Ccm Tablet 30
Uses :Calcium Calcium citrate malate is used to treat low blood calcium levels in the patients who do not get adequate calcium from their diet. It is also used in the treatment of osteoporosis (bone loss), osteomalacia (weak bones), rickets, hypoparathyroidism. It is also prescribed for the women who are pregnant, nursing, and postmenopausal. Vitamin D3 Vitamin D3 (also called calcitriol) is used to treat hyperparathyroidism (increased production of the hormones). In the patients with chronic kidney failure, calcitriol helps to treat metabolic bone disease and calcium deficiency. It is given during the treatment of rickets disease in children (a bone deformation disorder) which occurs due to vitamin D deficiency. Folic acid Folic acid is a form of vitamin B which is obtained from the fruits and vegetables. It helps to prevent changes in the DNA that can lead to cancer. Folic acid, as a medicine is used to treat folic acid deficiency in the human body. It is used in the treatment of anemia of certain types. In combination with other drugs, it is used to treat pernicious anemia.
Mode of drug action
Calcium Calcium citrate malate plays a key role in the body. It is a water soluble calcium supplement. It is the combination of calcium salt with citric acid and malic acid. It has high bioavailability and dissolution. When absorbed by the body it releases calcium ions and calcium citrate complex. Calcium ions are directly absorbed into the intestinal cells, and citrate complex enters through paracellular absorption. Vitamin D3 Vitamin D3 is a steroid hormone which binds to the vitamin D receptors and helps in the absorption of calcium. Folic acid Folic acid gets converted to tetrahydrofolate in the human body. Tetrahydrofolate helps in the normal production of red blood cells, amino acids, DNA components and other molecules.
What are the common side effects?
Calcium The side effects of calcium citrate malate are constipation, stomach upset, loss of appetite, weight loss, and increased thirst. Vitamin D3 The common side effects of calcitriol are fatigue, weakness, sleepiness, headache, dry mouth, metallic taste, nausea, vomiting, loss of appetite, etc. However, these side effects do not occur at the normal doses and are seen in only a few patients. Folic acid The common side effects of folic acid include a metallic taste in the mouth, loss of appetite, nausea, confusion, sleep disturbance, and irritation. It can lead to serious but less common side effects such as allergic reactions.
Pregnancy: Safe under medical guidance Breast feeding: Safe under medical guidance Alcohol: Unsafe Kidney dysfunction: Caution required Liver dysfunction: Caution required
Special precautions for safe use
• Do not take CCM tablets if an allergic reaction has been experienced to any of its ingredients in the past.
• CCM should not be used by the patients with extremely high levels of calcium or vitamin D (e.g. parathyroid gland disorders and sarcoidosis).
• Before taking any other drugs along with the CCM, inform a doctor.
• Tab CCM should be taken with caution by people having conditions such as achlorhydria (low stomach acid), hypo or hyperphosphatemia (low or high phosphate levels), hypothyroidism, and poor kidney function.
• Pregnant and breast feeding women should consult the doctor before taking CCM tablet.
• Do not smoke while taking CCM medicine, because it can reduce the absorption of the drug.
• Take the CCM dosage as prescribed by the doctor. Exceeding the dose can lead to unwanted effects of the drug.
What else should I know?
1. I experienced increase in urination while taking Calcium citrate malate tablet. What should I do now? Increased urination is a common side effect of Calcium citrate malate. Seek medical advice if the condition worsens.
2. What if I overdose? Patients with an overdose of Calcium citrate malate may have symptoms of allergic reactions such as itching, swelling, dizziness, and trouble breathing.
3. What are the drugs I should avoid while using Calcium citrate malate? Avoid drugs such as digoxin or phosphate binders while taking Calcium citrate malate.
4. I am on Quinolone antibiotics. Can I take Calcium citrate malate along with it? No, Quinolone antibiotics may decrease the absorption of calcium citrate malate.
5. In which conditions I should avoid Calcium citrate malate? You should not take Calcium citrate malate in the conditions such as high calcium levels in the body, malabsorption syndrome, kidney stones, and gallstones.
1. Can I take antacids while using vitamin D3? Calcitriol or vitamin D3 can interfere with the absorption of some antacids. Therefore, take only those antacids which are prescribed by your doctor.
2. What is the dose of calcitriol for adults in the treatment of hyperparathyroidism ? The usual initial dose of calcitriol for adults in the treatment of hyperparathyroidism is 0.25 mcg per day, taken orally. This may be later increased to 0.5 mcg later if required.
3. What happens if I forget to take a dose of calcitriol? It is not very harmful and you need not worry. Take the next dose at its scheduled time leaving the missed dose if it is too late.
4. What happens with an overdose of calcitriol? An overdose of calcitriol can lead to some serious side effects such as behavioral changes and needs immediate medical help.
5. How to store calcitriol tablets? Store them in the original package, away from heat, light, moisture and children.
1. How to take folic acid tablets? You can take folic acid tablets with or without food, and with a glass of water.
2. How to identify if I had an overdose with folic acid? If you have taken a large dose of folic acid, it can produce symptoms such as numbness, tingling, weakness, confusion, mouth or tongue pain. Immediately seek medical help in case you notice these symptoms.
3. What is the dose of folic acid for pregnant women? The usual dose of folic acid in pregnant women is about 800 micrograms per day taken orally or as an injection. However, talk to a doctor who will decide the appropriate dose for you.
4. Can I take alcohol while using folic acid? It is always advisable not to drink alcohol. However, if you cannot avoid doing so, you may need a higher dose of folic acid which will be decided by your physician.
5. What should I do if I miss taking a dose of folic acid? In case you forget to take a dose of folic acid, take it as soon as you remember. But if it almost time for your next scheduled dose, then you must skip the missed dose and take the next dose at its regular time. This helps to avoid doubling of the dose.