Funds sold in pharmacies can be divided into two equivalent parts. The bulk are medicines with a therapeutic effect, the second group is medications. They serve as prophylactic or complementary to the main treatment. It is the second group of pharmaceutical products that includes Calcium D3 Nycomed Forte. The instruction for this tool tells in detail about it.
Why do people need calcium?
As established by scientists, about 60 basic chemical elements included in the table D.I. Mendeleev, include organs, tissues, physiological fluids of the human body. Their division is conditionally defined by two groups - micro and macrocells. The names of the groups characterizes the amount of element presence in the norm. Trace elements, as you know, are contained in small doses - a maximum of a few micrograms. But macronutrients can reach a weight of several hundred grams. The presence of all the elements in the required amount helps to improve the quality of the individual's state of health. The lack or excess of such substances negatively affects the state of individual systems and organs.
For example, the musculoskeletal system depends on a certain amount of calcium and vitamin D3. According to physiologists, an adult human body should contain from 1 to 1.5 kilograms of this chemical element, and almost all of it is in bone tissue. A balanced diet rich in diverse, natural products allows you to replenish the required amount of all components for health. But in some cases, calcium, for example, metabolizes and is consumed faster than its amount is replenished. It was then that calcium supplements came to the rescue. Scientists have found that more calcium is absorbed along with vitamin D3. The drug developers took this moment into account and Calcium-D3 Nycomed Forte became the drug that allows to obtain substances in the maximum bioavailable amount.
Scary osteoporosis
The skeleton is a supporting structure, it must be strong, reliable. And bone strength depends on many components, in particular, on the presence of an important building material in the human body - calcium. The destruction of thin tissue, a change in density, the appearance of fragility leads to many complications, one of which is osteoporosis. This is an insidious symptom of serious malfunctions in the body. It may not appear for a long time.
A person lives an ordinary life, and meanwhile, his skeleton is gradually losing its strength due to degenerative processes occurring in bone tissue. After all, the processes of using and replenishing building material, including for bones, are ongoing. But in some situations, useful substances perform their necessary functions, are destroyed, metabolize, but they are not replenished. Then, helpers should come to the rescue. Preparations for the prevention of osteoporosis replenish the necessary elements that are important for the reliability of the skeletal system.
What does the drug consist of?
One of the sought-after pharmaceutical preparations among the assistants to the skeletal system is Calcium D3 Nycomed Forte. The composition of the active substance is not very complicated, it is a two-component preparation, it works:
- calcium carbonate;
- cholecalciferol (vitamin D3).
As form-forming components, the manufacturer of the drug used: aspartame; isomalt; monomalt; povidone; sorbitol; stearate. Lemon oil gives the taste and aroma to the preparation.
In what form is the drug made?
A drug called Calcium D3 Nycomed Forte, used to help the bone apparatus, is manufactured by Nycomed Pharma, a Swiss pharmaceutical company. This company has been operating for almost 150 years and today is one of the 30 largest pharmaceutical companies. The medicine with calcium and vitamin D3 is available in one dosage form - chewable tablets with lemon flavor. They are without shell, have a biconvex rounded shape, white in color with a few inclusions. Tablets may have an uneven surface, as they are not covered with a dense protective shell and have a natural structure.
How does the active substance work?
The pharmacological properties of the drug "Calcium-D3 Nycomed Forte", like any other medicine, are directly dependent on the components working in it. This drug is based on two interacting substances - calcium and vitamin D. According to the pharmaceutical code, it belongs to the pharmacological group of regulators of calcium-phosphorus metabolism, and is used as a remedy for the lack of calcium and vitamin D3 medicine.
Working in combination, these components reduce the leaching of calcium from the body, and therefore increase its content in the bones. Also, calcium is an active participant in neural conduction, is responsible for muscle contractions and the quality of the blood coagulation system. And vitamin D3 helps calcium to be absorbed in the intestines, thereby increasing its functional level. Together, these substances inhibit the production of parathyroid hormone (PTH), which stimulates the leaching of calcium from the skeletal system and the development of osteoporosis. Such a symbiosis of medicinal natural substances makes the drug with calcium in demand in the market of vitamin supplements.
The way the medicine is in the body
Details about the drug "Calcium D3 Nycomed Forte" instruction, which describes the main components, pharmacokinetics and pharmacodynamics.
