Strong bones and healthy teeth with Complivit Calcium d3. Complivit calcium D3 or Calcium D3 Nycomed

Complivit Calcium D3 is a combined remedy that regulates the exchange of calcium and phosphorus. It is designed for the treatment and prevention of diseases of the musculoskeletal system. In addition, the drug helps to strengthen teeth, nails, hair.

Complivit with calcium is produced in the form of chewable tablets with an orange or mint flavor. 1 polymer can contains 30, 60, 90, 100, 120 pieces. Each tablet contains:

  • calcium carbonate– 1250 mg (corresponding to the content of 500 mg of calcium);
  • cholecalciferol(vitamin D3) - 5 mcg (200 IU).

The price of Complivit Calcium D3 No. 30 averages from 150 rubles.

Indications

In accordance with the instructions for use, Complivit Calcium D3 is used when there is a deficiency in the body of the macroelement Ca, vitamin D3. This condition is manifested by the following symptoms:

  • fragility of bones;
  • frequent fractures;
  • violation of the integrity of the skin;
  • emotional disorders;
  • general weakness;
  • nervous tension;
  • sleep disorders.

The drug is often prescribed to older people with diseases of the musculoskeletal system, as well as to pregnant and lactating women. Other indications:

  • osteoporosis and its prevention;
  • osteomalacia (insufficient bone mineralization) in patients over 45 years old;
  • hypocalcemia (low level of calcium in the blood), including during diets with the rejection of dairy products;
  • bone fractures;
  • intensive physical development of children from 12 years old.

The effect of the drug on the body

The pharmacological action of the drug is due to the combined composition. Complivit Calcium D3 strengthens bone and dental tissue, improves calcium absorption in the intestines, stimulates the process of reabsorption (reabsorption) of phosphates in the urinary system.

Calcium is involved in the formation of bone and dental tissues, in the transmission of nerve impulses, and maintains the normal cardiovascular system. In addition, it is needed for the normal course of blood coagulation, carbohydrate and lipid metabolism.

Colecalciferol promotes the absorption of calcium in the intestines, has a positive effect on the activity of all systems, improves the skin. With a lack of this vitamin, the processes of formation and mineralization of bone and dental tissues are disrupted; children develop rickets.

The intake of calcium and cholecalciferol prevents the production of a hormone that stimulates increased resorption (destruction) of bones.

Mode of application

Consider how to take Complivit Calcium D3. Tablets should be chewed or swallowed whole with water. It is better to use the remedy during meals.

With osteoporosis, adults are prescribed 1 tab. 2-3 rubles / day, for the prevention of the disease - 1 piece 2 rubles / day.

With a lack of calcium, vitamin D3 in the body:

  • adults and children from 12 years old should take 1 pc. 1-2 rubles / day;
  • children 5-12 years old are given 1-2 pieces / day;
  • for babies from 3 to 5 years old, the doctor should determine the dose, usually prescribed 1 tablet / day.

The average duration of treatment is 1 month. Repeated courses - on the recommendation of a doctor.

Contraindications, side effects

Complivit Calcium D3 should not be drunk in case of hypersensitivity to the components. Other contraindications:

  • osteoporosis, which is based on immobilization (creation of immobility for a limb);
  • increased amount of calcium in the urine or blood;
  • hypervitaminosis of vitamin D3;
  • violations of the kidneys;
  • phenylketonuria;
  • calcium-type nephrolithiasis (formation of kidney stones);
  • pulmonary tuberculosis;
  • bone tumors;
  • age up to 3 years.

The drug can have side effects in the form of allergies, dyspeptic symptoms (constipation, diarrhea, nausea, flatulence). In some cases, metabolic disorders develop: hypercalciuria (increased calcium in the urine), hypercalcemia (increased calcium in the blood).

Important features of the use of Complivit Calcium D3

It is unacceptable to take several vitamin preparations at once, especially those that contain fat-soluble substances. During the period of use of the product, it is recommended to take into account the intake of calcium from food.

