Calcium+vitamin D3+vitamin B12
About
Calcium+vitamin D3+vitamin B12 belongs to the Vitamins class, primarily used to treat nutritional deficiencies. Calcium+vitamin D3+vitamin B12 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 cannot 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).
Calcium+vitamin D3+vitamin B12 consists of three medicines: Calcium, Cholecalciferol (Vitamin D3), and Cobalamin (Vitamin B₁₂). Calcium is a mineral that is used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation. Cholecalciferol 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 the mineralization of bone. Cobalamin is a form of vitamin B12 that helps properly function the brain, nerves, and red blood cells.
Take Calcium+vitamin D3+vitamin B12 as recommended. Calcium+vitamin D3+vitamin B12 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.
Do not take Calcium+vitamin D3+vitamin B12 if you're allergic to any ingredient in it. 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 Calcium+vitamin D3+vitamin B12. Pregnant or breastfeeding women should consult their doctor before taking Calcium+vitamin D3+vitamin B12. Calcium+vitamin D3+vitamin B12 is safe for children only when recommended by the doctor.
Uses of Calcium+vitamin D3+vitamin B12
Medicinal Benefits
Calcium+vitamin D3+vitamin B12 is used to treat and prevent Vitamin D and B12 deficiencies. It effectively treats various conditions caused by low calcium levels in the body, like Vitamin D deficiency, osteoporosis, hypoparathyroidism, latent tetany, and rickets or osteomalacia. Calcium+vitamin D3+vitamin B12 consists of three medicines: Calcium, Cholecalciferol (Vitamin D3), and Cobalamin (vitamin B12). Calcium is a mineral that is used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation. Cholecalciferol 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 the mineralization of bone. It treats and prevents bone disorders, such as rickets and osteomalacia. Cobalamin is a form of vitamin B12 that helps properly function the brain, nerves, and red blood cells. It treats low blood levels of vitamin B12 in pernicious anaemia and other conditions like pregnancy, thyroid problems, and stomach and intestinal disorders.
Directions for Use
Storage
Side Effects of Calcium+vitamin D3+vitamin B12
- Constipation
- Stomach upset
- Diarrhoea
In-Depth Precautions and Warning
Drug Warnings
Let your doctor know if you are allergic to Calcium+vitamin D3+vitamin B12 or its inactive components. Calcium+vitamin D3+vitamin B12 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, kidney stones, sarcoidosis (growth of inflammatory cells in different parts of the body), Crohn's disease (inflammatory bowel disease), Whipple's disease (bacterial infection affecting joints and digestive system), achlorhydria (little or no stomach acid), low levels of bile, and phosphate imbalance. Chewable and dissolving tablets may contain sugar or aspartame; hence, you should be cautious if you have diabetes and phenylketonuria (increased amino acid levels called phenylalanine). Pregnant or breastfeeding women should consult their doctor before taking Calcium+vitamin D3+vitamin B12. Drinking alcohol can hinder calcium absorption; therefore, it is advised to limit alcohol intake while using Calcium+vitamin D3+vitamin B12. Calcium+vitamin D3+vitamin B12 is safe for children only when recommended by the doctor. Do not store Calcium+vitamin D3+vitamin B12 above 25°C.
Drug Interactions
Drug-Drug Interactions: Calcium+vitamin D3+vitamin B12 may interact with drugs treating high cholesterol levels (cholestyramine, colesevelam, colestipol), antibiotics (doxycycline, minocycline, 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 Interactions: Avoid or reduce caffeine intake, soft drinks and alcohol that inhibit calcium absorption.
Drug-Disease Interactions: Calcium+vitamin D3+vitamin B12 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.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
cautionDrinking alcohol can affect calcium absorption; hence it is advised to limit the alcohol intake while using Calcium+vitamin D3+vitamin B12.
Pregnancy
cautionDuring pregnancy, use higher doses of Calcium+vitamin D3+vitamin B12 than the daily dietary allowance only when the doctor advises. Your doctor will weigh the potential risks and benefits before recommending Calcium+vitamin D3+vitamin B12.
