OSCAL-D
ALFACALCIDOL AND CALCIUM CARBONATE · by ARIES
Composition
Tab: Alfacalcidol 0.25 mcg, calcium carbonate equiv to elemental Calcium 200 mg.
Indications & Dosage
Renal osteodystrophy, hyperparathyroidism with bone disease, rickets & osteomalacia: Adult: 1-2 tab daily. Elderly: 1 tab daily Osteoporosis: Adul: 0.5-1 mcg alfacalcidol daily with or without calcium. Children: Not recommended.
Contraindications
: Hypercalcaemia, hyperphosphataemia(except when occurring with hypoparathyroidism) or hypermagnesaemia, renal calculi, nephrolithiasis, Zollinger-Ellison syndrome, concomitant digoxin therapy.
Precautions
Renal failure, hypercalciuria, periodic & regular monitoring of Ca, phosphate, alkaline phosphatase, Mg & creatinine levels.
Interactions
Digitalis glycosides, barbiturates/enzyme-inducing anticonvulsants, drugs affecting intestinalabsorption e.g. mineral oil,cholestyramine, colestipol, sucralfate, aluminium based antacids; magnesium based antacidsor laxatives, thiazides, vit D & derivatives, tetracycline, ciprofloxacin.
Pregnancy
Caution advised
Lactation
Caution advised
Side Effects
Hypercalcaemia, hyperphosphataemia, systemic alkalosis, constipation.