Calcium is healthy bones and. This statement is familiar even to small children. For normal blood clotting, transmission of nerve impulses, muscle contraction and other important process Human life requires calcium.

Its deficiency is quite successfully compensated by a drug called calcium gluconate, which is available in different form: tablets, baby syrup, as well as in solutions for injections.

Indications for the use of this colorless liquid are quite wide. This may be: loss of calcium after severe dehydration of the body, liver poisoning (toxicosis), some types, nephritis, allergic and dermatological diseases such as psoriasis and atopic dermatitis, urticaria and serum sickness, eczema.

However, despite the apparent simplicity, it is necessary to take calcium gluconate in accordance with the established rules.

Calcium gluconate intramuscularly is also prescribed for various bleeding to reduce vascular permeability hemorrhagic vasculitis or radiation sickness, as an antidote for poisoning with magnesium salts and acids (for example, oxalic).

Calcium gluconate is often prescribed for the development of rickets in children, with not enough in the body of vitamin D, with osteoparosis and arthrosis, with. The drug perfectly strengthens the walls of blood vessels.

tendency to thrombosis, atherosclerosis and increased clotting blood are contraindications to the use of the drug. Among side effects emit nausea, vomiting,.

Sometimes abscesses can form at the injection site. To avoid this, you need to choose the right place for the injection, be sure to treat it with an antiseptic, alternate the buttocks.

How to take calcium gluconate tablets correctly?

Often occur contentious issues about the correct intake of calcium gluconate tablets. This drug is a time-tested tool low price and positive recommendation. Calcium gluconate tablets have a minimum of contraindications.

Self-medication can be harmful to your health.
It is necessary to consult a doctor, and also read the instructions before use.

Calcium gluconate: instructions for use

Composition

One tablet contains: active substance- calcium gluconate - 500 mg, Excipients- potato starch, talc, magnesium stearate, anhydrous colloidal silicon dioxide.

Description

Tablets white color, flat-cylindrical, with risk and chamfer.

Indications for use

Conditions associated with calcium deficiency. As an additional tool in the treatment of osteoporosis, osteomalacia, rickets, after gastrectomy, malabsorption.

Contraindications

Hypercalcemia, hypercoagulation, atherosclerosis, urolithiasis.

Dosage and administration

Assign inside, before eating. The tablet must be crushed or chewed before swallowing. Adults are prescribed 2-6 tablets 2-3 times a day. Children over 6 years old - 3-4 tablets 2-3 times a day. The course of treatment is determined by the doctor and averages from 10 days to 1 month.

Side effect

Rarely soft gastrointestinal disorders: constipation, diarrhea. Possible violations heart rate and bradycardia.

When reactions occur, not described in the leaflet, you should consult a doctor.

Overdose

Intentional overdose is unlikely.

Symptoms : anorexia, lethargy, nausea, vomiting, headache, intense thirst, dizziness, increased levels of urea in the blood. Calcium can be deposited in the kidneys, arterial walls.

Treatment: minimizing calcium intake, canceling drugs that promote hypercalcemia (thiazides, vitamin D), correcting dehydration and electrolyte imbalance, if necessary, prescribing loop diuretics (furosemide). In severe cases, a significant amount of calcium can be removed by peritoneal dialysis. Patients with symptoms of overdose should avoid exposure to direct sun rays. In the treatment of calcium overdose Special attention should be given to patients with impaired renal or hepatic function.

Interaction with other drugs

Thiazide diuretics reduce urinary calcium excretion, which increases the risk of hypercalcemia. Calcium preparations are contraindicated in patients receiving cardiac glycosides. Calcium preparations can reduce the absorption of tetracycline drugs in the gastrointestinal tract, in connection with this, the interval between taking these drugs should be at least 3 hours.

Application features

Calcium supplements should be used with caution in patients with heart disease or sarcoidosis. Careful monitoring of the amount of calcium in the blood is necessary; excretion of calcium in the urine when prescribing high doses drug, especially in children. Treatment should be suspended if the blood calcium level exceeds 2.625 - 2.75 mmol / l or if urinary calcium excretion exceeds 5 mg / kg. High vitamin D intake should be avoided during calcium therapy.

