Acical-C Eff 1000mg+327mg+500mg (Tablet)
Manufactured by: ACI Limited
Calcium Carbonate + Calcium Gluconate + Vitamin-C Similar medicine
Acical-C Eff is indicated for
- Osteoporosis
- Kekurangan kalsium dan vitamin C
- Sindrom pramenstruasi
- Masalah pascamenopause
- Peningkatan kebutuhan Kalsium dan Vitamin C
- kehamilan
- Menyusui
- Masa pertumbuhan yang cepat (masa kanak-kanak
- Remaja)
- Di usia tua
- Selama penyakit menular dan masa pemulihan.
Precautions and warnings
Pasien dengan gagal ginjal ringan hingga berat atau hiperkalsiuria ringan perlu diawasi secara ketat. Pasien dengan gagal ginjal ringan sampai sedang atau hiperkalsiuria ringan harus memeriksakan kadar kalsium plasma dan ekskresi kalsium urin secara teratur. Ekskresi kalsium urin harus dinilai pada pasien dengan riwayat batu ginjal untuk menyingkirkan hiperkalsiuria.
Pengobatan jangka panjang harus dipantau kadar kalsium serum dan urin, serta fungsi ginjal, dan pengobatan harus dikurangi atau dihentikan jika kalsium urin mencapai 7,5 mmol/24 jam.
Side-effects
- Penggunaan suplemen Kalsium jarang menimbulkan gangguan pencernaan ringan
- seperti sembelit
- perut kembung
- mual
- nyeri lambung dan diare.
Drug Interactions
Kalsium karbonat: Bila digunakan dengan diuretik thiazide atau vitamin D, sindrom susu-alkali dan hiperkalsemia dapat terjadi. Kortikosteroid menyebabkan penurunan penyerapan. Tetrasiklin, atenolol, besi, kuinolon, alendronate, Na fluorida, Zn, dan penghambat saluran kalsium semuanya berkurang penyerapannya. Meningkatkan efek glikosida digitalis pada jantung dan dapat menyebabkan keracunan digitalis.
Kalsium glukonat: Ketika kalsium dosis tinggi dikombinasikan dengan diuretik thiazide, sindrom susu-alkali dan hiperkalsemia dapat terjadi. Toksisitas digoksin dapat diperburuk. Efek penghambat saluran kalsium berkurang. Kalsitriol meningkatkan penyerapan (metabolit vitamin D).
Vitamin C: deferoxamine, kontrasepsi hormonal, fluphenazine, warfarin, unsur besi, salisilat, warfarin, fluphenazine, disulfiram, mexiletine, vitamin B12. Vitamin B12: deferoxamine, kontrasepsi hormonal, fluphenazine, warfarin, unsur besi, salisilat, warfarin, fluphenazine, disulfiram, mexiletine, vitamin B12.
Contraindications
Hiperkalsemia yang disebabkan oleh myeloma, metastasis tulang, atau kelainan tulang ganas lainnya, sarkoidosis, hiperparatiroidisme primer, dan overdosis vitamin D merupakan kontraindikasi absolut. Juga tidak dianjurkan jika Anda menderita gagal ginjal parah atau alergi terhadap salah satu bahan tablet.
Mode of actions
Kalsium karbonat membantu mencegah atau membalikkan keseimbangan kalsium negatif. Ini juga membantu kinerja saraf dan otot, serta fungsi jantung secara teratur. Kofaktor dalam aktivitas enzimatik; diperlukan untuk transmisi saraf, kontraksi otot, dan berbagai jalur transduksi sinyal.
Vitamin C diperlukan untuk pembentukan kolagen dan perbaikan jaringan; ia juga berperan dalam reaksi oksidasi/reduksi dan jalur metabolisme lainnya, seperti sintesis katekolamin, karnitin, dan steroid; dan membantu dalam konversi asam folat menjadi asam folinat.
Dosage & Administration
Dewasa dan anak di atas 7 tahun: 1 tablet effervescent setiap hari.
Anak-anak 3 sampai 7 tahun : 1/2 tablet effervescent setiap hari,
Bayi : Sesuai anjuran dokter. Larutkan satu tablet dalam setengah gelas (100 ml) air.
Pregnancy & Lactation
Meskipun penelitian pada reproduksi hewan menunjukkan efek buruk pada janin dan belum ada penelitian yang memadai dan terkontrol dengan baik pada wanita hamil, namun selama kehamilan, obat ini dapat digunakan tepat ketika benar-benar diperlukan meskipun ada potensi risikonya.
Ibu dengan bayi baru lahir yang telah menggunakan obat ini selama 3 bulan terakhir kehamilan mungkin jarang mengalami gejala termasuk mengantuk, otot kaku atau gemetar, kesulitan makan atau bernapas, dan menangis terus-menerus. Jika Anda melihat gejala-gejala ini pada bayi Anda terutama pada bulan pertama, segera beri tahu dokter.
Obat ini masuk ke dalam ASI. Bicaralah dengan dokter Anda sebelum menyusui.
Pack Size & Price
10's pack Price : ৳110.3
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