  • thirst;
  • nausea, vomiting;
  • constipation;
  • weakness;
  • headache;
  • fainting state.

Treatment for overdose includes taking diuretics (diuretics) and rehydration (re-watering a previously dehydrated body). Glucocorticoid drugs, hemodialysis procedures are prescribed. A menu with a reduced calcium content is shown.

The daily amount of Complivit Calcium D3 must be increased during the period of use of laxatives based on mineral, vegetable oil, cholestyramine preparations, as well as when eating fatty foods, as this reduces the bioavailability of the complex.

During pregnancy, Complivit with calcium should be used only on the advice of a doctor. The fact is that taking excessive doses increases the likelihood of developing pathologies in the unborn child. The daily intake of calcium for pregnant women should not exceed 1500 mg, and vitamin D3 should not exceed 600 IU.

During lactation, the drug is taken with caution: vitamin D3 and its metabolites pass into breast milk. In addition, when using the drug, there is a risk of developing hypercalcemia in the baby.

Older people should take into account that the daily norm of calcium for them is 1500 mg, and coliccalciferol D3 - 500-1000 IU.

Drug analogues

Complivit Calcium D3 can be replaced with the following drugs:

  1. Calcium D3 Nycomed(Norway). The composition is similar, in 1 tab. contains: calcium carbonate - 1250 mg, coliccalciferol (vitamin D3) - 5 mcg (200 IU). The drug must be taken in the same dosage. The course of treatment is 4-6 weeks. The price of Calcium D3 Nycomed No. 30 is from 220 rubles.
  2. Natekal D3(Italy). The amount of active ingredients in 1 tablet: calcium carbonate - 1500 mg, vitamin D3 - 400 IU. Adults are prescribed 1-2 pieces / day. The cost of Natekal D3 No. 60 - from 410 rubles.
  3. Calcium D3 Classic(Russia). Components 1 tab.: calcium carbonate - 1250 mg, vitamin D3 - 10 mcg (400 IU). The dosage is similar to Complivit Calcium D3. The cost of a package containing 10 tablets is from 40 rubles.

Calcium carbonate- calcium salt, which is often used in medicines and vitamin supplements to prevent the development of calcium-deficient conditions and osteoporosis. Cholecalciferol, otherwise known as vitamin D3, is converted through several chemical transformations into calcitriol, with which the human body is able to absorb calcium from food. It is indispensable in the prevention of osteomalacia and rickets, in old age, during pregnancy.

There are contraindications, read the instructions

It is these substances that are contained as active ingredients in Complivit Calcium D3. A whole family of "complements" can be found in our pharmacies: ordinary, children's and Complivit calcium D3 Forte with increased dosage. Whether each of these drugs has its own characteristics of taking, let's look at it below in a short review.

How to take Complivit calcium D3?

Complivit Calcium D 3 chewable tablets

Complivit calcium D3 is produced in the form of chewable tablets. It includes:

  • 200 IU of cholecalciferol,
  • 0.5 g of calcium carbonate (in terms of a "pure" trace element),
  • a number of excipients that give the tablets a pleasant taste and aroma (orange flavor, lactose, aspartame),
  • preservatives, and fillers (citric acid, polyvinylpyrrolidone, magnesium stearate, starch, sodium caramellose).

How to take Complivit calcium D 3? It should be chewed and not swallowed immediately. The medicine is best taken with food. This increases the bioavailability of calcium, especially if, as in the case of Complivit, it is in the form of a carbonate salt preparation.

Since the dosage of the drug is determined by the age of the patient, the type of disease and its severity, it is undesirable to independently decide on the number of tablets taken per day. This requires a doctor's consultation. For preventive purposes, adults are usually prescribed 2 tablets per day, which are taken one in the morning and one in the evening. In the treatment of osteoporosis, the dose is increased to 3 tablets.

How to take Calcium D3 Complivit Forte?