Patients with mild hypercalciuria, decreased glomerular filtration or with a history of nephrolithiasis, the appointment should be carried out with caution and under the control of calcium in the urine. To reduce the risk of developing nephrolithiasis, drinking plenty of fluids is recommended.

Pregnancy and lactation

Pregnant women who take calcium supplements with vitamin D are more likely to develop hypercalcemia. At the recommended doses, taking calcium supplements does not cause any negative consequences for the fetus, it is safe to use when breastfeeding.

Taking an additional source of calcium during pregnancy is possible only after consulting a doctor.

Release form

10 tablets in a blister pack or in a blister pack; 1 or 5 blisters or blisters without cells together with a leaflet in a pack.

Composition and form of release of the drug

Solution for intravenous and intramuscular administration colorless, transparent.

Excipients: water for injection - up to 1 ml.

5 ml - ampoules (5) - blister packs (1) - cardboard packs.
5 ml - ampoules (5) - blister packs (2) - cardboard packs.
5 ml - ampoules (5) - blister packs (3) - cardboard packs.
5 ml - ampoules (5) - blister packs (4) - cardboard packs.
5 ml - ampoules (5) - blister packs (5) - cardboard packs.
10 ml - ampoules (5) - blister packs (1) - cardboard packs.
10 ml - ampoules (5) - blister packs (2) - cardboard packs.
10 ml - ampoules (5) - blister packs (3) - cardboard packs.
10 ml - ampoules (5) - blister packs (4) - cardboard packs.
10 ml - ampoules (5) - blister packs (5) - cardboard packs.

pharmachologic effect

Calcium is a macronutrient involved in the formation bone tissue, the process of blood coagulation, is necessary to maintain stable cardiac activity, the processes of transmission of nerve impulses. Improves muscle contraction in muscular dystrophy, myasthenia gravis, reduces vascular permeability. When administered intravenously, calcium stimulates the sympathetic nervous system and increased adrenal secretion; has a moderate diuretic effect.

Indications

hypocalcemia various genesis, hypoparathyroidism, parenchymal hepatitis, toxic lesions liver, nephritis, eclampsia, hyperkalemic form of paroxysmal myoplegia, inflammatory and exudative processes, skin diseases. How additional remedy during treatment allergic diseases and medicinal. As an additional hemostatic agent for pulmonary, gastrointestinal, nasal, uterine bleeding. As an antidote for poisoning with magnesium salts, oxalic acid and its soluble salts.

Contraindications

Hypercalcemia, severe hypercalciuria, severe, tendency to thrombosis, hypersensitivity to calcium gluconate.

Dosage

For oral administration single dose- 1-3 g, frequency of administration - 2-3 times / day. With intravenous or intramuscular administration of a solution of calcium gluconate, a single dose of the drug should correspond to 2.25-4.5 mmol of calcium. The solution is injected intravenously (slowly) in a single dose of 500 mg, intravenously drip - in a single dose of 0.5-1 g.

Side effects

Maybe: nausea, vomiting, diarrhea, bradycardia; with the / m introduction - necrosis.

drug interaction

Calcium gluconate with simultaneous use reduces the effect. In / in the introduction of calcium gluconate before or after verapamil reduces its hypotensive effect, but does not affect its antiarrhythmic effect. Under the influence of cholestyramine, calcium absorption from the gastrointestinal tract is reduced. With simultaneous use with quinidine, it is possible to slow intraventricular conduction and increase the toxicity of quinidine. During treatment with cardiac glycosides parenteral administration calcium gluconate is not recommended due to increased cardiotoxicity. With simultaneous oral administration calcium gluconate and the effect of the latter may decrease due to a decrease in their absorption.

special instructions

Application in childhood

For impaired renal function

Contraindicated in severe kidney failure.

Use with caution in patients with mild hypercalciuria, with minor violations kidney function or urolithiasis in history; in these cases, the level of calcium excretion in the urine should be regularly monitored. Patients with a tendency to form stones in the urine are advised to increase the amount of fluid consumed.

calcium gluconate tablets medicine related to the pharmacotherapeutic group of regulation of calcium-phosphorus metabolism. Calcium gluconate is used to normalize the balance of tissue metabolism, more precisely, to neutralize the lack of calcium in the body. The drug, which can be freely bought without a prescription, is available as white tablets without a characteristic odor and taste, as well as in the form of a solution for injections intravenously and intramuscularly. One tablet of calcium gluconate includes 0.5 grams of the active ingredient - calcium gluconate monohydrate - and excipients such as starch, talc, calcium stearate monohydrate.

