Osteo-Health

Osteo-Health
20 May

Osteo-Health

Vitamin And Mineral Supplements

- Calcium carbonate is an inorganic salt. It is converted to  
 calcium chloride by gastric acid. Some of calcium is  
 absorbed from the intestine.
-Absorption of calcium is affected  by presence of food.  
 Absorption also is increased in calcium deficiency and  
 during periods of high physiological requirement as 
 during childhood or pregnancy and lactation .
-Unabsorbed calcium is eliminated in feces, together with 
 secreted in bile and pancreatic juice,  Excess calcium is 
 excreted by renal.

Indecation

 Osteo-Health®  is used:
-As calcium supplement in deficiency states.
-As adjunct in the management of osteoporosis. 
-As Antacid.
-In the treatment of hyperphosphataemia in patient with 
 Chronic renal failure, or associated secondary 
 hyperthyroidism.

Dosage & Administration

-The tablet should be chewed and swallowed with  
 sufficient amount of water. 
-Adult daily requirement is 2500 mg of Osteo-Health® , 
 equivalent to 1000 mg of calcium.
-For the treatment of osteoporosis: adult dose 2500 mg -3750mg of Osteo-Health® .
-Doses of antacid are up to 1500 mg.
-To treat hyperphosphataemia initial dose of 2500 mg daily, increased up to 7000 mg daily in divided doses as require.
- Doses in Children:
•    1to 6 years:        300 mg.
•    6to 12 years:      600 mg.
•    12 to 18 years:    1250 mg.

* Each chewable  tablet of Osteo-Health®  1500    
 contains:
 Calcium carbonate 1500mg equivalent to 600mg of 
 calcium 
* Each chewable tablet of Osteo-Health®  600 contains:
 Calcium carbonate  600mg equivalent to 240mg of 
 calcium. 

 Osteo-Health®  should be avoided in patients with: 
- Calcium renal calculi, or history of renal calculi.
- Constipation.
- GI bleeding.
- Hypercalcaemia.
- Peptic ulcer.

- Hypercalcaemia has occurred when Osteo-Health®  is  
 given with Thiazide Diuretics or Vitamin D.
-Bran and Corticosteroids decrease the gastrointestinal 
 absorption of Calcium when ad mini strated with 
 Osteo-Health®  concurrently
-Calcium enhances the effect of Digitalis and may precipitate 
 Digitalis intoxication when administrated with 
 Osteo-Health®  concurrently.
-Calcium enhance reduces the absorption of Bisphosphate, 
 Fluoride, some Fluoroquinolones and Tetracyclines,  
 administration should be separated by at last 3 hours

- Calcium is very important during pregnancy and  
 lactation,so Osteo-Health® can be given during these  
 periods.

 Osteo-Health®  may cause:
- Constipation and flatulence .
- Gastric hypersecretion and peptic ulcer,in high doses or 
 prolonged use.
- Hypercalcaemia, particularly with renal impairment or 
 after high doses,
- Rarely :Milk-alkali syndrome and tissue calcification.
 

- Osteo-Health®  Should be given cautiously to patients 
 with renal impairment, or diseases associated with 
 hypercalcaemia such as sarcoidosis and some malignancies.
- Plasma-calcium concentrations should be monitored 
 Closely in patients with renal impairment and if large 
 doses of vitamin D or thiazide diuretics are used 
 concurrently with  Osteo-Health®.

- Blister of 10 tablets, Pack of 3 blisters.

- Store in a dry place at a temperature below 30oC.