Calcium D3 Complivit with the prefix "Forte" contains 2 times more vitamin D 3. Otherwise, the preparations are similar in form of release, calcium concentration and the main composition of additional substances. Therefore, the dosage and number of doses of this drug will be the same as in the previous case.

The general rule of how to drink Calcium Complivit, however, like any other calcium supplement, is that you should not increase its single and daily doses. A single dose is 0.5 g. It is believed that the human body effectively absorbs at one time the amount of calcium that does not exceed this value. The daily dose for middle-aged people is 1 g. Higher doses of the trace element are required in some cases, for example, during pregnancy (1.5 g) and the risk of developing osteoporosis in old age (1.2 g).

How to take Complivit calcium D3 for children?

Calcium supplements are given to children only as prescribed by a doctor.

In the Complivit line of drugs, there is a special form of release in powder, which is intended for babies up to the age of three. A solution is prepared from powder and boiled water. A teaspoon of this solution contains 0.2 g of calcium and 50 IU of cholecalciferol.

How to drink Complivit calcium D 3 for babies depends on how old the child is. Usually appoint a daily dose in the amount of:

  • 1 tsp up to one year of age
  • 1 or 2 tsp after reaching 1 year.

Tablets Complivit and Complivit Forte can be used in children of the age group from 3 to 12 years, however, according to medical indications and under their supervision. According to the instructions Complivit, children are prescribed 1-2 tablets, and its enhanced forte formula - 1 tablet per day.

Dosage form:   tablets Ingredients:

Composition per tablet

Active ingredients:

Calcium500 mg

(as calcium carbonate) 1.25 g

Colecalciferol0.005 mg

(vitaminD3)(200 ME)

(in terms of 100%cholecalciferol)in the form of a granulatecontainingcolecalciferol,d,l-alpha tocopherol,triglyceridesmedium chain,sucrose, acacia gum,corn starch,calcium phosphate (E 341), water.

Excipients: lactosemonohydrate (milk sugar) 0.3209 g,low molecular weight povidone 0.0066 g,polysorbate-80 (tween-80) 0.0029 g, potato starch 0.0831 g, croscarmellose sodium 0.05 52 g, citric acid monohydrate 0.0033 g, aspartame (E 951) 0.0060 g, magnesium stearate 0.0160 g, peppermint leaves oil 0.0060 g.

 Description:

Chewable tablets with a rough porous surface of a round biconvex shape from white to white with a creamy tint, with a mint flavor. May have small blotches of a grayish color.

 Pharmacotherapeutic group:Calcium-phosphorus metabolism regulator ATX:  

A.12.A.X Calcium preparations in combination with other drugs

Pharmacodynamics:

Combined drug, the action of which is due to its constituent components. Regulates the exchange of calcium and phosphates in the body (bones, teeth, nails, hair, muscles). Reduces resorption (resorption) and increases bone density, compensates for the lack of calcium and vitamin D 3 in the body, enhances calcium absorption in the intestines and phosphate reabsorption in the kidneys, promotes the mineralization of bones and teeth.

Calcium - is involved in the formation of bone tissue, blood coagulation, in maintaining the stability of cardiac activity, in the implementation of the processes of transmission of nerve impulses and muscle contractions.

Vitamin D 3 () - increases the absorption of calcium in the intestine, promotes the formation and mineralization of bone tissue and dental tissue.

Use of calcium and vitamin D 3 prevents an increase in the production of parathyroid hormone, which is a stimulator of increased bone resorption.

 Pharmacokinetics:

Vitamin D 3 absorbed in the small intestine. Calcium is absorbed in ionized form in the proximal small intestine via an active D-vitamin dependent transport mechanism.

Indications:

Prevention and complex therapy of osteoporosis (menopausal, senile, "steroid", idiopathic) and its complications (bone fractures). Prevention and treatment of calcium and/or vitamin deficiency D3.