1 milliliter of the solution contains 0.1 grams of the active substance.

Calcium not only plays almost the most leading role in the development of bone tissue, and subsequently ensuring the strength of the entire skeletal system human, but also its use promotes blood clotting, strengthens tooth enamel, affects the conduction of nerve impulses, supports normal functioning heart muscle and takes an active part in the metabolism of the whole organism.

Calcium reduces permeability blood vessels, and when intravenous administration enhances the production of adrenaline and causes a general excitation of the nervous system.

Indications for use

The instruction attached to each package of the drug, which can be bought at every pharmacy, indicates the indications for the use of calcium gluconate, both in tablets and in solution:

Increased body's need for calcium (the period of active development of the body, the period of bearing a child, the period breastfeeding), metabolic disorders of the element during postmenopause, a small presence of calcium in food;
A number of diseases, the symptoms are increased vascular permeability, hypocalcemia, disruption of the progression of nerve signals;
Bleeding of various origins;
Inflammatory processes occurring in the pelvic organs;
Increased leaching of calcium from body cells due to chronic diarrhea, long-term use of diuretics and certain antiepileptic drugs, a long period immobility);
Rickets;
Allergic diseases (urticaria, itching, dermatosis, serum sickness, allergy to certain foods and drugs, angioedema);
Asthma, pulmonary tuberculosis, Chronical bronchitis, lead colic, alimentary edema;
Poisoning with certain acids, magnesium salts;
Dermatosis, accompanied by weeping eczema;
Violations of vitamin D metabolism;
Osteoporosis;
Inflammation of the urinary tract;
Liver diseases, hepatitis, nephritis, paroxysmal myoplegia.

Contraindications

The use of a calcium preparation is not recommended in such cases.
Hypersensitivity to some components of the drug.
Hypercalcemia.
Sarcoidosis.
Tendency to thrombosis.
Parallel intake of cardiac glycosides.

Given the indications, tablets, calcium gluconate solution can be taken with caution in moderate renal failure, diarrhea, heart failure, atherosclerosis. For children different ages application intramuscular injections calcium gluconate doctors advise in special cases.

Side effects

When using calcium gluconate medication, as the instructions indicate, side effects may occur:

When taking the medicine in tablets inside - hypercalcemia, irritation of the stomach;
With the introduction of a solution of the drug inside - vomiting, diarrhea, nausea, bradycardia;
When administered intravenously - feeling internal heat in the whole body, fainting, lowering of pressure, cardiac arrest is possible;
With intramuscular rapid administration, tissue necrosis at the injection site is possible.

Dosage and application rules

Instructions for treatment with calcium gluconate describe the doses and methods of its administration. Calcium gluconate tablets can be taken orally by both adults and children of all ages. Before taking the drug must be crushed.

Adults can drink calcium gluconate tablets from 1 to 3 grams. (maximum 9 grams per day) 2-3 doses per day. Pregnant women and nursing mothers can drink the drug only, following the scheme prescribed by the attending physician.

Doses for children:

children under the age of 1 year can take the drug, previously crushed and dissolved in a small amount of milk or milk formula, not more than 0.5 g;
children who have reached 2-4 years old can drink 1 oz. (maximum - 3);
kids aged 5-6 years - from 1 to 1.5 gr. (dose-maximum 4.5 g per day) depending on the disease;
children from 7 to 9 years old - 1.5-2 gr. (no more than 6 gr. during the day);
adolescents 10–14 years old can drink an average of 2–3 g. (but, like adults, no more than 9 grams per day).

Take the tablets of the drug should be 2-3 times a day before meals or after one and a half hours after it, be sure to drink a glass of milk or boiled water to avoid the possible deposition of salts in the kidneys. With calcium deficiency, take pills better evening. As the instructions indicate, during the course of treatment with calcium gluconate, an adult needs to drink about 2 liters of water per day.

