Kindical

Coral Calcium + Vit.D3

Coral  Calcium + Vit.D3

Presentation
Kindical D Tablet: Each film coated tablet contains Calcium Carbonate (derived
from coral source) USP 1250 mg equivalent to elemental Calcium 500 mg and
Vitamin D3 200 IU as Cholecalciferol USP.
Properties and effects
Kindical-D provides Calcium and Vitamin D3 where Calcium Carbonate is sourced
from Coral orgin. The Calcium Carbonate from Coral has a chemical structure that is
very similar to the composition of human bone. Calcium Carbonate from Coral
Calcium is similar to other sources but ensures better absorption than calcium of
other calcium carbonate origin. Vitamin D3 aids in the absorption of calcium from GI
tract and helps to maintain calcium balance in the body. KindicalTM-D also has
special role on bone growth, osteoporosis and bone related complications.
Indications
Kindical-D is indicated for the treatment & prevention of osteoporosis,
osteomalacia, tetany, hypoparathyroidism, disorders of osteogenesis. Also used as
supplement in case of inadequate intake of Calcium in childhood diet, rickets,
pregnancy and lactation, elderly patients. Other indications include pancreatitis,
phosphate binder in chronic renal failure etc.
Dosage and administration
One tablet once or twice daily with plenty of water or as directed by the physician.
Taking in full stomach ensures better absorption or as directed by the physician.
Contraindications
Hypersensitivity to any of the components, hypocalcaemia resulting from overdose of
Vitamin D3, hyperparathyroidism, bone metastasis, severe renal insufficiency, severe
hypercalciuria, renal calculi etc.
Side effects
Flatulence, diarrhoea, constipation, upper GI discomfort etc. are rare manifestation.
Hyper- calcaemia due to prolong use has rarely been reported.
Precautions
In presence of mild hypercalciuria, careful monitoring with reduction of dose may be
needed. Plasma and serum Calcium level should be monitored in mild to moderate
renal impairment and also in case of long term use. Patients with renal stone or with
such previous history should also take precaution.
Drug Interaction
Oral calcium can reduce the absorption of tetracycline & fluoride preparations and
minimum 3 hours time should be allowed between ingestion of these medications.
Thiazide diuretics reduces the renal excretion of calcium. Phenytoin, barbiturates,
glucocorticoids may induce metabolism of Vitamin D3. Concomitant ingestion of
certain foods like spinach, cereals, milk and its derivatives may reduce the intestinal
uptake of calcium.
In pregnancy and lactation
KindicalTM-D can be given to pregnant and lactating mothers as per
recommendation of physician.
Overdose
At high doses it may result in nausea, vomiting, dizziness, anorexia, abdominal
cramps, headache, constipation, irritability etc. Treatment includes cessation of
therapy and adequate rehydration.
Storage
Protect from light & moisture. Store in cool & dry place. Keep out of reach of the
children.
Commercial Pack
KindicalTM-D Tablet: Each box contains 3X10 tablets in Alu-PVDC blister pack