Totcal Soft Cap Dongkoo treat rickets, convulsions (20 blisters x 5 tablets)

Dosage form Soft capsules
Specifications Box of 20 blisters x 5 tablets
Ingredient Calcium carbonate, vitamin D3
Indication Pregnancy, puberty, osteoporosis, calcium deficiency, rickets
Contraindication Kidney stones, hyper calcium, hyper calcium, allergies

Ingredient

Composition information	Content
Calcium carbonate	300mg
Vitamin D3	100iu

Uses

indications

Totcal Soft Cap drugs are indicated in the following cases:

rickets.

calcium:

Calcium Carbonate is a supplement used in calcium deficiency and support in preventing and treating osteoporosis.

Vitamin D3:

Participate in bone formation: Vitamin D3 plays a very important role in the bone formation process thanks to the effect of metabolizing 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.

Regulating blood calcium concentration: Helps blood calcium levels are always up to. In addition, Vitamin D3 also participates in the process of differentiation of epithelial cells. Recently researching the effect of inhibiting epithelial cell proliferation and melamine secretion, breast cancer ...

When vitamin D3 deficiency, the intestine does not absorb enough calcium and phosphorus, causing calcium to decrease, when the calcium is mobilized from the bone to stabilize blood calcium levels, causing the consequences of children to grow slowly, rickets, bow legs, slow to walk, slowly tighten. Adults will have osteoporosis, bone porous, brittle bones. Pregnant women who lack vitamin D3 can give birth to babies with disabilities in the bone.

Dynamic pharmacology

absorption: Vitamine D3 is absorbed in the intestinal mucosa thanks to bile and lipid salts, accumulated in the liver, fat, bones, muscle and intestinal mucosa, which is excreted mainly through bile ducts in a small part.

Distribution: Portable with plasma alfa-globulin.

Metabolism: In the body, Vitamin D3 metabolizes in the liver and kidneys that produce an active metabolic substance of 1.25-dihydroxycholeciferol thanks to the enzyme hydroxylase.

Elimination: Mainly through feces, a small part of urine excretion, the sale time of 19-48 hours.

Before taking Totcal Soft Cap Dongkoo treat rickets, convulsions (20 blisters x 5 tablets)

How to use

Totcal Soft Cap drugs for oral.

Dosage

for children and adults can take medication by oral.

Rickets: Prevention of rickets must be conducted early and continuously until the age of 5.

Every 6 months taking 1 dose of 5mg (200,000UI), the dose will be 10mg (400,000UI) if the child is at least in the sun or dark skin.

Tibetans, convulsions due to calcium deficiency: Vitamin D treatment is the same as the specified dose to prevent rickets and need to be combined with calcium salts.

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 using overdose?

What to do when you forget a dose? However, if close to the next dose, skip the forgotten dose and take the next dose at the time as planned. Note that it should not be used double the prescribed dose.

Side Effects

When using Totcal Soft Cap, you may experience unwanted effects (ADR).

When overdose can cause hypercalcemia, hypercalcemia, hypercalcemia, osteoarthritis pain. If used for prolonged use causes kidney stones, hypertension.

In addition, there may be weakness, fatigue, headache, nausea, vomiting, diarrhea, brittle bones ...

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

Totcal Soft Cap is contraindicated in the following cases:

Diseases with hypercalcemia syndrome in the blood, hypercalci in urine, calcium stones, hypersensitivity to vitamin D, patients lying motionless (for high doses).

Caution when used

Patients with renal failure, cardiovascular failure, reducing blood protein, using heart glycosides.

Do not use with other drugs containing calcium, vitamin D.

Read the user manual carefully before use.

The ability to drive and operate machinery

Because the product can cause headaches, dizziness, it will not be safe if you use the drug when participating in traffic or using machines.

Pregnancy

Using calcium supplements during pregnancy is safe, but it is necessary to have a doctor's monitor.

breastfeeding period

used for nursing women, but need a doctor's monitor.

Interactive drug

The following drugs inhibit the excretion of calcium through the kidney: thiazid, clopamid, ciprofloxacin, chlorthalidon, anti -convulsions should not be used in combination with these drugs.

Hyperbonia can occur when using drugs in combination with Antialdosteron or Triamteren, so be careful when using the drug in combination with the two types.

Do not use in combination with the following drugs: phosphate, calcium salt, oral oral tetracyclin, anti -diarrhea.

Do not use medicine with tea like green tea or black tea because tea water contains tanic acid.

Calcium salts are resistant to Verapamil so they do not use in combination with these two drugs.

calcium increases the toxicity of digoxin, digitalis for the heart. Increased blood calcium concentration increases the effect of inhibiting enzyme Na+ - K+ - ATPase of the heart glycoside.

Rifampicin and Isoniazid may reduce the effectiveness of vitamin D. corticosteroids that can resist the effect of vitamin D.

If used for long -lasting phenytoin and other anti -convulsions such as phenobarbital, carbamazepin can cause cytochrom enzyme induction leading to destruction of cholecalciferol (vitamin D) and disrupting vitamin D and calcium metabolism, which can cause osteoporosis.

Storage

Store in a cool, dry place, avoid direct light, below 30 degrees C.

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