Intravenously and intramuscularly, a solution of calcium gluconate is poured in drip or at a low speed, lasting 2-3 minutes. Before injection, the solution must be warmed to body temperature. Important - so that calcium gluconate does not precipitate, not the slightest trace of ethanol should remain in the syringe. With clearly visible allergic reactions A 10% solution of calcium gluconate is practiced as an "ambulance".

Very important - intravenous injection of calcium gluconate should be carried out exclusively medical worker, because when the medicine gets into neighboring soft tissues possibly provoke their necrosis.

For adults, the injection dose is from 5 to 10 milliliters of a 10% solution, depending on the diagnosis, every day, every other day or every two days.

For children, a 10% solution of calcium gluconate warmed to body temperature is also poured in at a very low speed, depending on their age - from 1 to 5 milliliters of a 10% solution, observing an interval of 2 days.

Often, calcium gluconate is prescribed by a doctor for colds, both for oral administration and in the form of a “hot injection”, since this remedy has the ability to protect blood vessels from deformation, reducing their fragility during inflammation, and reduce overall intoxication of the body.

Drug analogues

In pharmacies, you can buy many drugs similar to the drug calcium gluconate. The most popular tablets of them are Calcium D3 Nycomed, Elevit, Calcium C, Calcinova, Multitabs, Vitrum, Calcium-Sandoz, Vitacalcin. In addition to calcium itself, various components have been added to these analogues, which contribute to a more complete absorption of this microelement, for example vitamin C, as well as anti-inflammatory and antiviral complexes.

But all of these pharmaceuticals the instruction as the main indication determines the lack of calcium in the body, as a result of which there are violations of the formation of the skeletal system and teeth.

Also in the pharmacy you can buy calcium gluconate substitutes such as tablets Calcium gluconate Vial, stabilized, Calcium gluconate with various fruit flavors, Calcium gluconate Darnitsa. You just need to remember that, if there are such indications, you can take these and similar calcium gluconate substitutes only in consultation with your doctor.

Release from the pharmacy and storage conditions

Store calcium gluconate in a dry place out of the reach of children. The temperature at which the medicine can be stored should not rise above 25 degrees. The shelf life of this drug is 5 years. After the date printed on the blister or carton, use is prohibited. Since calcium gluconate is an over-the-counter drug, you can buy it freely.

Calcium gluconate is a drug that affects tissue metabolism. It compensates for the lack of calcium in the body, which is needed for the formation of bone tissue, blood clotting, the activity of the heart muscle of the myocardium, and the transmission of nerve impulses. This drug is prescribed for increased excretion of calcium with a long bed rest, with rickets, diarrhea, secondary hypocalcemia. Dosage depends on body weight, age and indications for use. Children under 1 year old are usually given 1 tablet per day, older children 2-3 tablets. Adolescents are prescribed 5 tablets, and adults from 6 and above. Before use, it is better to crush the tablets into powder and take 1.5 hours before meals with milk or water. Do not use calcium gluconate with iron preparations, tetracycline antibiotics, and heart medications.

calcium gluconate injections

Calcium gluconate can be administered intravenously and intramuscularly. Before administration, warm the ampoule with the solution to body temperature. At intravenous injections the drug should be administered slowly, 1.5 ml per minute. Dosage for an adult - 5-10 ml of a 10% solution every day or every 2-3 days, depending on the patient's condition and the course of the disease. It is better for children to administer the drug only intravenously, since with intramuscular injection necrosis may develop. Dosage for children - 1-5 ml of a 10% solution every 2-3 days. Before filling the syringe, it must not contain alcohol residues.

calcium gluconate during pregnancy

During the waiting period for the baby, the fetus actively takes calcium from the mother, which it needs to build the skeletal and muscle tissue so pregnant women need additional source calcium. In solving this problem, calcium gluconate, which can be used during pregnancy and lactation, will help. But you need to know that in the first trimester it can increase toxicosis, as it causes vomiting, nausea, constipation, diarrhea. Accordingly, it is best to use after 14 weeks of pregnancy. Excess calcium can also carry Negative consequences: the bones of the fetus become inelastic, which complicates the patency of the child along birth canal; excretion of excess calcium from the body puts a strain on the kidneys. With daily intake of calcium, the unborn child “gets” about 300 mg, which is a sufficient amount of a microelement.