COM D3 Nano Shot Oral Solution 5ml
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Introduction About COM D3 NANO SHOT ORAL SOLUTION
COM D3 NANO SHOT ORAL SOLUTION contains Cholecalciferol which belongs to the group of medicines called Vitamin D analogs. It is used to manage 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 management, 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 management to understand the existing condition.
COM D3 NANO SHOT ORAL SOLUTION is not recommended for use if you have high blood or urine levels of calcium, kidney stones or serious kidney problems and high levels of Vitamin D.
Before taking COM D3 NANO SHOT ORAL SOLUTION, inform your doctor if you have heart or kidney disease, sarcoidosis (a multisystem chronic inflammatory condition which can affect your lungs, heart, and kidneys) or if you are taking medicines containing vitamin D, increase parathyroid hormone in your blood or rickets (problems in bone).
COM D3 NANO SHOT ORAL SOLUTION should be used with caution in pregnant and breastfeeding women. COM D3 NANO SHOT ORAL SOLUTION is not recommended for use in children and adolescents (below 12 years of age). It should be used with caution in elderly patients.
The most common side effects of taking COM D3 NANO SHOT ORAL SOLUTION are increased calcium level in the blood or urine. Consult your doctor if you experience any unusual effects.
Uses Of COM D3 NANO SHOT ORAL SOLUTION
- To manage or manage vitamin D deficiency (in adults, elderly and children over 12 years of age)
How COM D3 NANO SHOT ORAL SOLUTION Works
COM D3 NANO SHOT ORAL SOLUTION helps the body to absorb calcium and phosphorus by increasing their absorption from the gut and reducing the amount removed by the kidneys and it is a fat-soluble vitamin.
How to use COM D3 NANO SHOT ORAL SOLUTION
Take COM D3 NANO SHOT ORAL SOLUTION as advised by your physician. Shake well before use. You may also mix the dose with a small amount of cold or lukewarm food immediately before use. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.
Side Effects Of COM D3 NANO SHOT ORAL SOLUTION
Uncommon
- increased calcium in the blood (hypercalcaemia) (symptoms include nausea, vomiting, lack of appetite, constipation, stomach ache, bone pain, extreme thirst, increased urination, muscle weakness, drowsiness and confusion)
- increased calcium in the urine (hypercalciuria)
Rare
- skin rash
- itching
- raised itchy rash (hives)
Stop taking COM D3 NANO SHOT ORAL SOLUTION and contact your doctor immediately if you experience any of the following side effects:
- high calcium levels in blood (signs include severe nausea, vomiting, constipation, loss of appetite and irregular heartbeat)
- signs of impaired kidney function (signs include increased urination including night times, excess thirst, increased blood pressure)
- severe allergic reaction (including rash, itching/swelling especially of the face/tongue/throat severe dizziness and trouble breathing)
How To Manage Side Effects
Skin rash Or Itching
Do not scratch the affected area. Wear protective clothing while going outdoors. Regularly moisturize your skin. Consult your doctor if the symptoms worsen.
Warning & Precautions
Pregnancy
Use with CautionCOM D3 NANO SHOT ORAL SOLUTION should be used with caution in pregnant women or women planning to have a baby. Dose will be adjusted by your doctor. Consult your doctor before taking it.
Breastfeeding
Use with CautionCOM D3 NANO SHOT ORAL SOLUTION should be used with caution in breastfeeding women as it passes through the breast milk. Dose will be adjusted by your doctor. Consult your doctor before taking it.
Driving and Using Machines
SafeCOM D3 NANO SHOT ORAL SOLUTION does not affect your ability to drive or use machines. Consult your doctor before taking it.
Kidney
Consult your doctorCOM D3 NANO SHOT ORAL SOLUTION is not recommended for use if you have severe kidney problems or kidney stones. It should be used with caution in patients with kidney disease or damage. Consult your doctor before taking COM D3 NANO SHOT ORAL SOLUTION.
Allergy
ContraindicatedDo not take COM D3 NANO SHOT ORAL SOLUTION if you are allergic to cholecalciferol, nuts or any other ingredients of this medicine.
Heart Disease
Use with CautionCOM D3 NANO SHOT ORAL SOLUTION should be used with caution in patients with heart disease. Consult your doctor before taking COM D3 NANO SHOT ORAL SOLUTION.
