Calcium + Alfacalcidol + Magnesium + Manganese + Zinc + Copper Pharmacology

Calcium + Alfacalcidol + Magnesium + Manganese + Zinc + Copper

About Calcium + Alfacalcidol + Magnesium + Manganese + Zinc + Copper
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Mechanism of Action of Calcium + Alfacalcidol + Magnesium + Manganese + Zinc + Copper
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Pharmacokinets of Calcium + Alfacalcidol + Magnesium + Manganese + Zinc + Copper
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Onset of Action for Calcium + Alfacalcidol + Magnesium + Manganese + Zinc + Copper
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Duration of Action for Calcium + Alfacalcidol + Magnesium + Manganese + Zinc + Copper
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Half Life of Calcium + Alfacalcidol + Magnesium + Manganese + Zinc + Copper
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Side Effects of Calcium + Alfacalcidol + Magnesium + Manganese + Zinc + Copper
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Contra-indications of Calcium + Alfacalcidol + Magnesium + Manganese + Zinc + Copper
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Special Precautions while taking Calcium + Alfacalcidol + Magnesium + Manganese + Zinc + Copper
N/A
Pregnancy Related Information
Use with caution
Old Age Related Information
N/A
Breast Feeding Related Information
Use with caution
Children Related Information
N/A
Indications for Calcium + Alfacalcidol + Magnesium + Manganese + Zinc + Copper
1.Osteoporosis
2.Renal bone disease
3.Hypoparathyroidism
4.Rickets
5.Osteomalacia
6.Mineral supplement
Interactions for Calcium + Alfacalcidol + Magnesium + Manganese + Zinc + Copper
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Typical Dosage for Calcium + Alfacalcidol + Magnesium + Manganese + Zinc + Copper
2 capsule / day
Schedule of Calcium + Alfacalcidol + Magnesium + Manganese + Zinc + Copper
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Storage Requirements for Calcium + Alfacalcidol + Magnesium + Manganese + Zinc + Copper
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Effects of Missed Dosage of Calcium + Alfacalcidol + Magnesium + Manganese + Zinc + Copper
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Effects of Overdose of Calcium + Alfacalcidol + Magnesium + Manganese + Zinc + Copper
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Calcium

About Calcium
Calcium is necessary for cardiac function, muscle contraction, nervous activity, coagulation of blood and for maintaining structural integrity of cell membranes.
Plasma concentration of calcium is kept in normal range by three endocrine factors which control metabolism of calcium. These are (a) Parathyroid hormone, (b) Calcitonin, (c) Vitamin D. Calcium in plasma is bound to albumin, is complexed with anions (e.g. phosphate) and as diffusible ionic calcium. The physiological effects are exerted by ionic calcium. The predominant source of calcium is dairy products and the daily intake varies from 200 - 2500 mg. Adequate calcium intake is particularly important during periods of bone growth in childhood and adolescence and during pregnancy and lactation.
Patients with advanced renal insufficiency exhibit phosphate retention and some degree of hyperphosphataemia. The retention of phosphate plays a pivotal role in causing secondary hyperparathyroidism associated with osteodystrophy and soft tissue calcification. Calcium acetate, when taken with meals, combines with dietary phosphate to form insoluble calcium phosphate which is excreted in the faeces.
Deficiency signs and symptoms: Osteoporosis, pathological fractures, brittle nails and hair.
Mechanism of Action of Calcium
Calcium is essential for maintaining the functional integrity of nervous, muscular, and skeletal system. It controls excitability of nerves and muscles and regulates permeability of cell membrane. It also regulates cell adhesion and maintains integrity of cell membrane. Calcium acts as intracellular messenger for hormones, autacoids, and transmitters. It is required for excitation-contraction coupling in all types of muscle and excitation-secretion coupling in exocrine and endocrine glands. It is essential for release of transmitters from nerve endings and other release reactions. It is also essential for impulse generation in heart and determines level of automaticity and
A-V conduction. Calcium is also required for blood-coagulation.
Pharmacokinets of Calcium
Absorption: Actively absorbed from gastrointestinal tract in an ionized form; and vitamin D in it`s active form is required for calcium absorption, Distribution: Distributed mainly in to skeletal tissue (99%) and 1% is distributed equally between the intracellular and extra cellular fluid. CSF levels are about half of the serum calcium levels, Metabolism: Not significantly metabolized in the body, Excretion: Excreted mainly through faeces and a small amount is excreted through urine.
Onset of Action for Calcium
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Duration of Action for Calcium
N/A
Half Life of Calcium
N/A
Side Effects of Calcium
1.Constipation
2.Bloating
3.Excess gas
4.Anorexia
5.Nausea
6.Vomiting
7.Abdominal pain
8.Thirst
9.Hypercalcaemia
10.Polyuria
11.Dry mouth
12.Delirium
13.Confusion
Contra-indications of Calcium
1.Renal calculi
2.Hypophosphataemia
3.Hypercalcaemia
4.Ventricular fibrillation.
Special Precautions while taking Calcium
1.Renal impairment
2.Cardiac diseases
3.Sarcoidosis
4.Cor pulmonale
5.Respiratory acidosis
6.Respiratory failure
7.End stage renal failure
8.Hypoparathyroid patients
9.Digitalized patients
10.Prolonged use of therapeutic amounts.
Pregnancy Related Information
Use with caution
Old Age Related Information
Use with caution
Breast Feeding Related Information
May be used
Children Related Information
Use with caution
Indications for Calcium
1.Hypocalcaemia
2.Calcium and vitamin D deficiency
3.Calcium deficiency during pregnancy and lactation
4.Rickets
5.Prevention of osteoporosis in postmenopausal women
6.Chronic renal failure.
Interactions for Calcium
N/A
Typical Dosage for Calcium
Oral: 500mg to 2g daily in two to four divided doses.
Hypocalcaemia:
Adults: 1g daily. Increases to 2g daily if required.
Prevention of osteoporosis: 1 to 1.5g daily.
Children: 45 to 65mg/kg daily.
Neonates: 50 to 150mg/kg and should not exceed 1g.

