INTRODUCTION

CIPCAL D3 60000IU GRANULES contains Cholecalciferol (Vitamin D3) which belongs to the group of medicines called Vitamin D analogue. It is used to prevent and treat Vitamin D deficiency. This may occur when your diet or lifestyle does not provide you with 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 rich in calcium. Your doctor might want to take certain blood tests prior to the treatment to understand the existing condition.

CIPCAL D3 60000IU GRANULES 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 CIPCAL D3 60000IU GRANULES, inform your doctor if you have impaired kidney or liver function, are immobilized due to osteoporosis, sarcoidosis (a multisystem chronic inflammatory condition which can affect your lungs, heart and kidneys) and hyperlipidemia (high lipid levels).

CIPCAL D3 60000IU GRANULES should be used with caution in pregnant or breastfeeding women. 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 CIPCAL D3 60000IU GRANULES

• Prevents or treats vitamin D deficiency

HOW CIPCAL D3 60000IU GRANULES WORKS

CIPCAL D3 60000IU GRANULES 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 CIPCAL D3 60000IU GRANULES as directed by the physician. Pour the contents of the sachet into a glass of water or milk. Stir with a spoon to obtain a pleasant-tasting suspension. Drink immediately. Your doctor will decide the right dose and duration for you depending on your age, body weight and disease condition.

SIDE EFFECTS OF CIPCAL D3 60000IU GRANULES

WARNING & PRECAUTIONS

INTERACTIONS

A. Drug-Drug Interactions:

Before taking CIPCAL D3 60000IU GRANULES, 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 the 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 CIPCAL D3 60000IU GRANULES, 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 CIPCAL D3 60000IU GRANULES at room temperature

FAQs ABOUT CIPCAL D3 60000IU GRANULES

What is CIPCAL D3 60000IU GRANULES is used for?

CIPCAL D3 60000IU GRANULES is used to prevent or treat vitamin D deficiency (which may occur when your diet or lifestyle does not provide you with enough vitamin D or when your body requires more vitamin D during pregnancy).

For how long should I take CIPCAL D3 60000IU GRANULES?

Your doctor might advise you on how long you should continue to take CIPCAL D3 60000IU GRANULES. 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 CIPCAL D3 60000IU GRANULES than your required dose?

If you or anyone else accidentally takes too much of CIPCAL D3 60000IU GRANULES, 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 CIPCAL D3 60000IU GRANULES work?

CIPCAL D3 60000IU GRANULES 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. CIPCAL D3 60000IU GRANULES is prescribed as a dietary supplement when there is a deficiency of Vitamin D. 

Is CIPCAL D3 60000IU GRANULES safe to use in patients with heart problems?

CIPCAL D3 60000IU GRANULES 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 CIPCAL D3 60000IU GRANULES.

REFERENCES

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

2. Jose-Luis Perez-Castrillon, Ricardo Usategui-Martin and Pawel 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 Sachet. (Cholecalciferol 60000). [Revised on May 2016] [ Accessed on 21st June 2022]  https://www.ciplamed.com/content/d-sol-granules-chewable-tablets-drops

USEFUL DIAGNOSTIC TESTS

• Vitamin D3 test
• Kidney function test