INTRODUCTION

3D FORTE 60K CHEW TABLET contains Cholecalciferol (Vitamin D3) which belongs to the group of medicines called Vitamin D analogs. It is used to prevent and treat Vitamin D deficiency. This may occur when your diet or lifestyle does not provide you enough vitamin D or when your body requires more vitamin D during pregnancy. 

Along with this treatment, your doctor might advise you to eat and drink foods that are rich in calcium. Your doctor might want to take certain blood tests prior to the treatment to understand the existing condition.  

3D FORTE 60K CHEW TABLET is not recommended for use if you have high levels of calcium in the blood, malabsorption syndrome, hypervitaminosis D, renal osteodystrophy (kidney disease weakening the bones) with hyperphosphataemia.

Before taking 3D FORTE 60K CHEW TABLET, inform your doctor if you have impaired kidney or liver function, immobilized due to osteoporosis, sarcoidosis (a multisystem chronic inflammatory condition which can affect your lungs, heart and kidneys) and hyperlipidemia (high lipid levels).

3D FORTE 60K CHEW TABLET should be used with caution in women who are pregnant or breastfeeding. It should be used with caution in children and elderly patients. Consult your doctor immediately if you experience any unusual effects during treatment with this medicine.

USES OF 3D FORTE 60K CHEW TABLET

• Prevents or treats vitamin D deficiency

HOW 3D FORTE 60K CHEW TABLET WORKS

3D FORTE 60K CHEW TABLET helps the body to absorb calcium and phosphorus by increasing their absorption from the gut and reducing the amount removed by the kidneys and is a fat-soluble vitamin.  

DIRECTIONS FOR USE

Take 3D FORTE 60K CHEW TABLET as advised by your physician. Chew the medicine completely before swallowing. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.

SIDE EFFECTS OF 3D FORTE 60K CHEW TABLET

WARNING & PRECAUTIONS

PREGNANCY

3D FORTE 60K CHEW TABLET should be used with caution in pregnant women or women planning to have a baby as safety and effectiveness has not been established yet. Overdosage of this medicine can harm the fetus. Consult your doctor before taking it.

BREASTFEEDING

3D FORTE 60K CHEW TABLET should be used with caution in breastfeeding women as small amounts of it pass into the breast milk. Your doctor will monitor the levels of calcium in your blood and the breastfed baby. Consult your doctor before taking it.

KIDNEY

3D FORTE 60K CHEW TABLET is not recommended for use in patients with severe kidney disease or renal osteodystrophy (kidney disease weakening the bones) with hyperphosphatemia. It should be used with caution in patients with kidney impairment. Consult your doctor before taking 3D FORTE 60K CHEW TABLET.

LIVER

3D FORTE 60K CHEW TABLET should be used with caution in patients with liver disease. Consult your doctor before taking 3D FORTE 60K CHEW TABLET.

ALLERGY

Do not take 3D FORTE 60K CHEW TABLET if you are allergic to Cholecalciferol or any other ingredients of this medicine.

HEART DISEASE

3D FORTE 60K CHEW TABLET should be used with caution in patients with cardiac function impairment or arteriosclerosis (buildup of fats, cholesterol and other substances in and on the artery walls). Consult your doctor before taking 3D FORTE 60K CHEW TABLET.  

INTERACTIONS

A. Drug-Drug Interactions:

Before taking 3D FORTE 60K CHEW TABLET, inform your doctor, if you are taking any of the following medicines:

• medicines used to treat epilepsy (Ex phenobarbital, phenytoin, primidone)
• other vitamin D containing medicines including multi-vitamins
• medicines used to control the rate of your heartbeat (Ex. digoxin, digitoxin)
• thiazide diuretics (water tablets) Ex. Bendroflumethiazide (used to treat fluid retention)
• calcium supplements
• antacids for indigestion (Ex. magnesium hydroxide)
• medicine used to treat fungal infections (Ex. ketoconazole)
• corticosteroids Ex. hydrocortisone or prednisolone (used to treat inflammatory condition)
• laxatives such as paraffin oil (used to treat constipation)
• cholestyramine used to treat high cholesterol
• phosphate binding agents Ex. sevelamer (used to control high levels of phosphorous in the blood)

Overdosage:

If you or anyone else accidentally takes too much of 3D FORTE 60K CHEW TABLET, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose include hypervitaminosis, hypercalciuria and hypercalcaemia (signs include loss of appetite, thirst, nausea, vomiting, constipation, abdominal pain, muscle weakness, fatigue, mental disturbances, excess thirst or urination, bone pain, nephrocalcinosis, renal calculi and in severe cases it may cause cardiac arrhythmias).

