Country of origin: Germany
Pharm-Group: Astringent, enveloping and antacid agents of magnesium and calcium
Manufacturers: Huxol (Germany)
International name: Calcium carbonate
Synonyms: Additiva calcium, Additiva calcium, Bartel drugs antacid tablets, Vitacalcin, Calcium carbonate, Precipitated calcium carbonate, Upsavit calcium
Dosage forms: effervescent tablets
Composition: Active substance - Calcium carbonate.
Indications for use:
- Hyperacidity of gastric juice and gastrointestinal diseases occurring against its background;
- Osteoporosis, incl. postmenopausal (prevention and treatment);
- Rickets and caries in children (prevention and treatment);
- Osteomalacia, tetany;
- Increased need for calcium (pregnancy, breastfeeding, periods of intensive growth in children, etc.);
- Allergic reactions (auxiliary treatment).
Contraindications:
- Hypercalcemia (hyperparathyroidism, vitamin D overdose, bone metastases);
- Multiple myeloma;
- Sarcoidosis;
- Severe renal failure or severe hypercalciuria.
Side effect:
- Dyspeptic symptoms (epigastric pain, flatulence, diarrhea/constipation);
- Secondary increase in gastric secretion;
- Hypercalcemia.
Interaction:
- Reduces the absorption of tetracycline antibiotics, fluoride preparations, quinolone derivatives;
- Increases the arrhythmogenic effect of digoxin;
- Vitamin D increases absorption;
- Thiazide diuretics (reduce urinary calcium excretion) - risk of developing hypercalcemia.
Overdose:
Symptoms: loss of appetite, thirst, nausea, constipation, lethargy, muscle and joint pain, heart rhythm disturbances.
Treatment: gastric lavage, administration of activated charcoal, symptomatic therapy, including maintenance of vital functions.
Special instructions:
- Use with caution for nephrolithiasis.
- In large doses, especially against the background of a dairy diet, it can cause hypercalcemia or milk-alkali syndrome (headache, weakness, anorexia, nausea, vomiting, abdominal pain, constipation, thirst, kidney damage, polyuria).
Literature: Encyclopedia of Medicines, 2004.