Calcium Sandoz Forte effervescent tablets 500 mg 20 pcs.

The combination of calcium carbonate + calcium lactogluconate may reduce the absorption of estramustine, etidronate and possibly other bisphosphonates, phenytoin, quinolones, oral tetracycline antibiotics and fluoride preparations. The interval between taking effervescent calcium carbonate + calcium lactogluconate tablets and the above drugs should be at least 3 hours. Simultaneous administration of vitamin D and its derivatives increases calcium absorption. When prescribed in high doses along with vitamin D and its derivatives, calcium may reduce the effect of verapamil and possibly other calcium channel blockers. With the simultaneous use of effervescent calcium carbonate + calcium lactogluconate tablets and tetracycline drugs, the absorption of the latter may be impaired. For this reason, tetracycline preparations should be taken at least 2 hours before or 4-6 hours after ingesting calcium preparations. Thiazide diuretics reduce urinary calcium excretion, therefore, when used concomitantly with calcium carbonate + calcium lactogluconate effervescent tablets, regular monitoring of serum calcium concentrations should be carried out, as there is a risk of developing hypercalcemia. Systemic corticosteroids reduce calcium absorption. If they are used simultaneously, it may be necessary to increase the dose of effervescent calcium carbonate + calcium lactogluconate tablets. When ingesting effervescent calcium carbonate + calcium lactogluconate tablets in patients receiving cardiac glycosides, the toxicity of cardiac glycosides may increase due to the development of hypercalcemia. Such patients should regularly take an ECG and monitor the level of calcium in the blood serum. If a bisphosphonate or sodium fluoride is taken orally, these drugs should be taken at least 3 hours before taking calcium carbonate + calcium lactogluconate effervescent tablets, since absorption from the gastrointestinal tract (GIT) of the bisphosphonate or sodium fluoride may be reduced. Calcium absorption from the gastrointestinal tract may be reduced by concomitant intake of certain foods containing oxalic acid (eg, spinach, rhubarb) or phytic acid (in all grains) due to the formation of insoluble complexes with calcium ions. Patients should not take calcium carbonate + calcium lactogluconate effervescent tablets 2 hours before or after meals rich in oxalic or phytic acid.

Calcium Sandoz forte spike. tab. 500 mg 20 pieces - Instructions

Compound

Main active ingredients: calcium lactogluconate and calcium carbonate.
Other ingredients: anhydrous citric acid, orange flavor [contains: benzyl alcohol, glucose, sorbitol (E 420) and sulfur dioxide (E 220)], aspartame (E 951), macrogol 6000 and sodium bicarbonate.

Release form

The drug is in the form of effervescent tablets. Supplied in packs of 20 pieces each.

pharmachologic effect

A preparation containing calcium salts, including lactogluconate, which is one of the best absorbable organic calcium compounds. Calcium ions play an important role, among other things, in skeletal structure, neuromuscular conduction, proper muscle function, blood clotting, activation of certain enzymes, and permeability of cell membranes and blood vessels.

Pharmacokinetics

Calcium is absorbed in the small intestine and distributed throughout the body through the blood.

Indications for use

The drug is indicated for the prevention and treatment of calcium deficiency and may be used along with other medications to prevent and treat a condition called osteoporosis (weak bones).

It can also be used with vitamin D3 to treat rickets (softening of growing bones in children) and osteomalacia (softening of bones in adults).

Contraindications

The medicine should not be taken if:

allergies to constituent substances;
increased amount of calcium in the blood;
increased amount of calcium in urine;
kidney problems, including: kidney stones and calcium buildup in kidney tissue.

Side effects

The most common side effects from using Calcium-Sandoz Forte include:

Immune system disorders - rash, urticaria, itching;
metabolic and nutritional disorders - hypercalcemia, excess calcium in the urine;
from the gastrointestinal tract - abdominal pain, nausea, diarrhea.

Compatibility with other medications

The drug should not be combined with:

cardiac glycosides;
thiazide diuretics;
corticosteroids;
oral bisphosphonates or sodium fluoride;
antibiotics from the tetracycline group.

Application and dosage

Adults: one effervescent tablet (one dose) one, two or three times daily (equivalent to 500-1500 mg calcium).

Children: one effervescent tablet (one dose) once or twice daily (equivalent to 500-1000 mg calcium).

The effervescent tablet should be dissolved in a glass of water (about 200 ml) and drunk immediately after dissolution.

The tablet should not be swallowed or chewed.

The drug can be taken regardless of meals.

Overdose

No cases of overdose have been reported.

special instructions

Medicines containing vitamin D should not be used simultaneously with Calcium-Sandoz Forte without a doctor's recommendation.

