Idéos 500mg/400iu Innotech supplement vitamin D and calcium, treat osteoporosis (4 tubes x 15 tablets)

Dosage form Chewing
Specifications Box of 4 tubes
Ingredient Vitamin D3, Calcium
Indication Lack of calcium
Contraindication Kidney stones, hyper calcium, hypercalciuria

Ingredient

Composition information	Content
Vitamin D3	400iu
Calcium	500mg

Uses

indications

Idéos® 500mg/400iu drug is indicated in the following cases:

Adjust the amount of vitamin D and calcium deficiency in the elderly.

calcium

Calcium salts play an important role in regulating the absorbent of the cell membrane for sodium and potassium, the integrity of the mucosa, the adhesion of the cell. Increased calcium concentration decreases permeability and vice versa.

Vitamin D3

Participate in bone formation: Vitamin D3 plays a very important role in the process of bone formation thanks to the effect of metabolism of inorganic substances, mainly calcium and phosphate. Vitamin D3 increases the absorption of calcium and phosphate in the intestine, increases the reabsorption of calcium in the nearby tube, participating in the growth of growth of cartilage. So vitamin D3 is essential for the normal development of children.

During vitamin D3 deficiency, the intestines do not absorb enough calcium and phosphorus to reduce blood calcium, when the calcium is mobilized from the bone to stabilize blood calcium concentration, resulting in a child who grows slowly, rickets, bow legs, slow -hearted, and slow. Adults will have osteoporosis, bone porous, sparse bones. Pregnant women who lack vitamin D3 can produce babies with disabilities in the bone.

Take calcium and vitamin D3 against the increase of parathyroid hormones (PTH), caused by a lack of calcium and cause bone reabsorption.

pharmacokinetics

calcium carbonate

In the stomach, calcium carbonate releases calcium ions as a pH adjustment function. Calcium is mainly absorbed at the close head of the small intestine. The rate of calcium absorption in the stomach is 30% of the amount of food.

calcium is excreted in sweat and secretions from the stomach.

Calcium secretion in urine depends on platelet filtration and calcium reabsorption rate in the renal tubules.

Vitamin D3

Vitamin D3 is absorbed from the intestine and transported by the attachment to the blood to the liver (the first hydroxy) and the kidney (the second hydroxy). Vitamin D3 does not hydroxy are stored in reserves such as muscle and fat tissue. Half life eliminated in its plasma for a few days, it is excreted through feces and urine.

Before taking Idéos 500mg/400iu Innotech supplement vitamin D and calcium, treat osteoporosis (4 tubes x 15 tablets)

How to use

Take oral use. Picking or chewing tablets.

Dosage

Normal dose is only 1 tablet, 2 times daily.

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?

In case of overdose for a long time, the accumulated calcium can appear in blood vessels or body tissue.

Serious overdose can lead to a heart -stopping heart condition.

Chronic overdose can lead to calcification and internal organs as a result of hypercalcemia.

Handling

In these cases, stop using the tablet to chew idéos 500mg/400iu and see a doctor immediately for treatment (the doctor will take the necessary procedures).

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?

Side Effects

When using Idéos® 500mg/400iu medicine, you may experience unwanted effects (ADR).

calcium

The use of rare calcium supplements increases a mild stomach disorder, such as constipation, flatulence, nausea, stomach pain or diarrhea. Rarely hypercalcium, hypercalcemia when long -term treatment at high doses.

Vitamin D

Use vitamin D at a dose not exceeding the physiological needs are often non -toxic. However, vitamin D can occur when treated with high or prolonged doses or when increased in response to normal dose of vitamin D and will lead to clinical manifestations of calcium metabolic disorders. Some children can increase the reaction to a small amount of vitamin D. In adults, vitamin D can be due to overdose of vitamin D in case of parathyroidism or prefer vitamin D in a strange dosage. Poisoning may also occur after the wrong dose of vitamin D of adults.

The amount of vitamin D

Causes vitamin D that changes a lot from one person to another. Typically, people with normal and normal parasemmic function with vitamin D continuously drink 50,000 units of Vitamin D/day or more daily, may be poisoned with vitamin D. Vitamin D is especially dangerous for those who are using heart glycosides, because the toxicity of the heart glycoside increases when there is hypertension of blood calcium.

Signs and initial symptoms of Vitamin D poisoning are signs and symptoms of blood calcium hypercalcemia (see below). Hypercalcemia has vitamin D intense due to simply blood concentration of 25 - OHD is very high, and the concentration of PTH and Calcitriol in plasma are reduced.

Hypercalcemia and toxicity of vitamin D have some side effects as follows:

The unwanted effect is listed below according to the system system and regular level. Regular levels are determined: Not common ( 1/10,000,

Nutrition and metabolic disorders:

Unpopular: hypercalcemia, hypercalciuria.

Gastrointestinal disorders:

Rare: constipation, flatulence, nausea, abdominal pain and diarrhea.

