Calcium D3 Nycomed: instruction and analogues cheaper

width = Calcium D3 Nycomed is a drug based on two main components - calcium and vitamin D3, also called cholicalciferol.

In turn, calcium is a vital element for teeth, bones, bone and even neurotransmission in the central and peripheral nervous system of man. In addition, the preparation balances the synthesis of parathyrin, a failure in the development of which can lead to the appearance of periodic processes of destruction of bone tissue.

On this page you will find all information about Calcium D3 Nycomed: full instructions for use on this medicated medium, average prices in pharmacies, complete and incomplete analogs of the drug, as well as reviews of people who have already used Calcium D3 Nycomed. Want to leave your opinion? Please write in the comments.

Clinical and pharmacological group

A drug that regulates the exchange of calcium and phosphorus.

Conditions of leave from pharmacies

Available without a prescription.

Price list

How much is Calcium D3 Nycomed? The average price in pharmacies is at the level of400 rubles.

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Form of issue and composition

The drug is produced and produced in the form of chewable tablets with the taste of lemon, orange and mint.

Tablets with orange flavor are made without shell, round in shape and white. In the composition of Calcium-D3, Nycomed with orange contains the main substances:

calcium carbonate - 1250 milligrams;
vitamin D3 μg (200 IU);

and secondary elements:

isomalt - 6, mg;
povidone (enterosorbent) - 3, mg;
stearic acid magnesium 0 mg;
L-Aspartyl-L-phenylalanine 0 mg;
glucitol - 390 mg;
olive from orange 7 mg;
di and monoglycerides of carboxylic fatty acids 8 mcg.

Products are produced in boxes of 20, 50, 100 pieces per one.

Means with mint flavor, which is also available on the shelves of stores, in composition is completely analogous to orange tablets.

The only difference between them - instead of orange oil, the preparation contains a mint flavor essence. Available in high density polyethylene bottles of 30 and 100 pieces.

Chewable tablets with lemon flavor differ somewhat from other species, by their composition, or rather by the amount of content of the elements. Have the name Calcium D3 Nycomed Forte.

Primary substances:

calcium carbonate - 1250 mg;
equivalent to the usual Ca - 500 mg;
cholecalciferol - 10.0 μg (400 IU);
concentrate colecalciferol-4.0 mg;

and additional elements:

zomaltite - 4, mg;
povidone (enterosorbent) - 3, mg;
stearic acid magnesium 0 mg;
L-Aspartyl-L-phenylalanine 0 mg;
glucitol - 390 mg;
lemon oil 8 mg;
di- and monoglycerides of carboxylic fatty acids 006 mg.

The release of the product is carried out in polyethylene bottles of 30, 6, 20 pieces.

Pharmacological effect

The drug refers to a combination of pharmaceutical drugs that regulate the exchange of calcium and phosphorus in the body and make up for the deficiency of the basic structural element.

The biochemical role of calcium lies in the physiological construction of bone tissue, the mineralization of the teeth, the processes of coagulation and transmission of the nerve impulse, the implementation of muscle contractions. In response to its increase in the systemic blood flow, bone density increases, and calcium excretion by the kidneys decreases.

Cholecalciferol is responsible for the absorption of the element in the gastrointestinal tract and its distribution in the body. Oral administration of the drug inhibits the synthesis of parathyroid hormone - the natural hormone of the parathyroid gland, which largely influences the phosphoric-calcium metabolism. Accordingly, the amount of absorbed calcium from the digestive tube increases and its resorption (washout) from bones and other organs decreases.

Indications for use

Reception of tablets Calcium D3 Nycomed is shown in such cases:

Preventing the development of complications of osteoporosis is a pathological decrease in the level of minerals in bone tissue, which is accompanied by a significant decrease in its strength and frequent fractures.
Treatment and prevention of conditions that are associated with an inadequate level of calcium or vitamin D3 in the body (hypovitaminosis and hypocalcemia).

