Pancal 500mg apimed oral solution supplement calcium (20 tubes x 10ml)

Dosage form Oral solution
Specifications Box of 20 tubes x 10ml/tube
Ingredient Calcium lactat
Indication Pregnancy, puberty, osteoporosis, calcium deficiency, rickets
Contraindication Kidney stones, hyper calcium, hyper calcium, allergies

Ingredient

Thành phần cho 10ml

Composition information	Content
Calcium lactat	500mg

Uses

indications

pancal pills are indicated in the following cases:

Additional calcium in patients with calcium deficiency such as pregnant women, nursing women, after menopause, people with osteoporosis, bone puree, rickets, reduced absorption after gastric cutting.

Pharmacology

There is no information.

pharmacokinetics

There is no information.

Before taking Pancal 500mg apimed oral solution supplement calcium (20 tubes x 10ml)

How to use

oral oral medication, medication during or after meals. Use the attached cup to get the volume of oral medication.

Dosage

Do not use pancal oral solution for a long time without a doctor's advice.

Adults, the elderly:

Take 10 ml 1 tube/day.

Children over 3 years:

Take 6 ml/day.

Pregnant women (in the last 3 months of pregnancy) and nursing women:

Take 18 - 24 ml/day, divided into 2-3 times.

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?

Overdose

Symptoms when using an overdose of calcium include: anorexia, fatigue, nausea, vomiting, headache, thirst, dizziness and increased urea content in the blood; Calcium may be retained in many tissues and organs such as kidneys, arteries, ... and may increase blood cholesterol levels. In some cases, an overdose of calcium can cause arrhythmia and slow heart rate.

How to handle

When an overdose, minimize the use of calcium -containing preparations, dehydration and electrolyte imbalance should be overcome immediately. In the case of severe hypercalcemia, patients should be treated by 0.9%sodium chloride intravenous infusion, using strap diuretics to increase calcium secretion through the urinary tract. If the above method is not effective, it is possible to inject calcitonin or some other drugs such as biphosphonate, plicamycin or corticosteroids. Do not infect phosphate because it can cause metastatic calcification. In case of danger, it is possible to eliminate large amounts of calcium by the peritoneal.

Patients with symptoms of calcium overdose should avoid direct contact with sunlight.

Be careful when treating an overdose for patients with liver and kidney failure.

What to do when you forget a dose? However, if near the next dose time, skip the forgotten dose. Do not take double the dose to compensate for the forgotten dose.

Side Effects

When using pancal, you may experience unwanted effects (ADR).

Impact on the gastrointestinal tract: constipation, irritation of the gastrointestinal tract.

Hyperculia hypercalcemia: Hypercalcemia rare when using solitary calcium, but may occur when taking high doses in patients with chronic renal impairment. Mild hypercalcemia may be asymptomatic or have manifestations such as constipation, anorexia, nausea, and vomiting. Hypercalcemia is clearly able to show mental changes such as confusion, delirium.

Report harmful reactions: Please inform the doctor, pharmacist if the drug user notice any side effects, including the effects that have not been listed, or report the harmful reactions of the drug to the drug information center and monitor the harmful reactions of the drug (ADR online report at http://baocaoadr.vn).

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

PANCAL drug contraindicated in the following cases:

Hypersensitivity to the ingredients of the drug (excipients: polyethylen glycol 6000, white sugar, sucralose, anhydrous citric acid, 70%sorbitol, methylparaben, propylparaben, propylene glycol, yellow tartrazin, orange flavor (liquid), pure water).

Hyperculia and hypercalcium (excess vitamin D, hyperthyroidism, severe kidney failure, dynamic osteoporosis, tumors that cause calcium loss such as blood cancer or metastatic bone cancer).

Patients who are treating cardiac glycosides like digoxin.

vibration.

Be cautious when using

Need to closely monitor calcium levels in the blood and urine in the case of high -dose calcium use, especially in children.

It is necessary to stop the drug immediately when the blood calcium concentration exceeds 2,625 - 2.75 mmol/ l (105 - 110 mg/ l) or the calcium concentration in the urine exceeds 5 mg/ kg.

Be careful when using drugs for children with hypotension because high serum calcium levels can reduce serum potassium concentration.

Be cautious when using calcium salt for patients with renal impairment, heart disease, sarcoidosis.

Kidney stones: Calcium supplements increase the risk of kidney stones. Therefore, avoid being used in patients with calcium kidney stones, or a history of kidney stones. Patients at risk of kidney stones need to drink plenty of water.

The ability to drive and operate machinery

There is no evidence of the effect of the drug on the ability to drive, operate machinery.

Pregnancy

Using calcium during pregnancy has been proven to be safe. The drug is used for pregnant women according to daily needs.

The period of breastfeeding

The drug is used for breastfeeding women on daily needs.

Interactive drug

thiazid or vitamin D: hypercalcemia may occur when using calcium salts with thiazid tastes (leading to reducing calcium excretion in urine) or vitamin D (leading to increased calcium absorption from the intestine).

corticosteroids: Reduce calcium absorption from the intestine.

Biphosphonate: Concomitant treatment of calcium salt with biPhosphonate (such as Alendronat, Etidronat, Ibandronat, Riseadronat) can lead to reducing biposphonate absorption from the digestive tract. To minimize the impact of this interaction, take at least 30 minutes of calcium salt after taking Alendronat or RISDEDRONAT; At least 60 minutes after taking ibandronat, and not used within 2 hours before and after taking Etidronat.

Cardiac glycosides: Calcium with myocardial organs and toxicity of cardiac glycosides; The consequences can cause arrhythmia if used simultaneously (especially when calcium uses intravenous, orally lower orally).

iron preparations: Concomitance of calcium salts with oral iron preparations can lead to iron absorption, it is necessary to recommend patients to use these two preparations at different times.

Quinolones: Using calcium salt simultaneously with some quinolon antibiotics (such as ciprofloxacin) can reduce the bioavailability of quinolon, do not drink at the same time, should drink apart at least 3 hours.

Tetracyclin: The complex of calcium with tetracyclin antibiotics that activate antibiotics, so do not drink at the same time, should drink apart at least 3 hours.

Storage

Store in a dry place, avoid light, temperatures below 30 ° C. Leave the drug from the vision and reach of children.

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Disclaimer

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