 Contraindications:

Hypersensitivity to the components of the drug (including lactose intolerance, lactase deficiency, glucose-galactose malabsorption), hypercalcemia, hypercalciuria, calcium nephrourolithiasis, hypervitaminosis D, decalcifying tumors (myeloma, bone metastases, sarcoidosis), phenylketonuria (contains), pulmonary tuberculosis (active form), chronic renal failure, sucrase / isomaltase deficiency, fructose intolerance, glucose-galactose malabsorption, children under 3 years of age.

 Carefully:Benign granulomatosis, receptioncardiac glycosides and thiazide diuretics, pregnancy, lactation. Pregnancy and lactation:

The daily dose should not exceed 1500 mg of calcium and 600 ME of vitamin D 3 . Hypercalcemia, which develops against the background of an overdose, during pregnancy can cause defects in the mental and physical development of the child. Vitamin D and its metabolites can pass into breast milk, so it is necessary to take into account the intake of calcium and vitamin D from other sources in mother and child.

 Dosage and administration:

Inside, chew or swallow whole, mainly during food.

Adults: in the treatment of osteoporosis - 1 tablet 2-3 times a day, for the prevention of osteoporosis - 1 tablet 2 times a day. The minimum duration of the course of treatment is 3 months, a longer course is prescribed by a doctor. The minimum duration of the prophylaxis course is 1 month, a longer course is prescribed by a doctor.

With calcium and/or vitamin deficiency D3:

- Adults and children over 12 years old - 1 tablet 1-2 times a day.

- Children from 5 years to 12 years - 1-2 tablets per day.

- Children from 3 to 5 years old - 1 tablet per day.

The minimum duration of the course of therapy is 3 months, a longer course is prescribed by a doctor.

 Side effects:

Allergic reactions. Dyspeptic disorders of the gastrointestinal tract. Hypercalcemia and hypercalciuria (high calcium in the blood and urine). To the possible side effects of the vitamin D3 also include: polyuria, constipation, headache, myalgia, arthralgia, increased blood pressure, arrhythmias, impaired renal function, exacerbation of the tuberculous process in the lungs. Possible side effects of calcium carbonate also include: stomach pain, constipation or diarrhea, flatulence, nausea, secondary increase in gastric secretion.

 Overdose:

In case of signs of overdose, consult a doctor.

Symptoms: thirst, polyuria, loss of appetite, nausea, vomiting, constipation, dizziness, weakness, headache, fainting, coma; with prolonged use of excessive doses: calcification of blood vessels and tissues.

Treatment : the introduction of a large amount of fluid into the body, the use of "loop" diuretics (for example, furosemide), glucocorticosteroids, calcitonin, bisphosphonates.

In the event of the development of clinical symptoms of an overdose, the concentration of calcium and creatinine in the blood should be determined. In case of increased concentration of calcium or creatinine in the blood serum, the dose of the drug should be reduced or treatment should be temporarily discontinued. In case of hypercalciuria exceeding 7.5 mmol / day (300 mg / day), it is necessary to reduce the dose or stop taking it.

 Interaction:

The activity of vitamin D 3 may decrease when it is used simultaneously with phenytoin or barbiturates.

With simultaneous treatment with cardiac glycosides, monitoring of the ECG and clinical condition is necessary, since calcium preparations can enhance the therapeutic and toxic effects of cardiac glycosides.

Calcium and vitamin D supplements 3 may increase the absorption of tetracyclines from the gastrointestinal tract. Therefore, the time interval between doses of drugs should be at least three hours.

To prevent a decrease in the absorption of bisphosphonates or sodium fluoride preparations, it is recommended to take Complivit® Calcium D 3 not earlier than two hours after taking them.

Glucocorticosteroids reduce the absorption of calcium, so treatment with glucocorticosteroids may require an increase in the dose of Complivit® Calcium D 3 . Simultaneous treatment with colestyramine preparations or laxatives based on mineral or vegetable oil may reduce the absorption of vitamin D 3 . With the simultaneous use of thiazide diuretics, the risk of hypercalcemia increases, as they increase tubular reabsorption of calcium. and other "loop" diuretics, on the contrary, increase the excretion of calcium by the kidneys.

