Micac-3 (Tablet)
Manufactured by: Millat Pharmaceuticals Ltd.
Calcium Carbonate + Calcium Lactate Gluconate + Vitamin-C + Vitamin D3 Similar medicine
Micac-3 is indicated for
- 骨質疏鬆、缺乏鈣、佝僂病、低血鈣、補充鈣、骨質軟化
Precautions and warnings
輕度至重度腎衰竭或輕度高鈣尿症的患者需要密切監測。 輕中度腎衰竭或輕度高鈣尿症患者應定期檢查血漿鈣濃度和尿鈣排泄量。 應評估有腎結石病史的患者的尿鈣排泄量，以排除高鈣尿症。 長期治療應監測血液、尿鈣水平，以及腎功能，尿鈣達7.5mmol/24小時應減藥或停藥。 應考慮其他來源的鈣和維生素 D 補充劑。
Side-effects
- 使用鈣補充劑很少會引起輕微的胃腸道不適，例如便秘、脹氣、噁心、胃痛和腹瀉。 據報道，服用維生素 D 補充劑後偶爾會出現皮疹。 高鈣尿症，在極少數情況下，高血鈣症是在長期接受高劑量維生素 D 治療時出現的。
Drug Interactions
碳酸鈣：與噻嗪類利尿劑或維生素D併用時，可能發生乳鹼症候群和高血鈣症。 皮質類固醇會導致吸收減少。 四環素類、阿替洛爾、鐵、喹諾酮類、阿崙膦酸鈉、氟化鈉、鋅和鈣通道阻斷劑的吸收都會減少。 增強洋地黃苷對心臟的作用，並可能導致洋地黃中毒。
乳酸鈣：這種物質可能會降低鈣通道阻斷劑的功效。 同時給予靜脈注射鈣鹽和強心苷會導致明顯的副作用。 與噻嗪類利尿劑一起使用時，高血鈣的風險較高。 四環素、阿崙膦酸鈉、阿替洛爾、鐵、喹諾酮類抗生素、氟化鈉和鋅的吸收可能會減少。
葡萄糖酸鈣：高劑量鈣與噻嗪類利尿劑併用時，可發生乳鹼症候群及高血鈣症。 地高辛毒性可能會加劇。 鈣通道阻斷劑的作用減弱。 骨化三醇可改善吸收（維生素 D 代謝物）。
當與噻嗪類利尿劑、鈣或磷酸鹽一起使用時，維生素 D3 會增加高鈣血症的風險。 抗癲癇藥物（如卡馬西平、苯巴比妥、苯妥英和撲米酮）會增加維生素 D 的需求。 利福平和異煙肼等抗生素可能會降低維生素 D 的功效。 維生素 D 可能會被皮質類固醇抵消。 任何強心配醣體，例如地高辛。 當與考來烯胺、考來替泊、礦物油或奧利司他併用時，吸收會減少。 酮康唑。
去鐵胺、荷爾蒙避孕藥、氟奮乃靜、華法林、元素鐵、水楊酸鹽、華法林、氟奮乃靜、雙硫崙、美西律、維生素 B12。
Contraindications
由骨髓瘤、骨轉移或其他惡性骨病、結節病、原發性副甲狀腺功能亢進和維生素 D 過量引起的高鈣血症都是絕對禁忌症。 如果您患有嚴重腎衰竭或對片劑的任何成分過敏，也不建議您使用。
Mode of actions
碳酸鈣/維生素D3有助於預防或治療鈣缺乏症。 它也有助於神經和肌肉的表現以及正常的心臟功能。 神經傳導、肌肉收縮和多種訊號傳導途徑所需的酵素過程中的輔助因子。
正常的代謝運作，包括造血，需要維生素和礦物質。 維生素D3是一種脂溶性甾醇。 它是維持鈣和磷酸鹽穩態以及骨礦化所必需的。 維生素 D 對於強健骨骼也是必要的，因為它有助於胃腸道對鈣的吸收。
維生素 C 是膠原蛋白形成和組織修復以及其他代謝途徑（如兒茶酚胺、肉鹼和類固醇的合成）所必需的。 它還在葉酸轉化為亞葉酸的過程中發揮作用。
Dosage & Administration
劑量應根據年齡、性別和各種生理（懷孕和哺乳）和疾病狀況的需要個別化。 一般來說，劑量是—
成人及 7 歲以上兒童：每日 1 顆泡騰片
3-7 歲兒童：每日半片泡騰片
Pregnancy & Lactation
FDA 尚未將該藥物歸入特定的妊娠類別。 雖然沒有足夠的證據表明懷孕期間服用這種藥物是有害的。
如果您在服用這種藥物的同時也想懷孕，請與您的醫生討論。
如果您在服用此藥期間懷孕，您應該繼續服用並儘快聯繫您的醫生。 他們可以幫助您決定是否繼續服用這種藥物。 如果您放棄服用這種藥物並生病，這對您的孩子來說比繼續服用藥物更有害。
目前還沒有關於這種藥物是否透過母乳傳染給嬰兒的具體資訊。 在服藥期間，如果您的寶寶變得非常困倦、不安、疲勞、表現出餵食問題，請停止哺乳並儘快與您的醫生交談。
Pack Size & Price
10's pack Price : ৳78
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