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One chewable tablet contains 1500 mg of calcium carbonate (corresponds to 600 mg of calcium) and 400 IU of cholecalciferol (vitamin D3). Excipients are α-tocopherol acetate, hydrated soybean oil, gelatin, sucrose, corn starch.Form of issue
Chewable tablets are packaged in vials of 12 or 60 tablets. and sealed in cardboard packs.pharmachologic effect
Regulator of calcium-phosphorus metabolism.
Calcium Natecal D3 makes it possible to make up for the deficiency of the microelement in the body - calcium in combination with vitamin D3. In addition, the development of parathyroid hormone is inhibited and resorption is reduced, which contributes to an increase in bone density.
Vitamin D3 and a microelement of calcium are absorbed in the human body in a thin (predominantly duodenal) intestine.
complex treatment of various varieties of osteoporosis and its complications, including menopause, steroid, senile, idiopathic osteoporosis    a deficiency in the body of calcium, vitamin D3, including elderly patients    It is also used to prevent osteoporosis and bone fractures.
hypersensitivity to components    intolerance to sucrose    urolithiasis disease    hypercalcemia or hypercalciuria    taking supra-doses of vitamin D3    sarcoidosis    metastasis of tumors in the bones    osteoporosis as a result of prolonged immobilization    taking other vitamin-mineral complexes or other sources, including calcium and / or vitamin D3    impaired renal function.With caution take
with renal insufficiency    with the diagnosis: benign granulomatosis.
dyspeptic manifestations: constipation, flatulence, diarrhea, nausea, abdominal pain    elevated calcium in blood or urine tests (possibly with prolonged admission).Natecal D3, instructions for use (Method and dosage)Tablets should be chewed or rasasyvat.Prevention
Take one or two tablets during breakfast and / or dinner.Treatment of osteoporosis
To determine the dosage and regimen of the drug should consult your doctor.
Reaction from the side of the bodyDevelopment of polyuria, a decrease in appetite, a feeling of thirst, nausea, weakness, vomiting and constipation, dizziness, headache, fainting and even coma are possible. As a result of prolonged therapy, calcification of blood vessels and various body tissues can be observed.Measures taken to treatRehydration, the appointment of loop" diuretics, GCS, calcitonin, bisphosphonates, hemodialysis, it is recommended to follow a diet with a reduced amount of calcium.
Weakening effects of the drug is observed when interacting with phenytoin and barbiturates, while potentiation with cardiac glycosides.    In connection with the increase in absorption of tetracyclines, the interval between taking drugs with Natecal D3 should be at least 3 hours.    With Bisphosphonate fluoride, their suction intensity decreases and, therefore, an interval of at least 2 hours is necessary.    With corticosteroids, calcium absorption decreases, with furosemide and other loop diuretics, the rate of excretion of calcium through the kidneys increases.    With cholestyramine and laxatives based on mineral or vegetable oil, the level of absorption of vitamin D3 is reduced.    In the acidic environment of food products, calcium absorption increases, while in weakly alkaline medium - decreases.Terms of sale
Allowed for sale without a prescription.Storage conditions
Temperature regime up to +30 ° Celsius.Keep the drug out of reach of minors.Shelf life - 2 years.
Use in patients with functional disorders of the kidneys, as well as phenylketonuria (since it contains aspartame) should be carefully:    with prolonged use, it is necessary to monitor the level of calcium in the blood and urine (the critical threshold to 7.5 milimoles per day requires a reduction in dose or temporary discontinuation of treatment).    Simultaneous use with diuretics from thiazides leads to an increased risk of hypercalcemia.Natecal D3 during pregnancy and lactation
Natecal D3 during pregnancy can be taken without exceeding the daily dose: 1.5 g of calcium and 600 IU of D3.
Most reviews of the drug are positive. On the forums you can find such comments:    Excellent vitamins, balanced for better absorption of calcium. The effect of application is always explicit.    Calcium is very necessary for me, bad teeth, fragile bones partly because of that I have diabetes and drink a lot of liquids. These vitamins really helped me, it became immediately apparent by the color of the teeth and the strength of the nails."
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