Calcium-Sandoz Forte 500mg, 2x20 effervescent tablets

Slight calcium intake with increased calcium requirements.

Calcium-Sandoz forte contains a readily soluble, organic calcium salt that the body can absorb particularly well and easily.

So it is ideal for patients who have difficulty absorbing calcium.

Calcium D Sandoz is suitable for osteoporosis and people who eat a low-calcium diet.

For strong bones: To prevent osteoporosis (bone loss) and to support the treatment of osteoporosis.

The effervescent tablets dissolve quickly and completely and have a fresh, pleasant taste.

- Prevention and treatment of calcium deficiency
- Prevention and supportive treatment of osteoporosis
- Adjunctive treatment of rickets and osteomalacia

active ingredients

• Calcium D-gluconate-calcium lactate mixture (2:3)-2-water
• calcium carbonate

excipients

• orange flavor
• 8.7 mg glucose
• sodium bicarbonate
• citric acid
• Macrogol 4000
• 647 mg sorbitol
• sodium cyclamate
• 0.22 µg sulfur dioxide

indication

• The drug is a mineral supplement.

• It is applied

  • to prevent calcium deficiency in adults when adequate dietary calcium cannot be achieved

  • Treatment of calcium deficiency in children from 6 years of age, adolescents and adults

  • for the prevention and supportive treatment of osteoporosis (bone loss) if an adequate supply of calcium with food is not achieved.

• It is also used in addition to vitamin D3 to treat rickets (softening of growing bones in children) and osteomalacia (softening of bones in adults).

• Calcium is a vital mineral that is necessary for bone formation and bone maintenance. It is absorbed in the small intestine and distributed throughout the body via the blood.

• Calcium plays an important role in some bodily functions. It is vital for nerve, muscle and heart function as well as for blood clotting. It also mediates the effects of many hormones. In order to fulfill all these tasks, calcium must be present in the appropriate tissues in the required concentration.

dosage

• Always take this medicine exactly as described or as your doctor or pharmacist has told you.

• Check with your doctor or pharmacist if you are not sure.

• Adult

  • The recommended dose is 500 - 1,000 mg calcium daily, corresponding to 1 effervescent tablet 1 to 2 times daily.

• children and young people

  • Treatment of calcium deficiency

    • Children from 6 to 11 years: 500 mg/day (equivalent to 1 effervescent tablet daily)

    • Adolescents from 12 to 17 years: 1,000 mg/day (equivalent to 1 effervescent tablet twice a day)

    • These dosages are guide values ​​and must be determined individually by the doctor treating you.

  • treatment of rickets

    • Unless otherwise prescribed by the doctor, the usual dose is:

      • Children from 1 year

        • Children from 1 year of age should be given additional doses of at least 500 mg calcium (equivalent to 1 effervescent tablet) per day for treatment with vitamin D3.

      • Young people from 12 years

        • If the diagnosis is made after the age of 13, additional calcium doses of 500 - 1,000 mg calcium (equivalent to 1 effervescent tablet 1 to 2 times a day) should be given in addition to the vitamin D3 treatment.

• duration of use

  • The duration of treatment is based on the desired therapeutic goal. Talk to your doctor about how long you should take the medicine.

• If you take more than you should

  • A single overdose is usually without consequences. An overdose of calcium leads to increased calcium levels in the blood. Symptoms can e.g. B. Nausea, vomiting, thirst or constipation. In the long term, this can lead to calcium deposits in vessels and organs. If symptoms occur, please contact your doctor immediately.

• If you forget to take a dose

  • Do not take a double dose to make up for a forgotten dose.

• If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

way

• For oral use after dissolving in water.

• Dissolve the medicine in a glass of water (about 200 ml) and drink the contents immediately after the effervescent tablet has dissolved. Calcium can be taken with or without food.

side effects

• Like all medicines, this medicine can cause side effects, although not everybody gets them.

• Severe allergic reactions such as swelling of the face, lips, tongue and/or throat have occurred very rarely. If you notice any of the following symptoms you should contact your doctor immediately: swelling of the face, tongue, lips or throat which may cause difficulty in swallowing and breathing.

• Other side effects:

  • Uncommon (may affect up to 1 in 100 people)

    • excessively high levels of calcium in the blood (hypercalcaemia)

    • excessive calcium excretion in the urine (hypercalciuria)

  • Rare (may affect up to 1 in 1,000 people)

    • hypersensitivity, such as B. hives, rash, itching

    • Nausea, diarrhea, abdominal pain, constipation, flatulence, vomiting

  • Not known (cannot be estimated from the available data)

    • Milk Alkaline Syndrome

  • In the first few months of calcium administration, there is increased calcium excretion in the urine, which can promote stone formation.

  • In the case of renal insufficiency and long-term use, an increase in the calcium concentration in the blood (hypercalcaemia), increased excretion of calcium in the urine (hypercalciuria) and hypoacidity of the blood (metabolic alkalosis) can occur.

  • Other possible side effects

• If you get any side effects, talk to your doctor, pharmacist or nurse. This also applies to side effects that are not specified.

interactions

• Taking together with other medicines

  • Please note that dairy products have a high calcium content. A liter of milk can contain up to 1,200 mg of calcium. This should be taken into account when taking calcium.

  • The intake of large amounts of milk and milk products together with calcium carbonate and sodium bicarbonate (baking soda) must be avoided as this can lead to a serious illness (milk-alkaline syndrome).

  • Interactions can also occur with foods that contain oxalic acid, phytic acid or phosphates such as: B. spinach, rhubarb, grain products. When ingesting foods rich in oxalic acid or phytic acid, the drug should be taken at least 2 hours later.