Breast Feeding
cautionConsult your doctor before taking Calcium+vitamin D3+vitamin B12 if you are breastfeeding. Calcium+vitamin D3+vitamin B12 can pass into the breast milk. If Calcium+vitamin D3+vitamin B12 is used during breastfeeding, please monitor the serum calcium levels of the mother and the infant.
Driving
not applicableDo not drive or operate machinery if you experience unmanageable side effects while using Calcium+vitamin D3+vitamin B12.
Liver
cautionLet your doctor know if you have any history of liver diseases before taking Calcium+vitamin D3+vitamin B12. Hepatic impairment/liver disease can alter certain Vitamin D forms' metabolic and therapeutic activity.
Kidney
cautionIt is advised to seek medical advice from the doctor before using the Calcium+vitamin D3+vitamin B12 if you have kidney diseases like kidney stones or undergoing dialysis. Should take caution in patients undergoing dialysis to maintain adequate phosphorus levels and avoid ectopic calcification (calcium deposition).
Children
consult your doctorThe doctor will recommend the dosage of Calcium+vitamin D3+vitamin B12 based on the child's age and weight.
Habit Forming
Diet & Lifestyle Advise
- Include dairy products like milk, yoghurt, cheese, or milk-based custard in your diet.
- Eat a serving of broccoli, cabbage, bok choy, spinach, and other green leafy vegetables daily.
- Try Vitamin B complex food sources like milk, cheese, eggs, liver and kidney, chicken, red meat, tuna, mackerel, 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.
Special Advise
- Calcium+vitamin D3+vitamin B12 may interfere with cholesterol tests. Hence please inform your doctor and laboratory staff that you are taking Calcium+vitamin D3+vitamin B12 before undergoing blood tests.
- Clinical monitoring of vitamin B levels, serum electrolyte concentrations, and cardiac function is recommended.
Patients Concern
Disease/Condition Glossary
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: Osteoporosis is a bone disease that makes the bones weak and brittle by decreasing bone density.
Tetany: A disease condition due to low calcium levels (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 is a disease characterized by low parathyroid hormone levels. This can cause low calcium levels and trigger tetany (muscle cramps, spasms, or tremors).
Vitamin B12 deficiency (cobalamin deficiency): When your body doesn't have adequate mineral levels called Vitamin B12, it leads to Vitamin B12 deficiency. Symptoms include fatigue, breathlessness, numbness, poor balance, and memory trouble.
FAQs
Calcium+vitamin D3+vitamin B12 is a dietary supplement that consists of Calcium, Cyanocobalamin, and Cholecalciferol. When you lack these vitamins in your body, which cannot recover even with the food sources, Calcium+vitamin D3+vitamin B12 helps normalise these deficient levels. Collectively, Calcium+vitamin D3+vitamin B12 treats nutritional deficiencies.
Milk is considered to be the best source of calcium. You can take Calcium+vitamin D3+vitamin B12 with milk.
Calcium+vitamin D3+vitamin B12 can cause kidney stones due to excess calcium deposition when used for a prolonged period. Please consult your doctor before taking Calcium+vitamin D3+vitamin B12 as a daily supplement if you have any kidney problems or a history of kidney stones.
Calcium+vitamin D3+vitamin B12 is used to increase low levels of calcium in the body. Hence it is not advised to use Calcium+vitamin D3+vitamin B12 during hypercalcaemia since it causes the overdose of calcium leading to kidney stones and other effects.
Antacids may increase the absorption of Calcium from Calcium+vitamin D3+vitamin B12. Hence it is advised to take Calcium+vitamin D3+vitamin B12 two hours before or four hours after taking antacids.
Vitamin B12 deficiency is caused when you don't have enough Methylcobalamin or Mecobalmin levels in your body. You can include natural Vitamin B12 sources like eggs, beef, liver, chicken, trout, salmon, tuna fish, clams, fortified breakfast cereal, low-fat milk, yoghurt, and cheese in your diet for treating the deficiency. If you still have low levels of B12, please consult your doctor for its supplements.