The drug should not be taken within 2 hours after eating foods rich in oxalic and phytic acid, such as spinach, rhubarb and whole grains.

Impact on the ability to drive vehicles and operate machinery

No special precautions are required.

Terms of sale

Over the counter.

Storage conditions

In a dry, cool place, with limited access for children.

Calcium Forte-Sandoz tablets spike 1000 mg No. 20

Compound

1 effervescent tablet 1000 mg contains: Active substances: calcium lactogluconate 2263.00 mg and calcium carbonate 1750.00 mg, which is equivalent to 1000 mg or 25 mmol of ionized calcium. Excipients: citric acid macrogol-6000, orange flavor (orange flavor contains sulfur dioxide (E220), butylated hydroxyanisole (E320), sorbitol), aspartame, sodium bicarbonate.

Pharmacokinetics

Calcium Sandoz forte is a regulator of calcium-phosphorus metabolism.

Calcium is a vital mineral element necessary to maintain the balance of electrolytes in the body and the adequate functioning of numerous regulatory mechanisms. Replenishes Ca2+ deficiency in the body, participates in phosphate-calcium metabolism, has vitamin, antirachitic, anti-inflammatory and antiallergic effects.

Calcium Sandoz Forte contains two calcium salts (calcium lactogluconate and calcium carbonate), which in the form of effervescent tablets quickly dissolve in water, turning into an active ionized form of calcium, which is easily absorbed. This dosage form ensures an adequate supply of calcium to the body in the form of a tasty drink and is intended for the prevention and treatment of acute and chronic calcium deficiency in the body, as well as for the treatment of various types of metabolic disorders in bone tissue.

Indications for use

— Osteoporosis of various origins (postmenopausal, senile, caused by long-term therapy with glucocorticosteroids, immobilization, gastrectomy, etc.) as part of combination therapy (for example, with vitamin D3 and bisphosphonates). — Conditions accompanied by an increased need for calcium, including pregnancy, lactation, periods of intensive growth in children. — Prevention of osteoporosis. — Osteomalacia (as an addition to the main therapy, including vitamin D3). — Latent tetany, accompanied by hypocalcemia (an injection solution of calcium should be used to treat acute tetany). — Allergic reactions (maintenance therapy).

Contraindications

Calcium Sandoz Forte is not recommended for use in children under 3 years of age due to the lack of data on effectiveness and safety in this category. Hypersensitivity to the components of the drug, increased concentration of calcium in the blood and urine (hypercalcemia, hypercalciuria), chronic renal failure, nephrourolithiasis, nephrocalcinosis, phenylketonuria and sucrose/isomaltose deficiency, fructose intolerance, glucose-galactose malabsorption.

Directions for use and doses

Inside, regardless of food intake. Before taking the tablet, dissolve it in a glass of water. Children from 3 to 9 years: 500 mg per day. Adults and children over 10 years of age: 1000 mg per day. Duration of therapy: - when used for the prevention and treatment of calcium deficiency, the average duration of treatment is at least 4-6 weeks; — when used for the prevention and treatment of osteoporosis, the duration of taking the drug is not limited if its content in the diet is insufficient (prevention) or, as part of complex therapy, is at least 36 months; the duration of complex therapy for osteoporosis should be agreed with the doctor; — when used for the treatment of rickets and osteomalacia, the duration of treatment is at least 3 months in complex therapy with vitamin D3; for longer treatment, consultation with a doctor is necessary.

Storage conditions

At a temperature not exceeding 30C in a tightly closed container. Keep out of the reach of children.

Best before date

3 years.

special instructions

In patients with slight hypercalciuria (exceeding 300 mg/24 hours or 7.5 mmol/day), with mild or moderate renal dysfunction, as well as in the presence of anamnestic indications of urolithiasis, regular monitoring of urinary calcium excretion is required. If necessary, reduce the dose of the drug or discontinue it. Patients with a tendency to form stones in the urinary tract are advised to increase their fluid intake.

In patients with impaired renal function, calcium salts should be taken under medical supervision. Monitoring of serum calcium and phosphate levels is necessary.

When treating with calcium preparations, it is necessary to avoid taking large doses of vitamin D or its derivatives, unless there are special indications for this.

Patients on a low-salt diet should take into account the sodium content in 1 tablet of effervescent Calcium Sandoz Forte: 2.976 mmol (corresponding to 68.45 mg) sodium in one 500 mg tablet, 5.95 mmol (corresponding to 136.90 mg) sodium in one 1000 mg tablet.

Information for patients with diabetes: One tablet of Calcium Sandoz Forte contains 0.002 bread units, so the drug can be used in patients with diabetes.

