Hi -Cal
Syrup
A Palatable and readily absorbable high· calcium supplement.
Composition:
Each 5 ml contains 1.2 g Calcium glubionate equivalentto 78 mg elemental calcium.
Properties:
Calcium is an essential mineral necessary for the maintenance of electroly1e equilibrium and for the proper function of many regulatory mechanisms in the body. Hi-Cal syrup contains calcium glubionate in a suitable amount. Calcium glubionate is a readily
absorbable calcium salt which allows an adequate calcium supply.
Hi-Cal syrup is used for prevention and therapy of calcium deficiency states and disturbed bone metabolism, in children and adults.
Indications:
1- Prophylaxis: As a dietary supplement when calcium intake is inadequate, especially in periods of increased demand for calcium, such as during:
– Childhood.
-Adolescence.
– Pregnancy.
– Lactation.
-Old age.
– Pre and postmenopausal females.
2- Treatment of calcium deficiency states which may occur in diseases such as:
– Osleoporosis of various aetiology e.g. postmenopausal, senile and corticosteriod-induced.
– Rickets and osteomalacia.
– Latent tetany and related neuromuscular disorders resulting from hypocalcaemia.
– Hypoparathyroidism.
3- Supportive treatment: In allergic conditions.
Contraindications:
– Hypersensitivity to any ofthe components of Hi-Gal Syrup.
-Patients with renal calculi, severe renal failure, galactosaemia orwith lactase deficiency.
-Hypercalcaemia
-Severe hypercalc1nuria.
Adverse effects :
Hi-Cal (calcium glubionate) syrup is exceptionally well tolerated.
However mild GIT symptoms such as anorexia, nausea, vomiting, constipation, abdominal pain dryness of mouth, thirst or polyurea may rarely occur.
Precautions:
Calcium should be given cautiously to patients with impaired renal function or di,esses associated with elevated circulating vitamin D concentration; plasma calcium concentration should be monitored
closely in those patients
Interactions:
-Calcium enhances the effect of digitalis glycoside on the heart and may precipitate digitalis toxicity.
-Calcium salts reduce the absorption of a number of other drugs such as fluoride preparations, fluoroquinolones ortetracyclines, so administration should be separated by at least 3 hours.
-Thiazide diuretics may increase the renal reabsorption of calcium, thereby increase its level in blood.
Dosage andAdministration:
N.B. Hi-Cal syrup should be administered just before meals to enhance absorption
-Children: .
– Upto 3 years: 1 -2 teaspoonfuls (5-10 ml) 1 – 3 times daily.
– More than 3 years: 1 tablespoonful (15 ml) 1 – 3 times daily.
-Adults: 1 tablespoonful (15ml) 1-3timesdaily.
– Pregnant and lactating: 2 tablespoonfuls (30 ml) 1 – 3 times daily.
• Postmenopausal females: 2 tablespoonfuls (30 ml) 1 – 3 times daily.
-Elderly: 2 tablespoonfuls (30 ml) 1 – 3 times daily.
• Treatment dose is individualized by prescriber based on severity of deficiency.
How supplied:
100 ml Bottles.
Storage conditions:
-Store at a temperature not exceeding 30·C
-Avoid freezing
Manufactured by:
Medical Union Pharmaceuticals,
Abu·Sultan, Ismailia, Egypt.