Others
COM D3 NANO SHOT ORAL SOLUTION is not recommended for use if you:
- have high levels of calcium in the blood (hypercalcaemia) or urine (hypercalciuria)
- have high levels of vitamin D in the blood (hypervitaminosis D)
Before taking COM D3 NANO SHOT ORAL SOLUTION, inform your doctor if you:
- have sarcoidosis (a multisystem chronic inflammatory condition which can affect the lungs, heart and kidneys)
- are taking medicines containing vitamin D
- increase parathyroid hormone in your blood or rickets (problems in bone)
Use in Paediatrics:
COM D3 NANO SHOT ORAL SOLUTION is not recommended for use in children and adolescents (below 12 years of age). It should be used with caution in adolescents (above 12 years of age). Dose will be adjusted by your child’s doctor. Consult your child’s doctor for advice before administration of COM D3 NANO SHOT ORAL SOLUTION to your child.
Use in Geriatrics:
COM D3 NANO SHOT ORAL SOLUTION should be used with caution in elderly patients. Dose will be adjusted by your doctor. Consult your doctor before taking COM D3 NANO SHOT ORAL SOLUTION.
Interactions
A. Drug-Drug Interactions:
Before taking COM D3 NANO SHOT ORAL SOLUTION, inform your doctor, if you are taking any of the following medicines:
- medicines used to manage epilepsy (Ex. carbamazepine, phenobarbital, phenytoin)
- cardiac glycosides to manage heart condition (Ex. digoxin, digitoxin)
- thiazide diuretics (water tablets) (Ex. bendroflumethiazide) to manage high blood pressure
- medicine used to manage high cholesterol (Ex. cholestyramine)
- laxative containing liquid paraffin to manage constipation
- medicines used to manage fungal infections (Ex. ketoconazole, itraconazole)
- actinomycin (medicine used to manage some forms of cancer)
- glucocorticosteroids (Ex. dexamethasone or prednisolone) used to manage inflammation
Overdosage:
If you or anyone else accidentally takes too much of COM D3 NANO SHOT ORAL SOLUTION, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose include damage of soft tissues and kidney, lack of appetite, thirst, nausea, vomiting, constipation, abdominal pain, muscle weakness, fatigue, mental disturbances, increased urination, bone pain and in severe cases may result in coma and death.
Synopsis
| Drug | : | Cholecalciferol |
| Pharmacological Category | : | Vitamin D analogues |
| Therapeutic Indication | : | Vitamin D deficiency |
| Dosage Forms | : | Tablet, Chewable tablet, Disintegrating tablet, Disintegrating strip, Capsule, Softgel capsule, Injection, Oral solution, Syrup, Suspension, Powder, Sachet, Oral drops, Nano drops, Oral Spray, Granules |
More Information
- Keep the medicine out of reach of children
- Store COM D3 NANO SHOT ORAL SOLUTION at room temperature
FAQs About COM D3 NANO SHOT ORAL SOLUTION
Q: What is COM D3 NANO SHOT ORAL SOLUTION used for?
A: COM D3 NANO SHOT ORAL SOLUTION is used to manage or manage 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).
Q: For how long should I take COM D3 NANO SHOT ORAL SOLUTION?
A: Your doctor might advise you on how long you should continue to take COM D3 NANO SHOT ORAL SOLUTION. You will need to consult your doctor from time to time to review your management and assess your symptoms.
Q: What happens if you take more COM D3 NANO SHOT ORAL SOLUTION than your required dose?
A: If you or anyone else accidentally takes too much of COM D3 NANO SHOT ORAL SOLUTION, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose include lack of appetite, thirst, nausea, vomiting, constipation, abdominal pain, muscle weakness, fatigue, mental disturbances, increased urination, bone pain and in severe cases may result in coma and death.
Q: How does COM D3 NANO SHOT ORAL SOLUTION work?
A: COM D3 NANO SHOT ORAL SOLUTION 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. COM D3 NANO SHOT ORAL SOLUTION is prescribed as a dietary supplement when there is a deficiency of Vitamin D.
Q: Is COM D3 NANO SHOT ORAL SOLUTION safe to use in patients with kidney disease?
A: COM D3 NANO SHOT ORAL SOLUTION is not recommended for use if you have severe kidney problems or kidney stones. It should be used with caution in patients with kidney disease or damage. Consult your doctor before taking COM D3 NANO SHOT ORAL SOLUTION.
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. Thame Laboratories. Electronic Medicine Compendium. [Revised in September 2019] [Accessed on 21st June 2022] https://www.medicines.org.uk/emc/files/pil.8091.pdf
5. Ciplamed. Dsol sachet. (Cholecalciferol drops 400IU) [Revised in May 2016] [ Accessed on 21st June 2022] https://www.ciplamed.com/content/d-sol-granules-chewable-tablets-drops
6. SMB Technology S.A. Health products regulatory authority (HPRA). [Revised in March 2017] [Accessed on 21st June 2022] https://www.hpra.ie/img/uploaded/swedocuments/PIL-2185233-11052017115218-636301003399375000.pdf
Useful Diagnostic Tests
- Vitamin D3 test
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