COE D3 Syrup 5 ml belongs to the class of 'Vitamins', primarily used to treat low blood calcium levels. COE D3 Syrup 5 ml effectively treats various conditions in the body like Vitamin D deficiency, osteoporosis (weak and brittle bones), hypoparathyroidism (parathyroid glands make low levels of calcium in the body), latent tetany (a muscle disease with low blood calcium levels) and rickets or osteomalacia (softening or deforming of bones due to lack of calcium). Vitamin D deficiency occurs when your body has low Vitamin D levels and is caused due to inadequate nutrition, intestinal malabsorption or lack of sunlight exposure.

COE D3 Syrup 5 ml contains 'Cholecalciferol' a form of vitamin-D. It acts by promoting the absorption of calcium, phosphates and Vitamin A from different organs and helps in maintaining overall health.

Take COE D3 Syrup 5 ml as advised. Your physician will decide the dosage based on your medical condition. COE D3 Syrup 5 ml is likely safe to consume. In some cases, it may cause side effects like constipation, increased blood calcium levels, increased calcium levels in urine, vomiting, nausea. These side effects do not require medical attention and gradually resolve over time. If these side effects persist, please consult your physician immediately.

Tell your physician if you are allergic to COE D3 Syrup 5 ml. Chewable or dissolving tablets may contain sugar or aspartame, hence caution should be taken in diabetes and phenylketonuria (increased levels of an amino acid called phenylalanine). Pregnant or breastfeeding women should consult their physician before taking COE D3 Syrup 5 ml. Higher doses of Vitamin D than the recommended daily dose should be used in pregnant women only when advised by the doctor. COE D3 Syrup 5 ml passes into the breast milk, hence breastfeeding mothers need to seek medical advice before starting COE D3 Syrup 5 ml. COE D3 Syrup 5 ml is safe to use in children when recommended by the pediatrician. COE D3 Syrup 5 ml should be used with caution in hypercalcemia, renal impairment, heart diseases, kidney stones and hypervitaminosis D (having too much vitamin D).

COE D3 Syrup 5 ml is used to treat low blood calcium levels. It effectively treats various conditions in the body like Vitamin D deficiency, osteoporosis, hypoparathyroidism, latent tetany and rickets or osteomalacia. COE D3 Syrup 5 ml contains Cholecalciferol (Vitamin D3). Cholecalciferol is a steroid hormone produced in the skin when exposed to ultraviolet light or obtained from food sources. It is a provitamin that is converted into vitamin after intake.  It helps maintain blood calcium and phosphorus levels and mineralization of bone. COE D3 Syrup 5 ml is also used in the treatment of familial hypophosphatemia (a group of rare inherited disorders characterized by impaired kidney conservation of phosphate and in some cases, altered vitamin D metabolism).

•  Constipation
•  Increased blood calcium levels
•  Increased calcium levels in urine
•  Vomiting
•  Nausea
• Chest pain, feeling short of breath

Tell your physician if you are allergic to COE D3 Syrup 5 ml. Chewable or dissolving tablets may contain sugar or aspartame, hence caution should be taken in diabetes and phenylketonuria (increased levels of an amino acid called phenylalanine). Pregnant or breastfeeding women should consult their physician before taking COE D3 Syrup 5 ml. Higher doses of Vitamin D than the recommended daily dose should be used in pregnant women only when advised by the doctor. COE D3 Syrup 5 ml passes into the breast milk, hence breastfeeding mothers need to seek medical advice before starting COE D3 Syrup 5 ml. COE D3 Syrup 5 ml is safe to use in children when advised by the doctor. COE D3 Syrup 5 ml should be used with caution in hypercalcemia, hyperparathyroidism, renal impairment, electrolyte imbalance, heart diseases, kidney stones and hypervitaminosis D (having too much vitamin D).

Drug-Drug Interactions: COE D3 Syrup 5 ml may interact with drugs treating high cholesterol levels (cholestyramine), anti-epileptic (carbamazepine, phenobarbital), antibiotics (doxycycline, neomycin, and chloramphenicol), drugs treating bone loss (alendronate), thyroid hormone (levothyroxine), diuretics (hydrochlorothiazide) and heart-related medicines (digoxin).

Drug-Food Interactions: Avoid or reduce the intake of caffeine, soft drinks and alcohol that inhibit calcium absorption.

Drug-Disease Interactions: COE D3 Syrup 5 ml is contraindicated in hypercalcemia, hyperparathyroidism, hypervitaminosis D, malabsorption syndrome, Vitamin D toxicity, heart/kidney/liver/blood vessel diseases, kidney stones, diabetes and phenylketonuria.

• CHOLESTYRAMINE
• CARBAMAZEPINE
• PHENOBARBITAL
• DOXYCYCLINE
• NEOMYCIN
• CHLORAMPHENICOL
• ALENDRONATE SODIUM
• LEVOTHYROXINE
• HYDROCHLOROTHIAZIDE
• DIGOXIN

• Include dairy products like milk, yogurt, cheese or milk-based custard in your diet.
• Eat daily a serving of broccoli, cabbage, spinach and other green leafy vegetables.
• Include the best dietary sources of vitamin D, such as fish liver oils and vitamin D–fortified milk.
• Snack on calcium-rich nuts like Brazil nuts or almonds. 
• Sprinkle sesame seeds over your food, vegetables and salads. Sesame seeds are high in calcium.
• Avoid or reduce the intake of caffeine, soft drinks and alcohol that inhibit calcium absorption.
• Replace the meat with tofu or tempeh for extra calcium in your food.

• COE D3 Syrup 5 ml may interfere with cholesterol tests, hence please inform your physician and laboratory staff that you are taking COE D3 Syrup 5 ml before undergoing blood tests.
• Clinical monitoring of serum electrolyte concentrations and cardiac function is recommended.

Vitamin D deficiency: When a person cannot get enough Vitamin D through food and exposure to sunlight, it leads to vitamin D deficiency. It often leads to thin, brittle, or misshapen bones. 

Osteoporosis: It is a bone disease that weakens and brittle bones by decreasing bone density. 

Tetany: A disease condition due to low levels of calcium (hypocalcemia) in the body that causes cramps and spasms in the hands, feet, and larynx (voice box). 

Osteomalacia/Rickets: A disease caused by softening and weakening bones in children due to inadequate vitamin D. 

Hypoparathyroidism: It is a disease characterized by low parathyroid hormone levels. This can cause low calcium levels and trigger tetany (muscle cramps, spasms, or tremors).