Disorders and and under the skin:

Rare: itching, rash and red rash.

Serious cases of allergic reactions such as swelling, swelling of the lips, swelling of the tongue or sore throat have been reported.

Instructions on how to handle ADR

When experiencing side effects of the drug, it is necessary to stop using and notify the doctor or go to the nearest medical facility for timely treatment.

Warnings

Before using the drug you need to read the instructions carefully and refer to the information below.

Contraindicated

Idéos® 500mg/400iu drug is contraindicated in the following cases:

Hypercalcemia, hypercalcium, kidney stones.

Lying immobile for a long time with hypercalcemia/hypercalcium.

Hypersensitivity to any ingredients and excipients of the drug.

If you are allergic (sensitive) with peanuts or soybeans because the drug contains soybean oil.

If you have a disease that leads to hypercalcemia and/or calcium calcium (for example, an excessive parathyroid gland, bone marrow (myeloma), malignant bone tumor (bone metastasis).

If you have kidney failure.

If you have kidney stones (kidney stones due to excess calcium) or calcium accumulated in the kidneys (kidney calcium).

If you have excess vitamin D (excess vitamin D disorders).

Be cautious when using

Idéos chewing tablets containing sorbitol, patients with a family history of non -tolerance fructose should not use this drug.

In the case of a long -term motionless patient with hypercalcemia/calcium, treatment of vitamin D and calcium should only continue when the patient can move by themselves.

If you have to treat long -term treatment, blood calcium content (blood cells) must be controlled periodically. This screening process is especially important for the elderly and when treated in combination with heart glycoside (such as digoxin) or diuretics. Based on the results, the doctor can decide to reduce the dose or even stop treating you.

If you treat it with iron salts (oral), stronti and zinc, use for at least 2 hours in the middle of the use of these substances and the time to use the Idéos.

If you are diagnosed with a body by a doctor, please contact your doctor before using this medication.

In case of treatment combined with dilitalis, biphosphonate, fluorid salts, thiazid diuretic, tetracycline.

Consider the dose of vitamin D each tablet (400iu) and other prescriptions with vitamin D.

Using more vitamin D or calcium should be performed under the close supervision of the drug. In this case, weekly control of calcium in urine and in serum is really necessary.

Be careful in patients with sarcoidosis (sarcoid disease) because it can increase the metabolism of vitamin D into activity forms, these patients should monitor calcium in urine and serum.

Use carefully for patients with renal failure, impact on the equilibrium of calcium and phosphate must be monitored regularly.

The ability to drive and operate machinery

There is no data showing the impact of this product on the ability to drive and operate machinery. However, that impact rarely occurs.

Pregnancy

For pregnant women, the daily dose must not exceed 1500mg of calcium and 600iu vitamin D3, for example: 1 tablet daily.

Consult your doctor or pharmacist before using any medication.

Lactation period

For nursing women, daily dose must not exceed 1500mg of calcium and 600iu vitamin D3, for example: 1 tablet daily.

When you are breastfeeding, you can use an Idéos 500mg/400iu chewing tablet. Because calcium and vitamin D3 can be secreted through breast milk, you must consult your doctor first to see if your baby is given to any other product containing vitamin D3.

Consult your doctor or pharmacist before using any medication.

Interactive drug

In case of using drugs containing Digilatis, the use of calcium in combination with vitamin A oral toxicity of Digilatis (Risk of arrhythmia). Need close monitoring and if necessary, regular monitoring of electrocardiograms and blood calcium.

In case of treatment combined with biphosphonate or Fluorid salt, it is recommended to spend a minimum period of 2 hours before using calcium (risk of reducing absorption in the stomach of biphosphonate and fluorid salt).

In case of use with thiazid diuretics will reduce the secretion of calcium in the urine, recommend that tighten blood calcium monitoring.

In case of treatment with Tetracylines antibiotics (may reduce the ability to absorb Tetracycline): The above drugs must be used for at least 2 hours or 4-6 hours after using an IDéos 500mg/400iu.

The case of using more vitamin D in high doses, weekly monitoring the amount of calcium in serum and urine is essential.

glycosides cardiac support (such as digoxin): can cause additional side effects if you drink too much calcium.

estramustin (chemotherapy), thyroid hormones or iron, zinc or stronti drugs because it can reduce the content that the body absorbs.

The above drugs must be used for at least 2 hours before or after using an IDéos 500mg/400iu tablet.

Orlistat, Cholestyramine, laxative such as paraffin oil because it can reduce the vitamin D3 content that the body absorbs.

This drug can interact with food such as: containing oxalic acid (spinach, royal, red amaranth, cocoa, tea ...), Phosphate (pork, ham, sausage, processed cheese, dessert cream, cola -containing drinks ...) or phytic acid (synthetic cereals, dried vegetables, oily seeds, chocolate ...). Therefore, it is necessary to use the drug away from the meal containing these foods.

Storage

Store under 30 ° C, avoiding light. Leave the pills away from the reach of children.

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