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INTRODUCTION
SHELCAL ISO CAPSULE is a combination of Calcitriol, Calcium Carbonate and Soya Isoflavones which belongs to a group of medicines known as Vitamin D analogues, Calcium supplement and Phytoestrogens respectively. It is indicated for the dietary management of the metabolic processes of bone defects like osteopenia and osteoporosis.
Osteopenia is a loss of bone mineral density (BMD) that weakens bones. Osteoporosis is a bone disease that develops when bone mineral density and bone mass decreases, or when the structure and strength of bone changes. This can lead to a decrease in bone strength that can increase the risk of fractures (broken bones).
SHELCAL ISO CAPSULE is not recommended for use in patients with kidney stones and it should be used with caution in patients having signs of impaired kidney function. Consult your doctor for advice. SHELCAL ISO CAPSULE should be used with caution during pregnancy or if you think you may be pregnant and in breastfeeding woman. Discuss the risks and benefits with your doctor. The common side effects are headache, stomach pain, nausea (feel sick), rash and signs of urinary tract infection (bladder pain, foul smell, cloudy urine, frequent urination). Consult your doctor if the symptoms does not improve.
USES OF SHELCAL ISO CAPSULE
- It is indicated for the dietary management of the metabolic processes of bone defects like osteopenia and osteoporosis
HOW SHELCAL ISO CAPSULE WORKS
SHELCAL ISO CAPSULE effectively improves the bone strength where Calcitriol increases the calcium levels by acting on the cells of gastrointestinal tract to increase the uptake of calcium. Calcium carbonate is a nutritional supplement which directly increases the calcium stores in the body. Soya isoflavones stimulates the multiplication of bone forming cells called osteoblast thereby increases the bone density.
DIRECTIONS FOR USE
Take this SHELCAL ISO CAPSULE as instructed by your doctor. Swallow as a whole and do not crush or chew. Your doctor will give the right dose depends on your age, body weight and disease condition.
SIDE EFFECTS OF SHELCAL ISO CAPSULE
COMMON
- headache
- stomach pain
- nausea
- rash
- bladder pain, foul smell, cloudy urine, frequent urination (signs of urinary tract infection)
- increased thirst, confusion, weakness (signs of hypercalcaemia)
UNCOMMON
- decreased appetite
- vomiting
RARE
- constipation
- diarrhea
- flatulence
- heartburn
HOW TO MANAGE SIDE EFFECTS
Diarrhea
Drink lots of fluids, such as water or fruit juice to keep yourself hydrated. Do not consume any medicine on your own without consulting your doctor.
Headache
Apply hot or cold-water bag on your head. Try to take rest in a quiet and dark room. Drink tea or coffee. Massage on scalp or head with mild pressure. Consult your doctor for advice.
Nausea And Vomiting
Take this medicine with, or just after meals. Stick to simple meals. Try to avoid oily rich or spicy foods, sugary snacks, and drinks. Try to drink liquid slowly along with your meals, or in between meals. Consult your doctor if your symptom is not improving.
Skin Rash Or Itching
Avoid hot showers because hot water can irritate the skin. Do not rub or scratch the affected area. Use sunscreen and protective clothing when outdoors. Regularly use moisturizers to soothe and hydrate the affected area. If it does not get better, consult your doctor.
Stomach Pain
Try to rest and relax. Try to have smaller and frequent meals. Keep a heat pad on your stomach. Consult your doctor for advice.
WARNING & PRECAUTIONS
PREGNANCY
Use with CautionSHELCAL ISO CAPSULE should be used with caution during pregnancy or if you think you may be pregnant. Consult your doctor before taking the medicine.
BREASTFEEDING
Use with CautionSHELCAL ISO CAPSULE should be used with caution in breastfeeding woman. Consult your doctor before taking the medicine.
DRIVING AND USING MACHINES
SafeNo effects on the ability to drive or use machines have been seen with SHELCAL ISO CAPSULE. Consult your doctor before taking the medicine.
ALCOHOL
Consult your doctorAvoid consumption of alcohol while taking SHELCAL ISO CAPSULE. Consult your doctor before taking the medicine.
KIDNEY
Consult your doctorSHELCAL ISO CAPSULE is not recommended for use in patients with kidney stones. SHELCAL ISO CAPSULE should be used with caution in patients having signs of impaired kidney function. Consult your doctor for advice.
ALLERGY
ContraindicatedDo not take if you are allergic Calcium carbonate, Calcitriol, Soy isoflavones or any other ingredients of this medicine.
