Reef-D Vita 

Presentation: Film-coated tablets containing Calcium Carbonate (from coral source) and Vitamin D3 (Cholecalciferol). Available in strengths of 500 mg elemental Calcium with 200 IU Vitamin D3, and 600 mg elemental Calcium with 400 IU Vitamin D3. Available in strips. Manufactured by Healthcare Pharmaceuticals Ltd. in Bangladesh.

Ingredients: Calcium Carbonate USP (coral source) equivalent to elemental Calcium (either 500 mg or 600 mg) and Cholecalciferol (Vitamin D3) USP (either 200 IU or 400 IU).

Indications: Indicated for the treatment and prevention of osteoporosis, rickets, osteomalacia, tetany, and hypoparathyroidism. Also used as a supplement in case of inadequate intake of Calcium in childhood diet, pregnancy and lactation, and in elderly patients. Other indications include pancreatitis and as a phosphate binder in chronic renal failure.

Dosage & Administration: One tablet once or twice daily with plenty of water or as directed by a physician. Taking it with a full stomach ensures better absorption.

Side Effects: Infrequent side effects may include flatulence, diarrhea, constipation, and upper gastrointestinal discomfort. Hypercalcemia due to prolonged use has rarely been reported.

Precautions: Contraindicated in patients with hypersensitivity to any of the components, hypercalcemia resulting from hyperparathyroidism or Vitamin D3 overdose, bone metastases, severe renal insufficiency, severe hypercalciuria, and renal calculi. Caution is advised in patients with mild hypercalciuria, mild to moderate renal impairment, and a history of renal stones. Monitor plasma and serum calcium levels in long-term use and in patients with renal impairment. May interact with tetracycline and fluoride preparations (allow 3 hours between doses), thiazide diuretics, phenytoin, barbiturates, and glucocorticoids. Certain foods like spinach, cereals, and milk products may reduce calcium uptake.

Storage: Store in a cool and dry place, below 30°C, protected from light. 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.