Schedule of Calcium
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Storage Requirements for Calcium
Store in a well closed container in a cool and dry place. Protect from light.


Effects of Missed Dosage of Calcium
Take the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.
Effects of Overdose of Calcium
Remove calcium from stomach by induced emesis and gastric lavage. Provide symptomatic treatment and supportive measures.

Alfacalcidol

About Alfacalcidol
Nutritional supplement,Vitamin D derivative, Antihypoparathyroid, Antihypocalcemic.
Mechanism of Action of Alfacalcidol
Alfacalcidol is a prodrug of Vitamin D and is rapidly hydroxylated in the liver in to calcitriol. Vitamin D exerts it`s action by influencing calcium homoeostasis. It increases the intestinal absorption of calcium and phosphate. It binds to the cytoplasmic Vitamin D receptor and translocates to the nucleus and thus increases the synthesis of specific m RNA and regulates protein synthesis. It increases the synthesis of a carrier protein for calcium called "calbindin" or calcium binding protein. Activation of Vitamin D receptor enhances endocytotic capture of calcium and it`s transport across duodenal mucosal cells in a vesicular form. Vitamin D promotes resorption of calcium and phosphate from bone by enhancing recruitment and differentiation of osteoclast precursors in the bone remodeling units. It helps in bone mineralization.
Pharmacokinets of Alfacalcidol
Absorption: Well absorbed orally, Distribution: Widely distributed in a protein bound form. It is stored in adipose tissue and liver. Metabolism: It is hydroxylated in to calcitriol in liver. Excretion: Excreted mainly through bile.

