Maxical ®
VITAMINS & MINERALS: Calcium and Vitamin D
Indication
Maxical ® (Calcium carbonate) is used in the treatment of deficiency states of calcium and as a dietary supplement when intake may be inadequate. The dietary requirement varies with age and is relatively greater in childhood, pregnancy and lactation due to increased demand.
Contraindication
1. Hypercalcaemia and hyperparathyroidism
2. Hypercalciuria and nephrolithiasis
3. Zollinger-Ellison syndrome
4. Concomitant digoxin therapy
Dosage & Administration
As a dietary calcium supplement, the recommended dose is 1.5 to 3 gm per 24 hours, according to the requirements of the patient. The reference calcium intake is 350 mg (1-3 years), to 550 mg (7-10 years) for children and 800 mg for female and 1000 mg for male in adolescents. The recommended dose of calcium for post-menopausal women is 1000 mg. During pregnancy and lactation the recommended dose is 1200 mg calcium per day.
As a phosphate binder in chronic renal failure patients, doses given range from 2.5 to 9 gm Calcium carbonate per 24 hours, depending on the needs of the patients.
Side Effect
The use of Calcium supplements has rarely given rise to mild gastro-intestinal disturbances, such as constipation, flatulence, nausea, gastric pain, diarrhoea. Hypercalciuria, and in rare cases hypercalcaemia have been seen with long-term treatment at high doses.
Precaution
Hypercalcaemia associated with excess Calcium carbonate therapy in both normal patients and those with renal failure is usually reversible on reduction or cessation of therapy.
Drug Interaction
Drug interactions
Calcium carbonate may enhance the cardiac effect of digoxin and may interfere with the absorption of concomitantly administered tetracycline preparations. Phosphate absorption from the gastrointestinal tract is reduced by Calcium carbonate. For better absorption of each medicine at least 2-3 hours interval should therefore be allowed between administrations of these medicines.
Overdosage
Symptoms of overdose may include nausea and vomiting, severe drowsiness, dry mouth, loss of appetite, metallic taste, stomach cramps, unconsciousness, diarrhea, weakness, headache, constipation, dizziness or irritability.
Presentation
Maxical ® Tablet: Each box contains 10×10 tablets in blister pack.
Storage
Store in a cool dry place, protected from light. Store below 30 ºC. Keep all medicines out of the reach of children.
Use Pregnancy Lactation
Maxical ® can be safely used during pregnancy and lactation, as Calcium requirements are increased in these cases. However, you should only use this medicine after consulting your doctor.
How Supplied
Plastic bottle contains 15 tablets and 30 tablets.