Description

Round, flat tablets with a beveled edge, white to almost white in color, with a slight specific odor. The tablets have a slightly rough surface

Conditions for dispensing from pharmacies

Over the counter

Dosage form

effervescent tablets

Side effects

Rarely (more than 1/10,000, less than 1/1,000): flatulence, constipation, diarrhea, nausea, vomiting, epigastric pain. When taken in high doses (2000 mg/day when taken daily for several months), headache, fatigue, thirst, and polyuria may occur. Very rare (less than 1/10,000): hypersensitivity reactions, incl. rash, itching, urticaria, hypercalcemia. In isolated cases, systemic allergic reactions (anaphylactic reactions, facial edema, angioedema) have been reported. Some medical publications have reported the development of hypercalciuria while taking calcium supplements.

Use during pregnancy and breastfeeding

The drug can be prescribed during pregnancy and breastfeeding on the recommendation of a doctor. Calcium passes into breast milk. During pregnancy, the daily dose of calcium should not exceed 1500 mg. Hypercalcemia during pregnancy can cause disturbances in fetal development.

Interaction

With the simultaneous use of Calcium Sandoz forte effervescent tablets and tetracycline drugs, the absorption of the latter may be impaired. For this reason, tetracycline preparations should be taken at least 2 hours before or 4-6 hours after ingesting calcium preparations. Thiazide diuretics reduce urinary calcium excretion, therefore, when used concomitantly with Calcium Sandoz Forte effervescent tablets, regular monitoring of serum calcium concentrations should be carried out, as there is a risk of developing hypercalcemia.

Systemic corticosteroids reduce calcium absorption. If they are used simultaneously, it may be necessary to increase the dose of Sandoz Forte Calcium tablets.

When taking Calcium Sandoz Forte tablets orally in patients receiving cardiac glycosides, the toxicity of cardiac glycosides may increase due to the development of hypercalcemia. Such patients should regularly take an ECG and monitor the level of calcium in the blood serum.

If a bisphosphonate or sodium fluoride is taken orally, these drugs should be taken at least 3 hours before taking Calcium Sandoz Forte tablets, since absorption from the gastrointestinal tract (GIT) of the bisphosphonate or sodium fluoride may be reduced. Calcium absorption from the gastrointestinal tract may be reduced by concomitant intake of certain foods containing oxalic acid (eg, spinach, rhubarb) or phytic acid (in all grains) due to the formation of insoluble complexes with calcium ions. Patients should not take Calcium Sandoz Forte tablets 2 hours before or after eating a meal rich in oxalic or phytic acid.

Overdose

Information not described.

Impact on the ability to drive vehicles and operate machinery

Calcium Sandoz® Forte does not affect the ability to drive a car or operate machinery.

Calcium Sandoz® forte

The simultaneous administration of vitamin D and its derivatives increases calcium absorption. When prescribed in high doses along with vitamin D and its derivatives, calcium may reduce the effect of verapamil and possibly other calcium channel blockers.

With the simultaneous use of effervescent calcium carbonate + calcium lactogluconate tablets and tetracycline drugs, the absorption of the latter may be impaired. For this reason, tetracycline preparations should be taken at least 2 hours before or 4-6 hours after ingesting calcium preparations.

Thiazide diuretics reduce urinary calcium excretion, therefore, when used concomitantly with calcium carbonate + calcium lactogluconate effervescent tablets, regular monitoring of serum calcium concentrations should be carried out, as there is a risk of developing hypercalcemia.

Systemic corticosteroids reduce calcium absorption. If they are used simultaneously, it may be necessary to increase the dose of effervescent calcium carbonate + calcium lactogluconate tablets.

When ingesting effervescent calcium carbonate + calcium lactogluconate tablets in patients receiving cardiac glycosides, the toxicity of cardiac glycosides may increase due to the development of hypercalcemia. Such patients should regularly take an ECG and monitor the level of calcium in the blood serum.

If a bisphosphonate or sodium fluoride is taken orally, these drugs should be taken at least 3 hours before taking calcium carbonate + calcium lactogluconate effervescent tablets, since absorption from the gastrointestinal tract (GIT) of the bisphosphonate or sodium fluoride may be reduced.

Calcium absorption from the gastrointestinal tract may be reduced by concomitant intake of certain foods containing oxalic acid (eg, spinach, rhubarb) or phytic acid (in all grains) due to the formation of insoluble complexes with calcium ions.

Patients should not take calcium carbonate + calcium lactogluconate effervescent tablets 2 hours before or after meals rich in oxalic or phytic acid.