OTHERS
SHELCAL ISO CAPSULE is not recommended for use if you:
- have hypercalcaemia or hypercalciuria
- have extra deposits of calcium in body (metastatic calcification)
- have high amount of vitamin D
Before taking SHELCAL ISO CAPSULE, inform your doctor if you:
- have osteoporosis (brittle bones)
- have cancer
INTERACTIONS
A. Drug-Drug Interactions:
- medicines containing vitamin d like ergocalciferol and cholecalciferol
- furosemide, bumetanide, mannitol (medicine used to reduce pressure and swelling)
- digoxin or digitoxin (medicines used to treat heart disease)
- ciprofloxacin, lomefloxacin, norfloxacin, sparfloxacin tetracycline (medicine used to treat bacterial infections)
- levothyroxine (used to treat thyroid deficiency)
- bisphosphonates (medicine used to treat bone problems)
- antacids (used to treat indigestion)
- hydrocortisone, prednisolone, dexamethasone
- cholestyramine (medicine used to treat high levels of cholesterol in your blood)
B. Drug-Food interaction:
Do not eat any food that contain vitamin D while taking SHELCAL ISO CAPSULE. Consult your doctor for advice.
Overdosage:
If you or anyone else accidentally uses too much of SHELCAL ISO CAPSULE, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose are excessive thirst, nausea, vomiting, constipation, abdominal pain, muscle weakness, tiredness, mental disturbances, lack appetite, bone pain, frequent urination, kidney problems.
SYNOPSIS
| Drug | : | Calcitriol, Calcium Carbonate, Soya Isoflavones |
| Pharmacological Category | : | Vitamin D analogues, Calcium supplement, Phytoestrogens |
| Therapeutic Indication | : | Dietary management of osteopenia and osteoporosis |
| Dosage Forms | : | Capsule |
MORE INFORMATION
- Keep SHELCAL ISO CAPSULE out of reach of children
- Store at a temperature below 25°C
FAQs ABOUT SHELCAL ISO CAPSULE
Q: What is SHELCAL ISO CAPSULE used for?
A: SHELCAL ISO CAPSULE is a combination of Calcitriol, Calcium Carbonate and Soya Isoflavones which belongs to a group of medicines known as Vitamin D analogues, Calcium supplement and Phytoestrogens respectively. It is indicated for the dietary management of the metabolic processes of bone defects like osteopenia and osteoporosis.
Q: How SHELCAL ISO CAPSULE works?
A: SHELCAL ISO CAPSULE effectively improves the bone strength where Calcitriol increases the calcium levels by acting on the cells of gastrointestinal tract to increase the uptake of calcium. Calcium carbonate is a nutritional supplement which directly increases the calcium stores in the body. Soya isoflavones stimulates the multiplication of bone forming cells called osteoblast thereby increases the bone density.
Q: Is SHELCAL ISO CAPSULE safe in pregnant and breastfeeding women?
A: SHELCAL ISO CAPSULE should be used with caution during pregnancy or if you think you may be pregnant and in breastfeeding woman. Discuss the risks and benefits with your doctor.
Q: Does SHELCAL ISO CAPSULE causes skin rash?
A: Yes, it may cause skin rash in some individuals. Try to avoid hot showers because it may cause skin irritation. Avoid frequent contact and rubbing over the affected area. Use sunscreen and protective clothing when outdoors. If this symptom does not get better, consult your doctor.
Q: Do I need to follow any diet while taking SHELCAL ISO CAPSULE?
A: Do not eat any food that contain vitamin D while taking SHELCAL ISO CAPSULE. Drink plenty of fluids (such as water) as it is important not to become dehydrated. Follow the diet as advised by your doctor.
REFERENCES
1. KD. Tripathi. Hormones And Drugs Affecting Calcium Balance. Essentials of medical pharmacology. Eighth edition. 2019. Page –361.
2. Andrea Olmos-Ortiz, Euclides Avila, Marta Durand-Carbajal, and Lorenza Díaz*. Regulation of Calcitriol Biosynthesis and Activity: Focus on Gestational Vitamin D Deficiency and Adverse Pregnancy Outcomes. NIH National Library of Medicine, National centre for biotechnology information. PubMed Central. January 2015. [Accessed 18th July 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4303849/
3. Kristina Fritz; Katherine Taylor; Mayur Parmar. Calcium Carbonate. NIH National Library of Medicine, National centre for biotechnology information. StatPearls. May 2022. [Accessed 18th July 2022] https://www.ncbi.nlm.nih.gov/books/NBK562303/
4. Torrent Pharmaceuticals Ltd. [Revised in April 2021] [Accessed 18th July 2022] https://www.torrentian.com/pisheet/Upload/PI_Sheet/3024.pdf
USEFUL DIAGNOSTIC TESTS
- Total calcium test
- Complete blood count
AUTHOR DETAILS
Written By Dr. Janet.C, Pharm.D
Last updated on 14 Mar 2023 | 11:19 AM(IST)
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