Nucal-Z 120ml Syrup

Calcium, Cholecalciferol Syrup/Suspension is a combination of calcium and vitamin D3 (cholecalciferol), commonly used to support bone health. Calcium plays a crucial role in maintaining strong bones and teeth, while cholecalciferol helps enhance the absorption of calcium from the digestive tract. This syrup/suspension form is typically recommended for individuals who have calcium or vitamin D deficiencies, or those at risk of developing such deficiencies due to conditions like osteoporosis, malabsorption syndromes, or limited sunlight exposure. It is also used to support bone health in children, older adults, and individuals with certain medical conditions affecting bone density. The syrup form offers an easy-to-administer option for those who have difficulty swallowing tablets.s

Calcium, Cholecalciferol

Nutritional supplements

Syrup/Suspension

Following are the uses of Calcium, Cholecalciferol Syrup/Suspension:

• Used to prevent and treat calcium and vitamin D deficiencies, promoting overall bone health.
• Supports the absorption of calcium in the body, essential for strong bones and teeth.
• Helps prevent and treat conditions like osteoporosis, osteomalacia, and rickets, which are caused by calcium and vitamin D deficiencies.
• Aids in maintaining proper calcium levels for individuals at risk of bone fractures or those with a history of bone-related issues.
• Often prescribed to support bone health in older adults, children, and individuals with limited sun exposure or malabsorption conditions.
• Can be used to enhance the effectiveness of other treatments for bone-related conditions, especially when combined with other supplements or therapies.
• Provides essential vitamin D to support the immune system, muscle function, and overall health.

Dosage of Calcium, Cholecalciferol Syrup/Suspension:

• For adults, the typical dose is 10-15 mL daily, depending on the level of deficiency and healthcare provider recommendations.
• For children aged 1-12 years, the usual dose is 5-10 mL daily, based on individual needs for calcium and vitamin D.
• For infants under 1 year, the dose is usually 1-2 mL daily or as directed by a healthcare provider.
• The syrup can be taken orally, with or without food, and should be measured with a proper dosing device.
• Shake the bottle well before use to ensure even distribution of the active ingredients.
• If you miss a dose, take it as soon as you remember, but do not take two doses at the same time to make up for the missed dose.

In case of an overdose of Calcium, Cholecalciferol Syrup/Suspension, seek immediate medical attention. Overdosing on calcium and vitamin D can lead to hypercalcemia, which may cause symptoms such as nausea, vomiting, loss of appetite, excessive thirst, frequent urination, and weakness. If you suspect an overdose, stop using the product and contact a healthcare provider or poison control center right away. Treatment may involve stopping the medication, intravenous fluids to help restore normal calcium levels, and monitoring of blood calcium levels. It's essential not to attempt to treat an overdose at home and to follow medical advice closely to avoid complications.

If you miss a dose of Calcium, Cholecalciferol Syrup/Suspension, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take two doses at once to make up for the missed dose, as this could lead to an overdose of calcium or vitamin D, potentially causing side effects such as hypercalcemia. Always follow the dosing instructions provided by your healthcare provider to ensure safe and effective use of the product.

Typically, it should be taken once or twice daily, preferably with meals to enhance absorption. Shake the bottle well before use to ensure the contents are evenly mixed. Measure the prescribed dose accurately using the measuring cup or spoon provided. Do not use a household spoon, as it may result in incorrect dosing. It's important to take the medication consistently at the same time each day to maintain proper levels in your body.

When not to use Calcium, Cholecalciferol Syrup/Suspension:

• If you are allergic to calcium, cholecalciferol (Vitamin D), or any other ingredients in the formulation.
• In individuals with hypercalcemia (high levels of calcium in the blood), as this product may worsen the condition.
• If you have kidney stones, a history of kidney problems, or impaired kidney function, as excessive calcium intake may further strain kidney function.
• Avoid use in patients with hypervitaminosis D (excessive Vitamin D levels), as it may lead to toxicity.
• Do not use in individuals with a history of sarcoidosis or other granulomatous diseases, as they may be more sensitive to Vitamin D.
• If you are pregnant or breastfeeding, consult your healthcare provider before using, as the safety during pregnancy and lactation should be evaluated.
• Avoid using this product with other high-dose calcium or Vitamin D supplements unless directed by a healthcare provider.
• Do not exceed the recommended dosage, as overuse can cause adverse effects like kidney damage or calcium deposits in tissues.