Onset of Action for Alfacalcidol
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Duration of Action for Alfacalcidol
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Half Life of Alfacalcidol
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Side Effects of Alfacalcidol
1.Hypercalcaemia
2.Fatigue
3.Weakness
4.Diarrhoea
5.Vomiting
6.Sluggishness
7.Albuminuria
8.Polyuria
9.Calcification of soft tissues (blood vessels, parenchymal organs including heart)
10.Renal stones
11.Growh retardation in children
12.Hypertension
13.Anorexia
14.Nausea
15.Constipation
16.Hyperphosphataemia.
Contra-indications of Alfacalcidol
1.Hypercalcaemia
2.Hypervitaminosis D
3.Hyperphosphataemia (except when occurring with hypoparathyroidism
4.Hypermagnesaemia.
Special Precautions while taking Alfacalcidol
1 Renal impairment
2.Hypercalciurea
3.Renal stones
4.Coronary diseases.
Pregnancy Related Information
Use with caution
Old Age Related Information
Use with caution
Breast Feeding Related Information
Use with caution
Children Related Information
Use with caution
Indications for Alfacalcidol
1.Rickets and Osteomalacia
2.Hypoparathyroidism with bone disease
3.Renal osteodystrophy
4.Osteoporosis
Interactions for Alfacalcidol
Digitallis preparations: Cardiac arrhythmias precipitated.
Thiazide Diuretics: Hypercalcaemic response enhanced.
Barbiturates & other enzyme inducing anticonvulsants: Reduce efficacy.
Minteral Oil: Prolonged use reduces efficacy.
Cholestyramine, Cholestipol, Sucralfate, Aluminium based Antacids: Reduced efficacy by decreasing absorption of alfacalcidol.
Magnesium based Antacids or Laxatives: Hypermagnesaemia in those on chronic renal dialysis.
Typical Dosage for Alfacalcidol
Oral:
Starts with 1mcg daily. Adjusted based on patients response to 2mcg daily if required.
Children over 20kg: Starts with 1mcg daily. Adjusted based on patient`s response.
Children under 20kg: 0.5mcg daily or 0.05mcg/kg/day
Schedule of Alfacalcidol
C1
Storage Requirements for Alfacalcidol
Store in a well closed container in a cool place. Protect from light and excess heat. Keep out of reach of children.
Effects of Missed Dosage of Alfacalcidol
Take the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.
Effects of Overdose of Alfacalcidol
Provide supportive and symptomatic treatment. Stops the treatment and starting a low calcium diet. Increases the fluid intake and administer Loop diuretics like furosemide may be given with saline I.V. infusion to increase calcium excretion. Calcitonin may decrease hypercalcaemia.

Magnesium

About Magnesium
Magnesium is essential for enzyme activity, calcium and potassium uptake, nerve transmission, bone formation and metabolism of carbohydrates and minerals. It is magnesium, not calcium, which helps form hard tooth enamel, resistant to decay. Like calcium and chloride, magnesium also plays a role in regulating the acid-alkaline balance in the body. High magnesium levels in drinking water have been linked to resistance to heart disease. Although it is found in many foods, including dairy products, nuts, vegetables, fish, meat and seafood, deficiencies are common in America due to soil depletion, poor absorption and lack of minerals in drinking water. A diet high in carbohydrates, oxalic acid in foods like raw spinach and phytic acid found in whole grains can cause deficiencies. An excellent source of usable magnesium is beef, chicken or fish broth. High amounts of zinc and vitamin D increase magnesium requirements. Magnesium deficiency can result in coronary heart disease, chronic weight loss, obesity, fatigue, epilepsy and impaired brain function. Chocolate cravings are a sign of magnesium deficiency.
Mechanism of Action of Magnesium
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Pharmacokinets of Magnesium
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Onset of Action for Magnesium
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Duration of Action for Magnesium
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Half Life of Magnesium
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Side Effects of Magnesium
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Contra-indications of Magnesium
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Special Precautions while taking Magnesium
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Pregnancy Related Information
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Old Age Related Information
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Breast Feeding Related Information
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Children Related Information
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Indications for Magnesium
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Interactions for Magnesium
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Typical Dosage for Magnesium
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Schedule of Magnesium
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Storage Requirements for Magnesium
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Effects of Missed Dosage of Magnesium
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Effects of Overdose of Magnesium
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Manganese

About Manganese
Magnesium is essential for enzyme activity, calcium and potassium uptake, nerve transmission, bone formation and metabolism of carbohydrates and minerals. It is magnesium, not calcium, which helps form hard tooth enamel, resistant to decay. Like calcium and chloride, magnesium also plays a role in regulating the acid-alkaline balance in the body. High magnesium levels in drinking water have been linked to resistance to heart disease. Although it is found in many foods, including dairy products, nuts, vegetables, fish, meat and seafood, deficiencies are common in America due to soil depletion, poor absorption and lack of minerals in drinking water. A diet high in carbohydrates, oxalic acid in foods like raw spinach and phytic acid found in whole grains can cause deficiencies. An excellent source of usable magnesium is beef, chicken or fish broth. High amounts of zinc and vitamin D increase magnesium requirements. Magnesium deficiency can result in coronary heart disease, chronic weight loss, obesity, fatigue, epilepsy and impaired brain function. Chocolate cravings are a sign of magnesium deficiency.
Mechanism of Action of Manganese
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Pharmacokinets of Manganese
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Onset of Action for Manganese
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Duration of Action for Manganese
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Half Life of Manganese
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Side Effects of Manganese
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Contra-indications of Manganese
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Special Precautions while taking Manganese
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Pregnancy Related Information
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Old Age Related Information
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Breast Feeding Related Information
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Children Related Information
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Indications for Manganese
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Interactions for Manganese
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Typical Dosage for Manganese
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Schedule of Manganese
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Storage Requirements for Manganese
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Effects of Missed Dosage of Manganese
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Effects of Overdose of Manganese
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Zinc