Determination of indications for taking the drug is determined by the doctor on the basis of the clinical picture and the results of an additional examination confirming the presence of a pathological process in the body.

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Contraindications

According to the instructions of Calcium D3 Nycomed can not be used when:

hypercalcemia;
nephrolithiasis;
hypercalciuria;
severe renal failure;
active form of tuberculosis;
hypervitaminosis D;
sarcoidosis;
as well as up to three years of age;
high level of sensitivity of the organism to the components included in the drug, peanuts or soy.

The drug should also not be taken to persons with phenylketonuria, because it contains aspartame, which is transformed into the body in phenylalanine.

Also, the drug is not recommended for people with glucose-galactose malabsorption, hereditary intolerance to fructose, sucrose-isomaltase deficiency, since tablets of the drug contain isomalt, sorbitol, sucrose.

Application in pregnancy and lactation

Calcium and vitamin D3 are used in pregnancy to make up for their deficiency in the body.

In pregnancy, the daily dose of the drug should not exceed 1500 mg of calcium and 600 IU of vitamin D3. Hypercalcemia against an overdose during pregnancy can have an adverse effect on the developing fetus.

The drug is used during lactation. Calcium and vitamin D3 can penetrate into breast milk, so you must take into account the intake of calcium and vitamin D from other sources in the mother and child.

Instructions for use

The instructions for use indicate that Calcium D3 Nycomed tablets can be chewed or rasasyvat and taken with food.

Adults for the prevention of osteoporosis - 1 tab. 2 times / day; in the complex therapy of osteoporosis - 1 tab. 2-3 times / day.
To compensate for the deficiency of calcium and vitamin D for adults and children over 12 years - 1 tab. 2 times / day, children from 5 to 12 years - 1-2 tablets / day, children from 3 to 5 years - the dosage in accordance with the recommendations of a doctor.

Duration of treatment:

When used for prevention and in complex therapy of osteoporosis, the duration of treatment is determined by the physician individually.
When used to fill the deficiency of calcium and vitamin D3, the average duration of treatment is at least 4-6 weeks. The number of repeat courses during the year is determined individually.

Patients with a dysfunction of the liver dose adjustment is not required.

Do not use in severe kidney failure.

Elderly patients are given the same dose as for adults. Consider possible reduction in QC.

Side effects

On the background of therapy, unwanted reactions can occur:

Allergic reactions: very rarely - skin rashes, itching, hives;
Laboratory indicators: infrequently - hypercalciuria and hypercalcemia (elevated calcium content in urine or blood);
From the digestive system: rarely - dysfunction of the gastrointestinal tract (increased formation of gases in the intestine, abdominal pain, nausea, indigestion, diarrhea or constipation).

Overdose

Calcium overdose is fraught with the development of hypercalcemia, its symptoms: thirst, muscle weakness, abdominal pain, constipation, nausea, vomiting, polyuria, increased fatigue, anorexia, bone pain, urolithiasis, nephrocalcinosis, mental disorder. In severe cases cardiac arrhythmias are added.

With prolonged use in excessive doses (more than 2500 mg of calcium), kidney damage and calcification of soft tissues are possible. At occurrence of any of the described signs it is necessary to stop reception of Calcium-D3 Nycomed and to address to the doctor. First aid in case of overdose means gastric lavage, then a loop diuretic is prescribed (for example, furosemide), glucocorticosteroid, calcitonin and bisphosphonates, also the restoration of lost liquid. It is necessary to monitor diuresis, kidney function and electrolyte content in the blood, in severe cases, ECG monitoring and measurement of central venous pressure are required.

Hypercalcemia, developed as a result of an overdose during pregnancy, can have an adverse effect on the fetus.

special instructions

In order to avoid an overdose, it is important to consider additional intake of vitamin D from any other sources, including food.
It is not recommended to simultaneously prescribe quinolone and tetracycline antibiotics. If the use of such combinations is justified, care should be taken.
The drug should be used with caution in the treatment of patients with osteoporosis, if they are immobilized, as this category is subject to an increased risk of developing hypercalcemia.