Calcium entering the body through the stomach and intestines is absorbed in about 30% of the dose taken. Since vitamin D3 helps this element to be more actively absorbed, their joint intake is more rational. Colecalciferol is absorbed up to 80% of the amount received through the gastrointestinal tract, thereby serving as a conductor for calcium, which is so necessary for bones, teeth, and ion cell metabolism. Distributed to the tissues where these components work, in the amount that is available and necessary, excess substances are metabolized in the liver and kidneys, and metabolites are excreted in the urine, feces and through the sweat glands.
When is the drug prescribed?
For the regulator of calcium metabolism - the drug "Calcium-D3 Nycomed Forte", indications for use are based on a lack of a building material for the skeletal system:
- bone fractures;
- prevention and treatment (in combination) of osteoporosis;
- prevention and treatment of calcium and / or vitamin D3 deficiency.
About the prophylactic properties of Calcium-D3 Nycomed Forte, reviews are quite positive, many patients consider its help in the treatment of deficient conditions to be effective and necessary.
In what cases can I not take calcium?
Any drug or prophylactic has its own restrictions on the use, so the “Calcium-D3 Nycomed Forte” contraindications are quite extensive:
- hypervitaminosis D ;
- hypercalcemia - an increase in the amount of calcium in the blood;
- hypercalciuria - the detection of calcium in the urine;
- hypersensitivity to the components of the drug;
- glucose-galactose malabsorption;
- hereditary fructose intolerance ;
- nephrolithiasis;
- renal failure;
- sarcoidosis;
- sucrose-isomaltase deficiency;
- tuberculosis (active form);
- phenylketonuria.
This drug is not prescribed for use by patients with limited mobility (sedentary). Also, it is not recommended for children under the age of 3 years. Contraindication to taking "Calcium D3 Nycomed Forte" is intolerance to soy and peanuts.
If something is wrong
A pharmacy drug that works to replenish the body with calcium and vitamin D3 is chewable tablets Calcium-D3 Nycomed Forte. Side effects of this agent can occur as follows:
- pain and discomfort in the abdomen;
- hypercalcemia;
- hypercalciuria;
- diarrhea;
- dyspepsia;
- constipation (constipation);
- itching
- hives;
- flatulence;
- rash;
- nausea.
If there are undesirable symptoms described above or some newly identified, it is necessary to consult a doctor for symptomatic therapy and stop taking this drug.
The abuse of tablets for chewing with calcium can cause an overdose of the active components, which is manifested as follows:
- anorexia;
- cardiac arrhythmia;
- bone pain
- dyspepsia;
- thirst;
- soft tissue calcification;
- urolithiasis disease;
- muscle weakness;
- nephrocalcinosis;
- polyuria;
- kidney damage (organic);
- dry mouth
- nausea.
Taking the drug in high doses can provoke mental disorders.
Any manifestations of overdose symptoms require seeking qualified medical help, discontinuing the drug itself, as well as cardiac glycosides and diuretics of the thiazide group taken simultaneously. The most commonly used antidote is “loop” diuretics, for example, Furosemide, bisphosphonates, oral glucocorticosteroids, and the hypocalcemic hormone Calcitonin. If an overdose of the drug with calcium has occurred, then it is necessary to regularly monitor such indicators of the physiological state of the patient as:
- diuresis and kidney function;
- venous pressure (central);
- the amount of electrolytes in blood plasma;
- electrical activity of the heart.
Calcium and other substances
When prescribing Calcium-D3 Nycomed Forte osteoporosis drug for use, the price of which is available to all buyers, the doctor must take into account the medications taken by the patient for medical reasons. Indeed, for use in the treatment of this drug and some other groups of drugs, it is very important to consider their interaction with each other and the effect on the patient's body.
Cardiac glycosides potentiate their toxic effect when taken together with Calcium-D3 Nycomed tablets. In this case, regular monitoring of the activity of the heart is indicated.
If the patient is prescribed certain medications, and these can be tetracycline antibiotics, bisphosphonates, levothyroxine, quinolines, sodium fluoride, together with the prescription of calcium medication, then the use of these drugs should be divided. You can take calcium first, and after 6 hours, another medicine, or first a medicine, and then a drug with calcium.
