Calcium Gluconicum Espefa – indications, dosage, contraindications, side effects

Calcium Gluconicum Espefa is used to prevent calcium deficiency. The preparation works as an auxiliary in parallel with anti-inflammatory, anti-swelling and anti-exudative drugs. The active substance of the drug is calcium, which can affect the absorption of many drugs. Pregnant and breastfeeding women should consult a doctor before taking the drug. The preparation is in the form of tablets for oral administration and is issued without a prescription.

Calcium Gluconicum Espefa (Spefa)

ACTION

Mineral ingredient

Calcium Gluconicum Espefa – indications and dosage

Calcium Gluconicum Espefa is a recommended drug:

1. to prevent calcium deficiency,
2. as an alternative, in parallel with anti-inflammatory, anti-edema and anti-exudative drugs.

Drug dosage

Calcium Gluconicum Espefa is in the form of tablets to be taken by mouth. It is recommended to take the drug with a meal.

1. Adults. 3 tabl. 3-4 × / d.
2. Youth and children after 4 years of age 1-2 tablets 3 × / d.

Calcium Gluconicum Espefa and contraindications

Contraindications to the use of Calcium Gluconicum Espefa are:

1. hypersensitivity to any component of the preparation,
2. hypercalcemia,
3. hiperkalciuria,
4. severe renal failure.

Calcium Gluconicum Espefa – warnings

1. The calcium in the drug can affect the absorption of many drugs; in the case of using other drugs, it is recommended to check (e.g. in patient information leaflets) whether their parallel use with calcium preparations is allowed.
2. Patients with a tendency to build up mineral deposits in the urinary tract are advised to drink more fluids.
3. In patients with impaired intestinal absorption, the effect of the preparation may be reduced or completely inhibited.
4. Calcium Gluconicum Espefaz should not be given with foods containing oxalic acid (e.g. spinach, rhubarb) or phytic acid (e.g. bran, whole wheat bread).
5. Ask your doctor for advice before taking this medicine during pregnancy or while breastfeeding.

Calcium Gluconicum Espefa and other substances

1. It is recommended that you inform your doctor about all medicines you have recently taken.
2. Chronic corticosteroids, excess lipids, alkaline food, phytates (contained in cereal products), oxalates (oxalic acid is contained, for example, in spinach and rhubarb), phosphates (contained in milk and milk products), cause a lower absorption of calcium salts from the gastrointestinal tract.
3. Vitamin D3, parathyroid hormone, citric acid and an acidic food increase the absorption of calcium.
4. Orally administered calcium compounds reduce the absorption of tetracyclines, fluorine compounds, atenolol, iron salts, sulfasalazine, fluoroquinolones, fosfomycin; an interval of about 3 hours is required between the administration of these drugs and calcium compounds.
5. Taking a preparation with thiazide diuretics (eg hydrochlorothiazide) entails the risk of hypercalcaemia; regular monitoring of blood calcium levels is recommended.
6. Calcium Gluconicum Espefa may reduce the effect of verapamil and other calcium channel blockers and increase the toxic effects of digoxin and other cardiac glycosides and lead to arrhythmias.
7. Taking calcium lowers the level of phosphate in the blood.

Calcium Gluconicum Espefa – side effects

During the use of Calcium Gluconicum Espefa, the following may occur:

1. gastrointestinal disorders (constipation, flatulence, nausea, abdominal pain, diarrhea),
2. a metallic taste in the mouth
3. lack of appetite
4. increased thirst,
5. increased urine output,
6. bone pain.