Sinocal D

Description

💊 Sinocal D – Calcium Carbonate 500 mg

Manufacturer: SinoHealth Pharmaceuticals LTD

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1. Presentation:

• Tablet: 500 mg Calcium Carbonate (equivalent to Elemental Calcium 200 mg approx.)

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2. Description / Pharmacology:

Calcium carbonate is a calcium supplement and antacid that helps maintain calcium balance in the body.
It reacts with gastric acid to form calcium chloride, water, and carbon dioxide, thereby neutralizing excess stomach acid:
CaCO₃ + 2HCl → CaCl₂ + H₂O + CO₂

This reaction increases gastric pH and reduces pepsin activity, providing relief from acidity.
Up to 30% of the oral dose of calcium carbonate is absorbed from the intestine.

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3. Indications:

Sinocal D 500 mg is indicated for the treatment or prevention of calcium deficiency in patients with inadequate dietary calcium intake.
It is useful in:

• Hypoparathyroidism

• Vitamin D deficiency

• Chronic diarrhea or steatorrhea

• Pregnancy & lactation

• Postmenopausal women

• Renal failure or dialysis patients (as phosphate binder)

• Prevention of osteoporosis

⚠️ রেজিস্টার্ড চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন।

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4. Dosage & Administration:

• Adults: 1–2 tablets (500–1000 mg) daily or as directed by a physician

• Children: Half of adult dose

• Pregnancy & lactation: 1–1.5 g calcium daily (as recommended by physician)

• Chronic renal failure: 2.5–9.0 g Calcium Carbonate daily, adjusted per serum phosphate level

💡 Tablets should be taken with meals to enhance absorption and phosphate binding.

⚠️ রেজিস্টার্ড চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন।

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5. Drug Interactions:

• May enhance cardiac glycoside (e.g., digoxin) effects if hypercalcemia develops.

• May reduce absorption of tetracycline antibiotics.

• In renal failure, vitamin D dose may require adjustment.

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6. Contraindications:

• Hypercalcemia

• Hyperparathyroidism

• Hypercalciuria or nephrolithiasis

• Zollinger–Ellison syndrome

• Concomitant digoxin therapy (requires monitoring)

⚠️ Use cautiously in renal or cardiac disease, or sarcoidosis.

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7. Side Effects:

• Mild constipation or GI irritation

• Rarely, hypercalcemia (usually in renal impairment or overdose)

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8. Pregnancy & Lactation:

Safe and widely used during pregnancy and breastfeeding for calcium supplementation and acid control.

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9. Precautions & Warnings:

• Monitor serum calcium in patients with renal impairment or elderly patients.

• Long-term use should be guided by physician supervision.

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10. Therapeutic Class:

• Minerals in bone formation

• Specific mineral preparations

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11. Storage Conditions:

Store below 30°C in a cool, dry place, protected from light and moisture.
Keep out of reach of children.