There are drugs that, while taking with "Calcium D3 Nycomed Forte" reduce the bioavailability of the latter. These include glucocorticosteroids, barbiturates, laxatives, phenytoin and cholestyramine. If such a combination is necessary for medical reasons, then it is necessary to adjust the dosage regimen, as well as the amount of the drug with calcium.
Calcium can not only be washed out of the skeletal system, but also accumulate in tissues or blood serum. This is bad, as it leads to hypercalcemia. The simultaneous administration of the drug with calcium and a thiazide diuretic can lead to this result. If such treatment is necessary, the patient should undergo regular monitoring of blood calcium to avoid the adverse effects of an overdose of the drug.
Oxalates, which are found in large quantities in potatoes, rhubarb, spinach, sorrel, as well as the substance of many loose cereals - phytin, have a negative effect on the absorption of calcium from the gastrointestinal tract when taken orally. If the next meal included dishes from the above products, then you need to take the medicine after four hours.
How to take the drug?
The instructions for use attached to "Calcium D3 Nycomed Forte" indicate the dosage and mode of administration. Since it is made in the form of lemon-flavored chewable tablets, they must be taken with good chewing during meals. For preventive purposes, the drug is taken in the amount of 2 tablets per day, it can be done simultaneously, or it is possible by dividing the dose into two times: 1 tablet in the morning and 1 in the evening. If the diagnosis of osteoporosis is already established, then this medicine is taken 3 tablets per day. The duration of treatment is determined by the attending physician with regular monitoring of the condition of bones, teeth, hair and nails and is carried out in combination with other medical prescriptions.
The state of calcium and vitamin D3 deficiency in the patient’s body is compensated by the course intake of this medicine and the patient’s age is taken into account.
- up to 3 years, this medicine is contraindicated for admission;
- from 3 to 5 years, only half or a whole tablet is prescribed per day;
- from 5 to 12 years, you can chew 1-2 tablets per day;
- adults and adolescents after 12 years of age are shown one tablet twice a day.
It is not recommended to take this drug on your own. A doctor’s consultation is necessary in order to exclude possible contraindications, as well as overdose and poisoning with the drug, determine the duration of the course of treatment and the dose of the drug.
Pregnancy, lactation and calcium
Osteoporosis is a serious symptom of problems with the musculoskeletal system caused by the destruction of bone tissue due to an insufficient amount of calcium in it. The period of gestation and breastfeeding can cause a lack of calcium in the body of a woman. Many women take its signs, as for the natural ailments of pregnant women:
- back pain;
- hair loss;
- weak nails;
- numbness of the limbs, both upper and lower;
- destruction of tooth enamel;
- cramps in the calf muscles.
Use "Calcium D3 Nycomed Forte" (the instructions for it offer), as a preventive measure for pregnant and lactating mothers. But the medicine should be prescribed by the doctor, taking into account the state of health of the woman and with his constant monitoring. The same applies to the lactation period. The active components of this drug penetrate into breast milk, and, therefore, into the baby’s body. Therefore, a woman needs to control the intake of this medication, as well as other ways of entering this substance into the body, since an excess of a chemical element can lead to pathological processes, for example, hypercalcemia.
A non-prescription drug in pharmacies - Calcium D3 Nycomed Forte (prices may vary slightly) is an important component that helps to maintain good health. It is advisable to take it after the recommendation of your doctor, according to the prescribed scheme. It will help to make bones and teeth stronger, hair and nails healthy. For over-the-counter products, the average price is between 400 and 700 rubles.
Doctors and patients leave positive reviews about the drug "Calcium D3 Nycomed Forte". This tool works well for preventive purposes, saturating the body with building material for the skeletal system. Its role in complex therapy is also important. Patients note a convenient form - chewable tablets, which can be taken once or twice a day.
Vitamin and mineral complexes are useful, necessary to maintain good health. They supplement the diet, deliver important elements for the proper functioning of all organs and systems. But such drugs should be taken only after the recommendation of the attending physician, who will collect a complete medical history, find out the general state of health with the help of the necessary examination and clinical tests, and compare the possible purpose of the drug and the existing diseases and drugs taken by the patient. There is no need to self-medicate with medications, because the apparent absolute safety stores important substances for the body, an excess of which can lead to adverse consequences. So first visit a doctor and consult, and then go to the pharmacy to buy vitamins.