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Pronunciation |
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(KAL
see um LAK
tate) |
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Generic
Available |
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Yes |
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Pharmacological Index |
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Calcium Salt |
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Use |
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Adjunct in prevention of postmenopausal osteoporosis; treatment and
prevention of calcium depletion |
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Pregnancy Risk
Factor |
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C |
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Adverse
Reactions |
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<1%:
Endocrine & metabolic: Hypercalcemia, hypophosphatemia, hypomagnesemia,
milk-alkali syndrome
Gastrointestinal: Constipation, nausea, dry mouth, vomiting
Renal: Hypercalciuria |
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Drug
Interactions |
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Decreased effect:
Calcium may antagonize the effects of calcium channel blockers
May decrease the bioavailability of tetracyclines
Renders tetracycline antibiotics inactive
Increased toxicity: Administer cautiously to a digitalized patient, may
precipitate arrhythmias |
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Mechanism of
Action |
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Moderates nerve and muscle performance via action potential excitation
threshold regulation |
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Pharmacodynamics/Kinetics |
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Absorption: From the GI tract requires vitamin D |
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Usual Dosage |
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Oral (in terms of calcium lactate)
<6 months: 360 mg/day
6-12 months: 540 mg/day
1-10 years: 800 mg/day
10-18 years: 1200 mg/day
Adults: 800 mg/day
Children: 500 mg/kg/day divided every 6-8 hours
Maximum daily dose: 9 g
Adults: 1.5-3 g divided every 8 hours |
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Dietary
Considerations |
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Do not administer with bran, foods high in oxalates, or whole grain cereals
which may decrease calcium absorption |
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Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
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No information available to require special precautions |
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Dental Health:
Effects on Dental Treatment |
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No effects or complications reported |
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Patient
Information |
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Do not take calcium supplements within 1-2 hours of taking other medicine by
mouth or eating large amounts of fiber-rich foods; do not drink large amounts of
alcohol or caffeine-containing beverages; take with plenty of fluid, with or
following meals |
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Nursing
Implications |
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Monitor serum calcium |
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Dosage Forms |
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Elemental calcium listed in brackets
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