sb-cal-d
Generic Name
Calcium Carbonate + Vitamin D3
Manufacturer
Square Pharmaceuticals Ltd.
Country
Bangladesh
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Price Details
Current market pricing information
| Variant | Unit Price | Strip Price |
|---|---|---|
| sb cal d 500 mg tablet | ৳ 5.00 | ৳ 50.00 |
Description
Overview of the medicine
SB-Cal-D is a nutritional supplement combining Calcium Carbonate and Vitamin D3. It is used to prevent and treat calcium and Vitamin D deficiencies, promoting bone health.
Uses & Indications
Dosage
Adults
1-2 tablets daily, or as directed by a physician.
Elderly
Same as adult dosage, or as directed by a physician, with careful monitoring for renal function.
Renal_impairment
Use with caution and dose adjustment may be required; monitor calcium and phosphate levels.
How to Take
Oral. Can be taken with or without food. For best absorption, it is often recommended to take with meals.
Mechanism of Action
Calcium is an essential mineral for bone formation, nerve transmission, and muscle function. Vitamin D3 facilitates calcium absorption from the gut and its deposition into bones.
Pharmacokinetics
Onset
Nutritional effects are gradual and long-term.
Excretion
Calcium: Primarily fecal, some renal. Vitamin D3: Primarily biliary/fecal, some renal.
Half life
Elemental Calcium: Short; Vitamin D3: 15-20 days (for 25(OH)D3).
Absorption
Calcium absorption depends on dose, dietary factors, and Vitamin D status. Vitamin D3 is absorbed from the small intestine.
Metabolism
Calcium is not metabolized; Vitamin D3 is hydroxylated in the liver to 25-hydroxyvitamin D [25(OH)D] and then in the kidneys to 1,25-dihydroxyvitamin D [1,25(OH)2D], the active form.
Side Effects
Contraindications
- Hypercalcemia
- Hypercalciuria
- Severe renal impairment
- Hypersensitivity to any component
Drug Interactions
Digoxin
Hypercalcemia can increase the risk of digoxin toxicity.
Corticosteroids
May reduce calcium absorption.
Thiazide diuretics
May increase risk of hypercalcemia.
Tetracycline and Quinolone antibiotics
Calcium can reduce their absorption; take calcium supplements at least 2-3 hours before or after these antibiotics.
Storage
Store below 30°C in a dry place, away from light and moisture. Keep out of reach of children.
Overdose
Symptoms of hypercalcemia: nausea, vomiting, constipation, thirst, polyuria, muscle weakness, fatigue. Treatment involves discontinuing the supplement, hydration, and medical management of hypercalcemia.
Pregnancy & Lactation
Generally considered safe and often recommended during pregnancy and lactation to meet increased calcium and Vitamin D requirements, but should be used under medical advice.
Side Effects
Contraindications
- Hypercalcemia
- Hypercalciuria
- Severe renal impairment
- Hypersensitivity to any component
Drug Interactions
Digoxin
Hypercalcemia can increase the risk of digoxin toxicity.
Corticosteroids
May reduce calcium absorption.
Thiazide diuretics
May increase risk of hypercalcemia.
Tetracycline and Quinolone antibiotics
Calcium can reduce their absorption; take calcium supplements at least 2-3 hours before or after these antibiotics.
Storage
Store below 30°C in a dry place, away from light and moisture. Keep out of reach of children.
Overdose
Symptoms of hypercalcemia: nausea, vomiting, constipation, thirst, polyuria, muscle weakness, fatigue. Treatment involves discontinuing the supplement, hydration, and medical management of hypercalcemia.
Pregnancy & Lactation
Generally considered safe and often recommended during pregnancy and lactation to meet increased calcium and Vitamin D requirements, but should be used under medical advice.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
24 months
Availability
Pharmacies, drugstores, supermarkets
Approval Status
Approved by regulatory bodies like DGDA/FDA
Patent Status
Generic/Off-patent
Clinical Trials
Extensive clinical data supports the efficacy of calcium and Vitamin D supplementation for bone health and deficiency management.
Lab Monitoring
- Serum calcium levels
- 25-hydroxyvitamin D levels
- Renal function (creatinine clearance)
Doctor Notes
- Advise patients to report symptoms of hypercalcemia.
- Consider checking serum calcium and Vitamin D levels periodically in patients on long-term therapy.
Patient Guidelines
- Take as directed by your doctor or pharmacist.
- Do not exceed the recommended dose.
- Inform your doctor about all other medications you are taking.
Missed Dose Advice
Take the missed dose as soon as you remember. If it's almost time for your next dose, skip the missed dose and resume your regular schedule. Do not double the dose.
Driving Precautions
No known effects on ability to drive or operate machinery.
Lifestyle Advice
- Maintain a balanced diet rich in calcium and Vitamin D.
- Engage in regular weight-bearing exercise.
- Get adequate sunlight exposure (for natural Vitamin D synthesis).
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Global Brand Names
International brand names for this medicine. Click a brand to search for detailed information.