Calcium STELLA Vitamin C, PP

OTC

Indications

• Calcium deficiency conditions, e.g. rickets, calcium supplementation when daily diet cannot be ensured sufficiently.
• Cases of increased calcium demand such as growing children, pregnant women and lactation, rehabilitation after long immobilization periods due to fractures.
• Calcium supplementation in management of osteoporosis due to various causes, bone mineral loss in elderly, prevention of pre-and postmenopausal or corticosteroid-induced bone demineralization.

Dosage

• Children: 5 – 10 ml x 2 times daily.
• Adults: 10 – 20 ml x 2 times daily.

Usage

• Administered orally in the morning and at mid-day.

• Patients who are hypersensitive to any of the ingredients.
• Hypercalcaemia, hypercalcinuria and calcium lithiasis.
• Severely impaired kidney function.
• Large dose of ascorbic acid should be avoid in patients with glucose – 6 – phosphate dehydrogenase deficiency (G6PD), history of nephrolithiasis, hyperoxaluria, thalassemia.
• Large dose of nicotinamide should be avoided in patients with severe liver disease, active peptic ulcer; arterial hemorrhaging, severe hypotension.

Very rarely

• Mild gastrointestinal disturbances.

Rare (in cases of long-term treatment with high doses)

• Hypercalciuria, hypercalcaemia.
• GI disturbances are the most common adverse effects associated with high vitamin C intake (e.g., 3 g or more daily).
• Oral dosage of 1 g daily or greater: Diarrhea, acidification of the urine, precipitation of urate, cystine, or oxalate stones, or drugs in the urinary tract.
• Larger doses of nicotinamide may cause flushing (especially of the face and neck), sensation of burning, stinging or tingling of the skin, nausea.

• Calcium STELLA Vitamin C, PP contains sodium sulfite, which may rarely cause severe hypersensitivity reactions and bronchospasm.
• Patients with rare hereditary problems of fructose intolerance, glucose-galactose malabsorption or sucrase-isomaltase insufficiency should not take this medicine.
• Precaution when prescribing for diabetic and low-salt diet patients, patients with renal impairment, or diseases associated with hypercalcaemia such as sarcoidosis and some malignancies; patients with a history of peptic ulcer disease, and to those with diabetes mellitus, gout, or hepatic impairment.
• Prolonged use of large doses of ascorbic acid may result in increased metabolism of the drug (“systemic conditioning”), scurvy may occur when intake of the vitamin is reduced to normal. Ingestion of large doses of the vitamin C during pregnancy has resulted in scurvy in neonates.
• In pregnant women, calcium intake should be supplied from a sufficient and balanced diet. Excessive intake of vitamins and other minerals may be harmful to the fetus and mother. Vitamin C and nicotinamide supplement genially considered safe during pregnancy when the recommended dose is taken.
• The drug does not bring any effect to driving or operating machinery.