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Elemental Calcium+vitamin D3+cyanocobalamin

About

Elemental Calcium+vitamin D3+cyanocobalamin belongs to the class of 'Vitamins', primarily used to treat nutritional deficiencies. Elemental Calcium+vitamin D3+cyanocobalamin 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).

Elemental Calcium+vitamin D3+cyanocobalamin 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. Elemental Calcium+vitamin D3+cyanocobalamin 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 Elemental Calcium+vitamin D3+cyanocobalamin. 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 Elemental Calcium+vitamin D3+cyanocobalamin. Pregnant or breastfeeding women should consult their doctor before taking Elemental Calcium+vitamin D3+cyanocobalamin. Elemental Calcium+vitamin D3+cyanocobalamin is safe to use in children only when advised by the doctor. 

Uses of Elemental Calcium+vitamin D3+cyanocobalamin

Vitamin D deficiency, Vitamin B12 deficiency, Osteoporosis, Osteomalacia (Rickets), Hypoparathyroidism, and Latent tetany.

Medicinal Benefits

Elemental Calcium+vitamin D3+cyanocobalamin 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.

Directions for Use

Tablet/Capsule: Swallow it as a whole with water; do not crush, break or chew it. Oral Liquid/Syrup: Shake the bottle well before use. Take the recommended dose by mouth using the measuring cup/dosing syringe/dropper provided by the pack.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Elemental Calcium+vitamin D3+cyanocobalamin

  • Constipation
  • Stomach upset 
  • Diarrhoea

In-Depth Precautions and Warning

Drug Warnings

Let your doctor know if you are allergic to Elemental Calcium+vitamin D3+cyanocobalamin or its inactive components. Elemental Calcium+vitamin D3+cyanocobalamin 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 Elemental Calcium+vitamin D3+cyanocobalamin.  Pregnant or breastfeeding women should consult their doctor before taking Elemental Calcium+vitamin D3+cyanocobalamin. Drinking alcohol can hinder calcium absorption; therefore, it is advised to limit the alcohol intake while using Elemental Calcium+vitamin D3+cyanocobalamin. Elemental Calcium+vitamin D3+cyanocobalamin is safe to use in children only when advised by the doctor. Do not store Elemental Calcium+vitamin D3+cyanocobalamin above 25°C.

Drug Interactions

Drug-Drug Interaction: Elemental Calcium+vitamin D3+cyanocobalamin 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: Elemental Calcium+vitamin D3+cyanocobalamin 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:

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

    • Safety Warning

      Alcohol

      caution

      Drinking alcohol can affect calcium absorption; hence it is advised to limit the alcohol intake while using Elemental Calcium+vitamin D3+cyanocobalamin.

    • Safety Warning

      Pregnancy

      caution

      During pregnancy, use higher doses of Elemental Calcium+vitamin D3+cyanocobalamin than the daily dietary allowance only when the doctor advises. Your doctor will weigh the potential risks and benefits before recommending Elemental Calcium+vitamin D3+cyanocobalamin.

    • Safety Warning

      Breast Feeding

      caution

      Consult your doctor before taking Elemental Calcium+vitamin D3+cyanocobalamin if you are breastfeeding. Elemental Calcium+vitamin D3+cyanocobalamin can pass into the breast milk. If Elemental Calcium+vitamin D3+cyanocobalamin is used during breastfeeding, please monitor the serum calcium levels of the mother and the infant.

    • Safety Warning

      Driving

      not applicable

      If you experience any unmanageable side effects while using Elemental Calcium+vitamin D3+cyanocobalamin, do not drive or operate machinery.

    • Safety Warning

      Liver

      caution

      Let your doctor know if you have any history of liver diseases before taking Elemental Calcium+vitamin D3+cyanocobalamin. Hepatic impairment/liver disease can alter the metabolic and therapeutic activity of certain Vitamin D forms.

    • Safety Warning

      Kidney

      caution

      It is advised to seek doctor advice before starting Elemental Calcium+vitamin D3+cyanocobalamin if you have kidney diseases like kidney stones or undergoing dialysis.

    • Safety Warning

      Children

      consult your doctor

      The doctor will decide the dosage of Elemental Calcium+vitamin D3+cyanocobalamin based on the child's age and weight.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • 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.

    Special Advise

    • Elemental Calcium+vitamin D3+cyanocobalamin may interfere with cholesterol tests, hence please inform your doctor and laboratory staff that you are taking Elemental Calcium+vitamin D3+cyanocobalamin 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: 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). 

    FAQs

    Elemental Calcium+vitamin D3+cyanocobalamin is a dietary supplement that consists of Elemental Calcium, Cyanocobalamin, and Vitamin D3/Cholecalciferol. When you lack these vitamins in your body, which cannot be recovered even with the food sources, Elemental Calcium+vitamin D3+cyanocobalamin helps in normalizing these deficient levels. Collectively, Elemental Calcium+vitamin D3+cyanocobalamin treats nutritional deficiencies.

    Elemental Calcium+vitamin D3+cyanocobalamin can cause kidney stones due to excess calcium deposition when used for a prolonged period. Please consult your doctor before taking Elemental Calcium+vitamin D3+cyanocobalamin as a daily supplement if you have any kidney problems or a history of kidney stones.

    Elemental Calcium+vitamin D3+cyanocobalamin is used to increase low levels of calcium in the body. Hence it is not advised to use Elemental Calcium+vitamin D3+cyanocobalamin during hypercalcaemia since it causes the overdose of calcium leading to kidney stones and other effects.

    Antacids may increase the absorption of Calcium from Elemental Calcium+vitamin D3+cyanocobalamin. Hence it is advised to take Elemental Calcium+vitamin D3+cyanocobalamin two hours before or four hours after taking antacids.

    If you miss a dose, take it as soon as you remember. However, if it is time for the next scheduled dose, skip the missed dose and follow your usual dosage.

    Available Medicines for

    Elemental Calcium+vitamin D3+cyanocobalamin

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