Contraindications

• The medicine must not be taken

  • if you are allergic to the active substance or any of the other ingredients of this medicine.

  • if you have high levels of calcium in your blood (hypercalcaemia).

  • if you have increased calcium excretion in the urine (hypercalciuria).

  • with prolonged immobilization of limbs (immobilization).

  • if you have certain kidney problems, including: kidney stones (nephrolithiasis), calcium deposits in the kidney tissue (nephrocalcinosis).

pregnancy and breast feeding period

• If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

• During pregnancy and lactation, the intake of calcium in addition to the diet is only recommended if clinically necessary.

patient notes

• Warnings and Precautions

  • Please talk to your doctor or pharmacist before taking this medicine

    • if you suffer from kidney disease. You should only use this preparation after consulting your doctor. This applies in particular if you are taking preparations containing aluminium.

    • if you have a reduced phosphate concentration in the blood (hypophosphataemia).

  • Do not take vitamin D supplements with this medicine without medical advice.

  • Also ask your doctor for advice if there is a family history of calcium containing kidney stones or if you have a history of kidney stones.

  • Calcium intake increases the excretion of calcium in the urine. In the first few months after starting intake, this also increases the tendency to precipitate calcium salts and, under certain circumstances, to form stones in the kidneys and urinary bladder. This can be avoided by drinking plenty of fluids.

  • In the case of renal insufficiency and hypophosphatemia, calcium should only be used with ongoing monitoring of the calcium and phosphate concentrations in the blood and urine.

  • There is a risk of hypercalcaemia during therapy with calcium, especially if therapy is also administered with vitamin D, certain diuretics (thiazide-type diuretics) and/or medicinal products containing calcium, or if additional food (supplements) (such as milk) are taken , which can result in renal dysfunction. This risk also exists if you are pregnant and taking calcium or if you have impaired kidney function. In such patients, serum calcium levels and renal function should be monitored.

  • Calcium and alkali intake from other sources (food, fortified foods or other drugs) should be considered when taking the supplement. When high doses of calcium are taken with alkaline agents (such as carbonates), milk-alkaline syndrome (Burnett's syndrome) with increased blood calcium levels (hypercalcaemia), low acidity of the blood (metabolic alkalosis), kidney failure and soft tissue calcification can result to lead. When high doses are administered, serum and urinary calcium levels should be monitored.

• Ability to drive and use machines

  • Calcium intake has no effect on the ability to drive and use machines.

The total dose should not be exceeded without consulting a doctor or pharmacist.

Type of application?
After dissolving or dissolving the medicine, drink it in water (eg a glass).

Duration of use?
The duration of use depends on the type of complaint and/or duration of the illness and is therefore only determined by your doctor.

overdose?
An overdose can lead, among other things, to increased calcium levels in the blood and increased excretion of calcium in the urine with muscle weakness, abdominal pain, constipation, nausea and vomiting. If you suspect an overdose, contact a doctor immediately.

In general, pay attention to a conscientious dosage, especially for babies, small children and the elderly. If in doubt, ask your doctor or pharmacist about any effects or precautions.

A dosage prescribed by the doctor may deviate from the information on the package leaflet. Therefore, since the doctor adjusts them individually, you should use the medicine according to his instructions.

What speaks against an application?

- Hypersensitivity to the ingredients
- Elevated levels of calcium
- Increased excretion of calcium in the urine
- Kidney stones and deposits in the kidney
- Prolonged rest or inactivity

What about pregnancy and breastfeeding?
- Pregnancy: consult your doctor. Various considerations play a role in whether and how the drug can be used during pregnancy.
- Breast-feeding: consult your doctor or pharmacist. He will examine your particular starting position and advise you accordingly as to whether and how you can continue breastfeeding.

If you have been prescribed the drug despite a contraindication, talk to your doctor or pharmacist. The therapeutic benefit can be higher than the risk that the use entails in the event of a contraindication.

What adverse effects may occur?

- Increased calcium levels
- Increased calcium excretion in the urine
- Flatulence
- Constipation
- Diarrhea
- Nausea
- Vomiting -
Stomach
pain - Itching -
Skin rash - Hives - Swelling of the skin or mucous membranes - Drop in blood pressure - Alkaline calcium metabolism disorder (milk-alkaline syndrome) Do you notice a mood disorder or change during treatment, contact your doctor or pharmacist. For the information at this point, side effects are primarily taken into account that occur in at least one in 1,000 patients treated.

Storage

Storage before opening
The medicinal product must be stored
  - protected from heat
  - protected from moisture (eg in a tightly closed container)
  -
stored in the dark (eg in the outer carton).
Storage after opening or preparation
The medicinal product must be used within the hour after opening/preparation!

This information only applies to the dissolved effervescent tablet. After opening the tube, the drug can be used for a maximum of 2 years.

What should you consider?
- Be careful if you are allergic to the sweetener cyclamate (E number E 952)!
- Sulfites (E 220 - E 228) can cause hypersensitivity reactions (eg vomiting, diarrhea) and spasms of the respiratory tract.
- Be careful if you have an intolerance to fructose (fruit sugar). If you have to follow a diabetic diet, you should consider the sugar content.
- Be careful if you have an intolerance to glucose. If you have to follow a diabetic diet, you should consider the sugar content.

How do the ingredients of the drug work?

The medicinal product contains two different calcium salts; these are easily soluble in water and release elemental calcium. Calcium is a vital mineral, necessary for bone formation and maintenance, for the electrolyte balance in the body and for the correct functioning of numerous regulatory mechanisms.

What is included in medicines?
 

Manufacturer: Hexal Inc