SYNOPSIS

MORE INFORMATION

• Keep the medicine out of reach of children
• Store 3D FORTE 60K CHEW TABLET at room temperature

FAQs ABOUT 3D FORTE 60K CHEW TABLET

What is 3D FORTE 60K CHEW TABLET used for?

3D FORTE 60K CHEW TABLET is used to prevent or treat vitamin D deficiency (which may occur when your diet or lifestyle does not provide you enough vitamin D or when your body requires more vitamin D during pregnancy).

For how long should I take 3D FORTE 60K CHEW TABLET?

Your doctor might advise you on how long you should continue to take 3D FORTE 60K CHEW TABLET. You will need to consult your doctor from time to time to review your treatment and assess your symptoms.

What happens if you take more 3D FORTE 60K CHEW TABLET than your required dose?

If you or anyone else accidentally takes too much of 3D FORTE 60K CHEW TABLET, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose include hypervitaminosis, hypercalciuria and hypercalcaemia (signs include loss of appetite, thirst, nausea, vomiting, constipation, abdominal pain, muscle weakness, fatigue, mental disturbances, excess thirst or urination, bone pain, nephrocalcinosis, renal calculi and in severe cases it may cause cardiac arrhythmias. 

How does 3D FORTE 60K CHEW TABLET work?

3D FORTE 60K CHEW TABLET helps the body to absorb calcium and phosphorus and is a fat-soluble vitamin. It is produced naturally by your skin after exposure to the sun and is also found in some foods. 3D FORTE 60K CHEW TABLET is prescribed as a dietary supplement when there is a deficiency of Vitamin D. 

Is 3D FORTE 60K CHEW TABLET safe to use in patients with heart problems?

3D FORTE 60K CHEW TABLET should be used with caution in patients with cardiac function impairment or arteriosclerosis (buildup of fats, cholesterol and other substances in and on the artery walls). Consult your doctor before taking 3D FORTE 60K CHEW TABLET. 

REFERENCES

1. KD. Tripathi. Section 11, Vitamins. Essentials of medical pharmacology. Seventh edition. 2013. Page – 909.

2. Jose-Luis Perez-Castrillon, Ricardo Usategui-MartinandPawel Pludowski Treatment of Vitamin D Deficiency with Calcifediol: Efficacy and Safety Profile and Predictability of Efficacy. May 2022. [Accessed on 21st June 2022] https://www.mdpi.com/2072-6643/14/9/1943/html

3. J Christopher Gallagher, Daniel D Bikle. Vitamin D: Mechanisms of Action and Clinical Applications. National library of Medicine, National center for Biotechnology information. Pubmed.gov 2017. [Accessed on 21st June 2022] Vitamin D: Mechanisms of Action and Clinical Applications - PubMed (nih.gov)

4. Ciplamed. D sol chewable tablets. (Cholecalciferol 60000). [Revised in May 2016] [ Accessed on 21st June 2022]  https://www.ciplamed.com/content/d-sol-granules-chewable-tablets-drops

5. Leeford Healthcare Limited. Calcijoint D3 (Cholecalciferol chewable tablet) [ Accessed on 21st June 2022] https://www.leeford.in/product/570/calcijoint-d3-chewable-tablets

USEFUL DIAGNOSTIC TESTS

• Vitamin D3 test
• Kidney function test

AUTHOR DETAILS

Written By Dr. R. Dinesh John Rajkumar, Pharm.D
Last updated on 18 Oct 2022 | 05:44 PM(IST)