 Special instructions:

Complivit® Calcium D 3 contains, which is transformed into in the body, so the drug should not be taken by patients suffering from phenylketonuria.

In the elderly, the need for calcium is 1500 mg / day, for vitamin D 3 - 0.5-1 thousand IU / day.

In order to avoid overdose, it is necessary to take into account the additional intake of vitamin D 3 from other sources.

 Influence on the ability to drive transport. cf. and fur.:The drug does not adversely affect the performance of potentially hazardous activities that require special attention and quick reactions (including the ability to drive vehicles and work with mechanisms that require increased attention). Release form / dosage:

Chewable [mint] tablets.

 Package: 30, 60, 90, 100 or 120 tablets in polymer jars. Banks are sealed with screw-on lids. A self-adhesive label is attached to the jar. Each jar is covered with PVC heat shrink tubing. Each jar, along with instructions for use, is placed in a cardboard box. Storage conditions:

At a temperature not higher than 25 °C.

Keep out of the reach of children.

 Best before date:

2 of the year.

Do not use after the expiration date.

Conditions for dispensing from pharmacies: Without recipe Registration number: LP-000071 Date of registration: 07.12.2010 / 22.12.2015 Expiration date: Perpetual Registration certificate holder: OTCPharm, PJSC Manufacturer:   Information update date:   03.02.2018 Illustrated Instructions

Vitamin deficiency is a common and dangerous problem. And today, doctors are increasingly prescribing Complivit Calcium D3 to their patients. The instruction here is quite simple, and contraindications and risks of side effects are minimized. In addition, the medicine is suitable for both adults and pediatric patients. So when should you take your medicine? How to take pills correctly? These questions are of interest to many.

The drug "Complivit Calcium D3": composition and properties

The medicine is released in the form of biconvex rounded tablets of white, sometimes light cream shade. Patients will be pleased with a light fruity smell and a pleasant orange taste. Each tablet contains 1.25 g of calcium carbonate (equivalent to 500 mg of active calcium), as well as 5 micrograms of cholecalciferol. The preparation also contains medium chain triglycerides, sucrose, purified water, modified starch, sodium aluminosilicate and gelatin - these are excipients. In some cases, doctors prescribe patients a stronger form of Complivit Calcium D3 Forte. The instruction says that each such tablet contains 10 micrograms of vitamin D3 and 1.25 g of calcium carbonate. Tablets are placed in polymer jars. This drug was created to compensate for the lack of vitamin D3 and calcium in the body. Its active ingredients regulate the processes of calcium metabolism, and also increase bone density, contributing to bone mineralization. Calcium is involved in the processes of blood clotting and nerve impulse transmission. Vitamin D enhances the absorption of calcium, thereby ensuring maximum bone mineralization.

Indications for admission

Of course, there are many disorders that require taking Complivit Calcium D3. The instruction states that the drug is widely used for the treatment and prevention of deficient conditions, including beriberi D, which is fraught with the development of rickets, as well as a lack of calcium, which can also lead to changes and deformation of the musculoskeletal system. In addition, the drug is prescribed for the prevention or treatment of osteoporosis of various origins, including those cases where the disease is associated with menopause.

The drug "Complivit calcium D3": instructions and dosage

The dose is determined by the attending physician, as it depends on the condition of the patient's body. For example, adults with vitamin and calcium deficiency are advised to take 1 tablet 1-2 times a day. Children aged five to twelve take one tablet every day. By the way, the drug is best taken with food. In the presence of osteoporosis, the daily dose of the drug is increased to 2-3 tablets per day, and if disease prevention is necessary, then the recommended daily amount is two tablets. The dose for the treatment of children aged three to five years is determined by the doctor. The duration of therapy is also individual. In addition, you need to monitor how much calcium and vitamin D3 enters the body with food in order to avoid overdose.