About Zinc
Trance metal, Dietary mineral, Nutritional supplement,Treatment of zinc deficiency,in wound healing.
Mechanism of Action of Zinc
Zinc acts as a cofactor for more than 70 different enzymes. Zinc dependent enzymes are involved in the metabolism of carbohydrates, lipids, and proteins. Zinc facilitates wound healing, normal growth rates, normal skin hydration and maintains senses of taste and smell. It provides normal growth and tissue repair. It also helps in development of cell mediated immunity.
Pharmacokinets of Zinc
Absorption: Poorly absorbed orally, Distribution: Zinc is distributed mainly in to skeletal muscle, skin, bone, pancreas, kidney, liver, retina, prostate, RBC, and WBC. Excretion: Excreted mainly through intestine; only 2% loss in the urine.
Onset of Action for Zinc
N/A
Duration of Action for Zinc
N/A
Half Life of Zinc
N/A
Side Effects of Zinc
1. Nausea
2. Vomiting
3. Abdominal distress
4. Gastric ulceration
5. Rashes
Contra-indications of Zinc
N/A
Special Precautions while taking Zinc
1.Don`t exceed prescribed dose
2.Renal failure
3.Biliary obstruction

Pregnancy Related Information
Use with caution
Old Age Related Information
N/A
Breast Feeding Related Information
N/A
Children Related Information
N/A
Indications for Zinc
1. Zinc deficiency
2. Acne vulgaris
3. Chronic skin ulcers
4. Adjunct to antimicrobials
5. Delayed wound healing
6. Alopecia
Interactions for Zinc
Fluoroquinolones, Tetracyclines: Decreased GI absorption and serum levels of some fluoroquinolone.
Pencillamine: Reduced absorption of zinc.
Iron: Reduced absorption of iron and vice versa.

Typical Dosage for Zinc
Adults: 25 to 50mg zinc daily or 1 to 2 tablets daily.
Children: 5mg/kg 1 to 3 times daily.
Schedule of Zinc
N/A
Storage Requirements for Zinc
Store at a temperature below 30 degree C
Effects of Missed Dosage of Zinc
Take the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.
Effects of Overdose of Zinc
Provide symptomatic treatment and supportive measures

Copper

About Copper
Third most abundant essential trace mineral, A cofactor for many proteins, iron utilization enhancer, Copper deficiency.
Mechanism of Action of Copper
Copper is one of a relatively small group of metallic elements which are essential to human health. These elements, along with amino and fatty acids as well as vitamins, are required for normal metabolic processes.
Pharmacokinets of Copper
Absorption:It is orally well absorbed.
Onset of Action for Copper
N/A
Duration of Action for Copper
N/A
Half Life of Copper
N/A
Side Effects of Copper
1.Breathing problems
2.Chest pain
3.Skin hives
4.Rash
5.Swollen skin
6.Upset stomach
Contra-indications of Copper
Hypersensitivity to the drug
Special Precautions while taking Copper
1.Blood pressure
2.Heart or blood vessel disease
Pregnancy Related Information
use with caution
Old Age Related Information
N/A
Breast Feeding Related Information
use with caution
Children Related Information
N/A
Indications for Copper
1. As a supplement for the prevention of cardiovascular disease, anemia, to enhance immunity, and to treat arthritis.
Interactions for Copper
N/A
Typical Dosage for Copper
As directed by the physician
Schedule of Copper
N/A
Storage Requirements for Copper
Store at 15 - 30 degree C. Protect from heat and light. Kept the container tightly closed after use. Keep out of the reach of children
Effects of Missed Dosage of Copper
Take the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.
Effects of Overdose of Copper
Give supportive measures and symptomatic treatment.

Home Delivery for Calcium + Alfacalcidol + Magnesium + Manganese + Zinc + Copper in Your City

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Calcium + Alfacalcidol + Magnesium + Manganese + Zinc + Copper is a generic medicine name and there are several brands available for it. Some of the brands for calcium + alfacalcidol + magnesium + manganese + zinc + copper might be better known than calcium + alfacalcidol + magnesium + manganese + zinc + copper itself. If the pharmacy that's willing to deliver medicines to your home doesn't have calcium + alfacalcidol + magnesium + manganese + zinc + copper in stock, you can ask for one of the branded alternatives for calcium + alfacalcidol + magnesium + manganese + zinc + copper.