Calcium gluconate tablets 500mg, No. 20

• Diseases accompanied by hypocalcemia, increased permeability of cell membranes (including vessels), impaired conduction of nerve impulses in muscle tissue.

• Hypoparathyroidism (latent tetany, osteoporosis), disorders of vitamin D metabolism: rickets (spasmophilia, osteomalacia), hyperphosphatemia in patients with chronic renal failure.

• Increased need for calcium ions (pregnancy, lactation period, period of increased body growth), insufficient content of calcium ions in food, impaired metabolism (in the postmenopausal period).

• Enhanced excretion of calcium ions (prolonged bed rest, chronic diarrhea, secondary hypocalcemia with prolonged use of diuretics and antiepileptic drugs, glucocorticosteroids).

• Poisoning with salts of magnesium ions, oxalic and fluoric acids and their soluble salts (when interacting with calcium gluconate, insoluble and non-toxic calcium oxalate and calcium fluoride are formed).

• Hypercalcemic form of paroxysmal myoplegia.

Grind before use.

Inside, before meals or 1-1.5 hours after ingestion (washed down with milk).

Adults - 1-3 g 2-3 times a day (maximum daily dose - 9 g).

Pregnant and lactating mothers - 1-3 g 2-3 times a day (maximum daily dose - 9 g).

Children: 3-4 years old - 1 g (maximum daily dose - 3.0 g); 5-6 years - 1-1.5 g (maximum daily dose - 4.5 g); 7-9 years old - 1.5-2 g (maximum daily dose - 6 g); 10-14 years old - 2-3 g (maximum daily dose - 9 g); frequency of admission - 2-3 times a day.

calcium gluconate monohydrate 500 mg

Excipients : potato starch 23 mg, talc 5 mg, calcium stearate monohydrate 2 mg.

Hypersensitivity, hypercalcemia (the concentration of calcium ions should not exceed 12 mg% ~ 6 mEq / l), severe hypercalciuria, nephrourolithiasis (calcium), sarcoidosis, simultaneous intake of cardiac glycosides (risk of arrhythmias), children under 3 years of age.

Carefully.

Dehydration, electrolyte disturbances (risk of hypercalcemia), diarrhea, malabsorption syndrome, mild hypercalciuria, moderate chronic renal failure, chronic heart failure, generalized atherosclerosis, hypercoagulation, calcium nephrourolithiasis (in history).

pharmachologic effect

The calcium supplement compensates for the deficiency of calcium ions necessary for the transmission of nerve impulses, contraction of skeletal and smooth muscles, myocardial activity, the formation of bone tissue, blood coagulation.

Pharmacokinetics

Approximately 1/5 to 1/3 of the orally administered drug is absorbed in the small intestine; this process depends on the presence of vitamin D, pH, dietary characteristics and the presence of factors that can bind calcium ions. The absorption of calcium ions increases with its deficiency and the use of a diet with a reduced content of calcium ions. About 20% is excreted by the kidneys, the rest (80%) is removed with the intestinal contents.

Indications of the drug Calcium gluconate

Diseases accompanied by hypocalcemia, increased permeability of cell membranes (including vessels), impaired conduction of nerve impulses in muscle tissue. Hypoparathyroidism (latent tetany, osteoporosis), disorders of vitamin D metabolism: rickets (spasmophilia, osteomalacia), hyperphosphatemia in patients with chronic renal failure. Increased need for calcium ions (pregnancy, lactation, period of increased growth of the body), insufficient content of calcium ions in food, impaired metabolism (in the postmenopausal period). Enhanced excretion of calcium ions (prolonged bed rest, chronic diarrhea, secondary hypocalcemia with prolonged use of diuretics and antiepileptic drugs, glucocorticosteroids). Poisoning with salts of magnesium ions,oxalic and fluoric acids and their soluble salts (when interacting with calcium gluconate, insoluble and non-toxic calcium oxalate and calcium fluoride are formed). Hypercalcemic form of paroxysmal myoplegia.

Dosage regimen

Grind before use. Inside, before meals or 1-1.5 hours after ingestion (washed down with milk). Adults - 1-3 g 2-3 times a day (maximum daily dose - 9 g). Pregnant and lactating mothers - 1-3 g 2-3 times a day (maximum daily dose - 9 g). Children: 3-4 years old - 1 g (maximum daily dose - 3.0 g); 5-6 years - 1-1.5 g (maximum daily dose - 4.5 g); 7-9 years old - 1.5-2 g (maximum daily dose - 6 g); 10-14 years old - 2-3 g (maximum daily dose - 9 g); frequency of admission - 2-3 times a day.

Side effect

Constipation, irritation of the gastrointestinal tract mucosa, hypercalcemia.

Contraindications for use

Hypersensitivity, hypercalcemia (the concentration of calcium ions should not exceed 12 mg% ~ 6 mEq / l), severe hypercalciuria, nephrourolithiasis (calcium), sarcoidosis, simultaneous intake of cardiac glycosides (risk of arrhythmias), children under 3 years of age. Carefully. Dehydration, electrolyte disturbances (risk of hypercalcemia), diarrhea, malabsorption syndrome, mild hypercalciuria, moderate chronic renal failure, chronic heart failure, generalized atherosclerosis, hypercoagulation, calcium nephrourolithiasis (in history).

Application during pregnancy and lactation

Application is possible according to the dosage regimen.

Application for impaired renal function

Carefully:

moderate chronic renal failure. In patients with a decrease in glomerular filtration rate, treatment should be carried out under the control of the concentration of calcium ions in the urine.