Osto Polybion D Syrup 200 ml belongs to the class of 'Vitamins', primarily used to treat nutritional deficiencies. Osto Polybion D Syrup 200 ml effectively treats various conditions caused by low calcium levels in the body like Vitamin D deficiency, vitamin B12 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). Nutritional deficiency occurs when the body is unable to absorb or get enough nutrients from food. It could lead to various health problems, including defective bone growth, skin disorders, digestive issues, and dementia (memory loss).

Osto Polybion D Syrup 200 ml consists of three medicines: Elemental Calcium, Vitamin D3 (Cholecalciferol), and Cyanocobalamin. Elemental Calcium is a mineral that is used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation. Vitamin D3 is a steroid hormone produced in the skin when exposed to ultraviolet light or obtained from food sources. It helps maintain blood calcium and phosphorus levels and mineralization of bone. Cyanocobalamin is a form of vitamin B12 that helps in the proper functioning of the brain, nerves, and red blood cells.

Your doctor will decide the dosage based on your medical condition. Osto Polybion D Syrup 200 ml is likely safe to consume. In some cases, it may cause side effects like diarrhoea, constipation, and stomach upset. These side effects do not require medical attention and gradually resolve over time.

Let your doctor know if you are using any other medicines and herbal products before starting Osto Polybion D Syrup 200 ml. Please inform your doctor if you have hypercalcemia (high calcium levels), hypervitaminosis D (high vitamin D levels), malabsorption syndrome (difficulty absorbing nutrition from food), low levels of bile, and phosphate imbalance before starting Osto Polybion D Syrup 200 ml. Pregnant or breastfeeding women should consult their doctor before taking Osto Polybion D Syrup 200 ml. Osto Polybion D Syrup 200 ml is safe to use in children only when advised by the doctor. 

Osto Polybion D Syrup 200 ml consists of three medicines: Elemental Calcium, Vitamin D3, and Cyanocobalamin. Elemental Calcium is a mineral that is used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation. Vitamin D3 is a steroid hormone produced in the skin when exposed to ultraviolet light or obtained from food sources. It helps maintain blood calcium and phosphorus levels and mineralization of bone. It is used to treat and prevent bone disorders, such as rickets and osteomalacia. Cyanocobalamin is a form of vitamin B12 that helps in the proper functioning of the brain, nerves, and the production of red blood cells. It treats low blood levels of vitamin B12 in people with pernicious anaemia and other conditions like pregnancy, thyroid problems, stomach, and intestinal disorders.

• Constipation
• Stomach upset 
• Diarrhoea

Let your doctor know if you are allergic to Osto Polybion D Syrup 200 ml or its inactive components. Osto Polybion D Syrup 200 ml is not recommended if you have hypercalcemia (high calcium levels), hypervitaminosis D (high vitamin D levels), and malabsorption syndrome (difficulty absorbing nutrition from food). Brief your medical history to the doctor if you have any heart/kidney/liver/blood vessel diseases, and kidney stones before starting Osto Polybion D Syrup 200 ml.  Pregnant or breastfeeding women should consult their doctor before taking Osto Polybion D Syrup 200 ml. Drinking alcohol can hinder calcium absorption; therefore, it is advised to limit the alcohol intake while using Osto Polybion D Syrup 200 ml. Osto Polybion D Syrup 200 ml is safe to use in children only when advised by the doctor. Do not store Osto Polybion D Syrup 200 ml above 25°C.

Drug-Drug Interaction: Osto Polybion D Syrup 200 ml may interact with drugs treating high cholesterol levels (cholestyramine, colestipol), antibiotics (doxycycline, ciprofloxacin, penicillin, neomycin, and chloramphenicol), anti-cancer drugs (estramustine), drugs treating bone loss (alendronate), thyroid hormone (levothyroxine), weight-loss drugs (orlistat), fits medicines (phenobarbital),  water pills (furosemide, ethacrynic acid), and heart-related medicines (digitoxin).

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

Drug-Disease Interaction: Osto Polybion D Syrup 200 ml is contraindicated in hypercalcaemia, hypervitaminosis D, malabsorption syndrome, and Vitamin D toxicity. Use this medicine with caution in heart/ liver/blood vessel diseases, kidney stones, sarcoidosis, Crohn's disease, Whipple's disease, achlorhydria, low levels of bile, phosphate imbalance, diabetes, and phenylketonuria.

• CHOLESTYRAMINE
• COLESTIPOL
• DOXYCYCLINE
• CIPROFLOXACIN
• PENICILLIN
• NEOMYCIN
• CHLORAMPHENICOL
• ESTRAMUSTINE
• ALENDRONATE SODIUM
• LEVOTHYROXINE
• ORLISTAT
• PHENOBARBITAL
• FUROSEMIDE
• ETACRYNIC ACID
• DIGITOXIN

• Include dairy products like milk, yogurt, cheese, or milk-based custard in your diet.
• Eat daily a serving of broccoli, cabbage, bok choy, spinach, and other green leafy vegetables.
• Try Vitamin B complex food sources like milk, cheese, eggs, liver and kidney, chicken, red meat, tuna, mackerel, and salmon, shellfish, oysters, clams, dark green vegetables, such as spinach and kale, beets, avocados, potatoes, whole grains, cereals, kidney beans, black beans, and chickpea.
• 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.

• Osto Polybion D Syrup 200 ml may interfere with cholesterol tests, hence please inform your doctor and laboratory staff that you are taking Osto Polybion D Syrup 200 ml before undergoing blood tests.
• Clinical monitoring of vitamin B levels, 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 makes the bones weak and brittle 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 of 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).