Alfacalcidol +Calcium Carbonate

Indications & Dose:

• BY MOUTH
  

Adults: 1-2 tab daily.
Elderly: 1 tab daily.

Osteoporosis:

0.5-1 mcg alfacalcidol daily with or without calcium.
Children: Not recommended. 

Contraindications:

Hypercalcaemia, hyperphosphataemia (except when occuring with hypoparathyroidism) or hypermagnesaemia, renal calculi, nephrolithiasis, Zollinger-Ellison syndrome, concomitant digoxin therapy. 

Side Effects:

Cautions:

Precautions:

Renal failure, hypercalciuria. Periodic & regular monitoring of Ca, phosphate, alkaline phosphatese, Mg & creatinine levels.

Interaction:

Alfacalcidol: Digitalis glycosides, barbiturates/ enzyme-inducing anticonvulsants, drugs affecting intestinal absorption e.g., mineral oil, cholestyramine, colestipol, sucralfate, aluminium based antacids; magnesium based antacids or laxatives, thiazides, vit D & derivatives
Calcium carbonate: Tetracycline, ciprofloxacin. 

Warnings:

Adverse Effects:

Hypercalcemia, hyperphosphataemia, systemic alkalosis. Constipation. 

Lactations:

Special Precautions:

Counselling:

Side Effects Or Adverse Reactions:

Patient And Carer Advice: