Kalcoral-C 

Presentation: Effervescent tablets containing Calcium Lactate Gluconate, Calcium Carbonate, and Vitamin C (Ascorbic Acid). Available in tubes. Manufactured by Popular Pharmaceuticals Ltd. in Bangladesh.

Ingredients: Each effervescent tablet typically contains Calcium Lactate Gluconate 1000 mg, Calcium Carbonate 327 mg (equivalent to elemental Calcium), and Vitamin C 500 mg.

Indications: Indicated for increased demand for Calcium and Vitamin C, such as during pregnancy, lactation, periods of rapid growth (childhood, adolescence), and in old age. Also used during infectious diseases and convalescence, for the treatment of calcium and vitamin C deficiency, osteoporosis, premenstrual syndrome, postmenopausal problems, and as an adjuvant in colds and influenza.

Dosage and Administration:

• Adults & children above 7 years: 1 effervescent tablet daily. 
• Children 3 to 7 years: ½ effervescent tablet daily. 
• Infants: As prescribed by the physician. Dissolve one tablet in a glass of water before consumption.

Side Effects: In rare cases, mild gastrointestinal disturbances like bloating and diarrhea can occur. In predisposed patients, prolonged treatment with high doses may promote the formation of calculi in the urinary tract. Larger doses may lead to gastrointestinal tract upset.

Precautions: Contraindicated in hypercalcemia (e.g., in hyperparathyroidism, vitamin D overdosage, decalcifying tumors, bone metastases), severe hypercalciuria, severe renal failure, patients with hyperoxaluria, glucose-6-phosphate dehydrogenase deficiency, or iron overload. Monitoring of calcium excretion in the urine is required for patients with mild hypercalciuria, mild or moderate impairment of renal function, or a history of urinary stones. High doses of vitamin D and derivatives should be avoided unless specifically indicated. Use with caution in patients with severely impaired renal function, especially those receiving aluminum-containing preparations, due to potential increase in aluminum absorption by citrate salts. The sugar content should be considered by diabetic patients.

Storage: Store in a cool and dry place, protected from heat, light, and moisture. Keep out of reach of children. Keep the tube tightly closed after each use.

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.