Description
রেজিস্টার্ড চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন।
ROCAL M VITA 600+400 is indicated for:
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Prevention and treatment of osteoporosis.
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Maintenance of strong bone growth.
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Proper functioning of heart, muscles, and nerves.
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Nutritional supplementation during pregnancy and lactation.
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Deficiency states of Calcium, Vitamin D3, Magnesium, Zinc, Copper, Manganese, and Boron.
Pharmacology:
This supplement provides essential nutrients for bone health:
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Calcium Carbonate (600 mg): Essential for bone formation and maintenance.
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Vitamin D3 (400 IU): Enhances calcium absorption and bone mineralization.
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Magnesium (40 mg): Contributes to bone strength and rigidity.
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Zinc (7.5 mg), Copper (1 mg), Manganese (1.8 mg), Boron (250 mcg): Trace elements that play significant roles in bone metabolism and overall skeletal health.
Dosage and Administration:
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Adults: 1 tablet twice daily, preferably one in the morning and one in the evening, with meals.
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Children (3-7 years): 1 effervescent tablet daily.
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Children (7 years and older): 1 to 2 effervescent tablets daily.
Interaction:
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Thiazide diuretics may increase the risk of hypercalcemia.
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Concurrent use with digitalis glycosides requires caution due to potential cardiac effects.
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Calcium can interfere with the absorption of tetracyclines, quinolones, bisphosphonates, and iron; it's advisable to allow a minimum interval of 4 hours between administrations.
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Foods containing oxalic acid, phosphate, or phytinic acid may reduce calcium absorption.
Contraindications:
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Hypercalcemia resulting from conditions like myeloma, bone metastases, or other malignant bone diseases.
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Primary hyperparathyroidism and Vitamin D3 overdosage.
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Severe renal failure.
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Hypersensitivity to any of the tablet ingredients.
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Osteoporosis due to prolonged immobilization, renal stones, severe hypercalciuria.
Side Effects:
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Gastrointestinal disturbances: constipation, flatulence, nausea, gastric pain, diarrhea.
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Occasional skin rash following Vitamin D3 supplementation.
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Rare cases of hypercalciuria and hypercalcemia with long-term high-dose treatment.
Pregnancy & Lactation
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Use under medical supervision during pregnancy and lactation.
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Requirements for calcium and Vitamin D3 increase during these periods; supplementation should consider other dietary sources.
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Overdosage of Vitamin D3 has shown teratogenic effects in animals; in humans, prolonged hypercalcemia can lead to complications in the newborn.
Precautions & Warnings:
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Monitor plasma calcium levels and urinary calcium excretion in patients with mild to moderate renal failure or hypercalciuria.
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In patients with a history of renal stones, assess urinary calcium excretion to exclude hypercalciuria.
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Long-term treatment requires monitoring of serum and urinary calcium levels and kidney function; adjust or discontinue treatment if necessary.
Therapeutic Class:
Specific mineral & vitamin combined preparations.
Storage Conditions:
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Store in a dry place away from light and heat.
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Keep out of the reach of children.
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