With prolonged intake of the drug, it is necessary to monitor the level of calcium and creatinine in the blood serum, especially in the elderly, receiving simultaneously diuretics and / or cardiac glycosides, as well as in patients with increased tendency to form stones in kidney. When there are symptoms of impaired renal function or the development of hypercalcemia, you need to reduce the dose of Calcium-D3 Nicomed Forte or cancel it altogether.

Drug Interactions

Absorption of calcium reduces glucocorticosteroids, so an increase in the dose of the supplement may be required.

Developed as a result of taking a mineral supplement, hypercalcemia can potentiate the toxic effects of cardiac glycosides. It is necessary to monitor the concentration of calcium in the blood serum and monitor ECG.

Calcium reduces absorption and reduces the effectiveness of levothyroxine, so the interval between their intake should be at least 4 hours. Bisphosphonates, if necessary, should be taken no later than 1 hour before receiving Calcium-D3Nikomed.

It is not recommended to take the drug simultaneously with tetracycline antibiotics and quinolone, as their absorption decreases. If this combination is still necessary, it is recommended to take these drugs 2 hours before or after 4-6 hours after taking Calcium-D3Nicomed. The entire period of treatment should be carefully monitored by the patient.

The risk of hypercalcemia increases with simultaneous use of thiazide diuretics. In this case, it is necessary to regularly monitor the concentration of calcium in the blood serum.

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Reviews

We picked up some feedback from people about the preparation of Calcium D3 Nycomed:

Galina. To the son of 7 years, has sharply gone to growth and began to complain of pains in legs and arms or hand. Plus also the change of teeth began. The doctor recommended to drink calcium. Have stopped the choice on "Calcium Д3 никомед". Very convenient form, the tablets are pleasant to the taste. The child eats with pleasure. In addition, the composition has vitamin D, which improves the absorption of calcium. Drunk the course for 1 month. The result is satisfied, the pain in the bones is gone. Teeth grow well. We will make a short break and once again we will drink a course for prevention.
Tatyana. I started taking this drug, and I got worse gastritis (although I take it with food) .strong.meteorism.. It's not the first time, and such a reaction to it is literally after the second pill... and all the chondroprotectors.. Someone faced with such pobochkami? how to be-if you really need bones of calcium and vitamin D - and the GIT does not "allow" them to drink.
Dasha. I do not know how good in comparison with other calcium preparations, but how for prevention came up. I do not like milk and dairy products and because of the condition of my nails I saw that something was missing. Self-medication is, of course, very wrong, but the course itself has appointed itself. To taste good, more like candy. Now I took a break, because I do not want to load the kidneys. And hair and nails looked much better after a month of taking.

Analogues

Structural analogs for the active substance:

Ideos;
Calcium + Vitamin D3 Vitrum;
Calcium D3 Classic;
Calcium-D3-MIC;
Complymium calcium D3;
Compliwit Calcium D3 for toddlers;
Complicant calcium D3 fort;
Natekal D3;
Revital Calcium D3.

Before using analogues, consult your doctor.

Calcemin or Calcium D3 Nycomed - which is better?

Calcemin is one of the most popular analogues of Calcium D3 Nycomed.

The dosage of calcium and cholecalciferol in Calcemin is an order of magnitude lower than in chewable tablets Calcium D3 Nycomed, which causes fewer side effects, a sharply reduced chance overdose. But the composition of the drug also causes a longer medication course of therapy for osteoporosis, because it is prescribed primarily for children of adolescence and women during pregnancy or during lactation.

Calcium D3 Nycomed, in turn, copes much more effectively with its main task - the regulation of phosphorus-calcium metabolism and the elimination of the corresponding complications.

Storage conditions and shelf life

The drug should be stored in a tightly closed bottle, in a dry place inaccessible to children at a temperature of no higher than 25 ° C. Shelf life - 3 years. Do not use after expiry date.