Side effects of Calcium, Cholecalciferol Syrup/Suspension include:

• Nausea
• Vomiting
• Constipation
• Hypercalcemia
• Headache
• Dizziness
• Fatigue
• Dry mouth
• Weakness
• Itching

Precautions and Warnings for Calcium, Cholecalciferol Syrup/Suspension include:

• Use with caution if you have a history of kidney problems or impaired kidney function, as excessive calcium intake can lead to kidney stones or kidney damage.
• Do not exceed the recommended dose, as high doses of calcium or Vitamin D can cause hypercalcemia or Vitamin D toxicity.
• If you are pregnant or breastfeeding, consult your healthcare provider before using, as safety during pregnancy and lactation should be evaluated.
• Use cautiously in individuals with a history of cardiovascular conditions, as high calcium levels may affect heart function.
• Monitor calcium levels in patients with a history of sarcoidosis, tuberculosis, or other granulomatous diseases, as they may be more sensitive to Vitamin D.
• If you are taking other calcium or Vitamin D supplements, discuss with your healthcare provider to avoid excessive intake.
• Keep out of reach of children to prevent accidental overdose, which could lead to serious side effects.
• If you experience any signs of hypercalcemia, such as nausea, vomiting, confusion, or muscle weakness, discontinue use and seek medical attention immediately.

Drug Interactions for Calcium, Cholecalciferol Syrup/Suspension include:

• May interact with certain diuretics (e.g., thiazide diuretics), as these can increase the risk of hypercalcemia by reducing calcium excretion.
• Combining with calcium channel blockers or medications that affect the heart may increase the risk of abnormal heart rhythms or other cardiovascular effects.
• Calcium and Vitamin D may interact with certain anticonvulsants (e.g., phenytoin or phenobarbital), potentially reducing the effectiveness of the supplements.
• Concurrent use with corticosteroids can reduce calcium absorption, potentially leading to lower calcium levels in the body.
• Calcium supplements may interfere with the absorption of certain antibiotics, such as tetracyclines or quinolones, reducing their effectiveness.
• If you are using thyroid medications, calcium supplements should be taken separately, as they can interfere with thyroid hormone absorption.
• Vitamin D may enhance the effects of other medications that increase calcium levels, such as calcium-containing antacids, increasing the risk of hypercalcemia.

Food interactions for Calcium, Cholecalciferol Syrup/Suspension include:

• Calcium absorption may be reduced when taken with high-fiber foods, such as bran, as fiber can bind to calcium and reduce its bioavailability.
• Avoid consuming excessive amounts of caffeine or alcohol, as they may interfere with calcium absorption and increase calcium excretion in urine.
• Foods rich in oxalates, like spinach and rhubarb, may decrease calcium absorption when consumed in large amounts.
• High-protein meals may increase calcium excretion in urine, potentially lowering calcium levels in the body.
• Vitamin D absorption may be influenced by high-fat meals, which can improve its bioavailability.
• If you are taking calcium supplements with food, consider consuming it with meals to enhance calcium absorption.

Calcium, Cholecalciferol Syrup/Suspension should be stored at room temperature, away from moisture and heat. Keep it in its original container, tightly closed, to prevent contamination and maintain its effectiveness. Avoid storing it in the bathroom, where humidity levels are high. Ensure that the syrup is kept out of reach of children to prevent accidental ingestion. Do not use the product past its expiration date. If you need to dispose of the syrup, follow local disposal guidelines for medications or consult a pharmacist for proper disposal instructions. Do not pour it down the drain or throw it in the trash without proper guidance.

Quick tips for Calcium, Cholecalciferol Syrup/Suspension:

• Take the syrup with a meal to enhance calcium absorption.
• Avoid taking high doses of calcium at once; split the dose if necessary to improve absorption.
• Stay hydrated when using calcium supplements, as dehydration can affect calcium balance.
• Regularly monitor calcium levels if you have kidney problems or are at risk of kidney stones.
• Ensure adequate sun exposure to support Vitamin D synthesis when using this supplement.
• Follow your healthcare provider’s instructions carefully to avoid overdosing on calcium or Vitamin D.
• Avoid taking the syrup with foods or medications high in oxalates, which can inhibit calcium absorption.