Calcium + Phosphorus

Indications

Calcium + Phosphorus is used for: Prevention and treatment of Osteoporosis, Osteomalacia and Osteopenia.

Adult Dose

Oral 1 - 2 tablet 2 times daily

Child Dose

Renal Dose

Administration

Contra Indications

Conditions associated with hypercalcaemia and hypercalciuria.

Precautions

Renal impairment (frequent monitoring of serum calcium and phosphorus is recommended); sarcoidosis; history of nephrolithiasis. Avoid IV admin of calcium in patients on cardiac glycosides. Increased risk of hypercalcaemia and hypercalciuria in hypoparathyroid patients receiving high doses of vitamin D. Caution when used in patients with history of kidney stones. Patients should be advised to administer vitamin D concurrently to optimise calcium absorption. Pregnancy.

Pregnancy-Lactation

Interactions

May reduce the efficacy of calcium-channel blockers. Concurrent admin of IV calcium salt with cardiac glycosides may lead to serious adverse events. Increased risk of hypercalcaemia when used with thiazide diuretics. May reduce absorption of tetracycline, alendronate, atenolol, iron, quinolone antibiotics, sodium fluoride and zinc.

Adverse Effects

Side effects of Calcium + Phosphorus : Gi discomfort e.g. constipation, nausea, vomiting, bloating and gas. Dry mouth, hypercalcaemia, hypophosphataemia, milk-alkali syndrome.

Mechanism of Action

Calcium phosphate is used to prevent or treat negative calcium balance. It prevents or reduces the rate of bone loss. The calcium in calcium salts aids in nerve and muscle performance and allows normal cardiac function.