Ipical M 

Presentation: Film-coated tablets. Available in strips. Manufactured by Ibn Sina Pharmaceuticals Ltd. in Bangladesh.

Ingredients: Each tablet contains Calcium Carbonate BP equivalent to 600 mg elemental Calcium, Vitamin D3 BP (as Cholecalciferol) 200 IU, Magnesium Oxide BP equivalent to 40 mg Magnesium, Manganese Sulfate Monohydrate BP equivalent to 1.8 mg Manganese, Cupric Oxide equivalent to 1 mg Copper, Boron Citrate equivalent to250 mcg Boron, and Zinc Oxide BP equivalent to 7.5 mg Zinc.

Indications: Indicated for the prevention and treatment of osteoporosis. To maintain strong bone growth. For proper functioning of the heart, muscles, and nerves. As a nutritional supplement. For bone development andregeneration. During pregnancy and lactation. In deficiency states of Calcium, Vitamin D3, Magnesium, Zinc, Copper, Manganese, and Boron.

Dosage & Administration: Adults: 1 tablet twice daily, preferably one in the morning and one in the evening, or as directed by a physician. It is best taken with or just after main meals with a full glass of water.

Side Effects: Rarely, mild gastrointestinal disturbances such as constipation, flatulence, nausea, gastric pain, and diarrhea may occur. Following Vitamin D3 administration, occasional skin rash has been reported. Hypercalciuria and, in rare cases, hypercalcemia have been seen with long-term treatment at high doses.  

Precautions: Contraindicated in hypercalcaemia resulting from conditions like myeloma, bone metastases, sarcoidosis, primary hyperparathyroidism, and Vitamin D3 overdosage, and in severe renal failure. Hypersensitivity to any of the ingredients is also a contraindication. Patients with mild to moderate renal failure or mild hypercalciuria should be supervised carefully with periodic checks of plasma calcium levels and urinary calcium excretion. Caution should be taken in patients taking thiazide diuretics and digitalis. Certain foods may reduce calcium absorption. Calcium salts may reduce the absorption of thyroxine, bisphosphonates, sodium fluoride, quinolone or tetracycline antibiotics, or iron;allow a minimum period of four hours before taking calcium.

Storage: Store in a cool and dry place, away from light and heat. Keep out of reach of children.

Important Note: This information is for general knowledge and informational purposes only, and does not substitute professional medical advice. Always consult your doctor or pharmacist for specific instructions and guidance regarding your medication. They can assess your individual medical condition and provide the most appropriate advice.