dose is too short, skip the dose and continue the calendar of the drug. Do not use double dose to compensate for missed dose.

Caution when using

calcium gluceheptone

For patients with slight increase in calcium (> 300mg or 7.5mmol/24 hours) and mild or medium -sized renal function damage, or with a history of urinary tract grit, or hyperactemia such as sarcoidosis and some malignant diseases, acidic infections or respiratory insufficiency need to monitor calcium levels in plasma and calcium secretion in urine.

If it is necessary to reduce calcium or stop treatment.

Drinking plenty of water should be recommended for patients prone to urinary tract.

vitamin D

Be cautious when using vitamin D for people with kidney failure or kidney stones, people with heart disease or atherosclerosis, people may increase sensitivity to vitamin D such as young children, sarcoit disease, parathyroid defect or parathyroid diseases.

Should control the phosphate concentration in plasma during treatment with vitamin D to reduce the risk of calcification.

Pregnant and nursing women

used in pregnant women: non -harmful calcium supplements in daily doses for pregnant women. Hyperculia hypercalcemia during pregnancy can lead to later congenital disorders for babies and underlying the parathyroid glands in infants, so they do not use vitamin D higher than the recommended dose (400 IU/day) for pregnant women.

Used in breastfeeding women: Calcium is considered safe for breastfeeding women if not exceeded the daily recommended dose. Vitamin D is excreted in breast milk, so it is not advisable to use vitamin D larger than the dosage for nursing mothers (400 IU/day).

Driving and operating machinery

does not affect.

Drug interaction

calcium glucaheptonate

Hypercalcemia may occur when using calcium salts with thiazid diuretics or vitamin D.

thiazid diuretics reduce calcium excretion in urine. Calcium concentration should be controlled in plasma in patients who share these drugs together.

Vitamin D increases the absorption of calcium through the gastrointestinal tract.

Corticosteroids reduce calcium absorption.

Calcium increases toxicity to the hearts of glycosides digitalis and may increase the risk of arrhythmia.

Calcium salts reduce the absorption of some other drugs such as bisphosphonates, fluorid, some fluoroquinolon, and tetracyclin; Should be used at least 3 hours away from these drugs.

vitamin D3

Simultaneously use vitamin D with cholestyramin, colestipol hydrochloride can reduce the absorption of vitamin D through the gastrointestinal tract.

Excessive use of mineral oil can hinder the absorption of vitamin D through the gastrointestinal tract.

Simultaneous treatment of vitamin D with diuretics, calcium, or phosphate can lead to hypercalcemia. In these cases should control calcium levels in plasma.

A few anti -epileptic drugs can increase the need for vitamin D (such as carbamazepin, phenobarbital, phenytoin, and primidon).

corticosteroids can hinder the effects of vitamin D.

Rifampicin and Isoniazid reduces the effectiveness of vitamin D.