Contraindications for admission and possible complications

Despite the fact that the medicine is considered safe, it has some contraindications. Naturally, the risk group should include people with hypersensitivity to the constituent components of the product. In addition, the additional intake of calcium and vitamin D is contraindicated in the presence of decalcifying tumors and osteoporosis. Contraindications also include hypercalciuria and hypercalcemia. The drug is not prescribed to people suffering from hypervitaminosis D, as well as active forms of pulmonary tuberculosis and phenylketonuria. Chronic renal failure is also a contraindication. Of course, there are some side effects that sometimes appear while taking Complivit Calcium D3. The instruction states that in some cases, therapy is accompanied by allergic reactions, as well as digestive disorders, occasionally patients complain of nausea, constipation or diarrhea, as well as pain in the stomach and flatulence. With an overdose, the side effects increase. Other symptoms appear, including severe weakness, dizziness up to fainting, as well as loss of appetite and polyuria. Long-term use of high doses can lead to calcification of tissues and blood vessels.


Preparation: COMPLIVIT® CALCIUM D3
The active substance of the drug: calcium carbonate, colecalciferol
ATX encoding: A11AA04
KFG: Multivitamins with macro- and microelements
Registration number: LS-002258
Date of registration: 17.11.06
The owner of the reg. Award: PHARMSTANDART-UfaVITA OJSC (Russia)

Release form Complivit calcium d3, drug packaging and composition.

Orange chewable tablets.
Chewable tablets
1 tab.
colecalciferol (granulate form) (vit. D)
5 mcg (200 IU)
calcium carbonate
1.2 g
which corresponds to the content of calcium
500 mg

30 pcs. - polymer cans (1) - packs of cardboard.
100 pieces. - polymer cans (1) - packs of cardboard.

The description of the drug is based on the officially approved instructions for use.

pharmachologic effect

D-vitamin; metabolic; regulating phosphorus-calcium metabolism.

Indications

Treatment and prevention of Ca2+ and vitamin D3 deficiency: osteoporosis - menopausal, senile, "steroid", idiopathic, etc. (prevention and addition to specific treatment), osteomalacia (associated with impaired mineral metabolism in patients older than 45 years); hypocalcemia (including after following diets with refusal to take milk and dairy products); with increased need - pregnancy and lactation, as well as in children over 12 years of age during a period of intensive growth.

Dosage and method of application of the drug.

Inside, chew or swallow whole. Doses for adults and children over 12 years old - 1 tablet 2 times a day, morning and evening, mainly with meals, or individually, depending on the clinical picture.

Contraindications

Hypersensitivity, hypercalcemia (including as a result of primary or secondary hyperparathyroidism), hypercalciuria, calcium nephrourolithiasis, hypervitaminosis D, decalcifying tumors (myeloma, bone metastases, sarcoidosis), osteoporosis due to immobilization, phenylketonuria (contains aspartame), pulmonary tuberculosis ( active form).

Special instructions for use Complivit calcium d3.

During the treatment period, it is necessary to constantly monitor the excretion of Ca2+ in the urine and the concentration of Ca2+ and plasma creatinine (in the event of a calciuria exceeding 7.5 mmol / day (300 mg / day), it is necessary to reduce the dose or stop taking it). Contains aspartame, which is metabolized in the body to phenylalanine, which must be taken into account in patients suffering from phenylketonuria. In order to avoid overdose, it is necessary to take into account the additional intake of vitamin D3 from other sources. Do not use simultaneously with vitamin complexes containing Ca2+ and vitamin D3. During pregnancy, the daily dose should not exceed 1500 mg Ca2+ and 600 IU of vitamin D3. An overdose during pregnancy can lead to a violation of the mental and physical development of the child. Ca2+ and vitamin D3 pass into breast milk. In the elderly, the need for Ca2+ is 1.5 g/day, for vitamin D3 - 0.5-1 thousand IU/day. Carefully. Renal failure, benign granulomatosis, pregnancy, lactation, taking glycosides and thiazide diuretics, children's age (up to 12 years).