Maxical 500 Mg 15 Tablets

MAXICAL 500 MG 15 TABLETS by MANKIND PHARMA LTD.

Name

• Brand Name: Maxical 500 MG Tablet
• Common Name: Calcium and Vitamin D3 Supplement

Composition

• Active Ingredients: Each tablet typically contains Elemental Calcium 500 mg (often as Calcium Carbonate 1250 mg) and Vitamin D3 (Cholecalciferol) 250 IU.

Uses Maxical 500 MG Tablet is a nutritional supplement primarily used for the treatment and prevention of calcium and Vitamin D deficiency. It is prescribed for conditions such as:

• Osteoporosis (weak and brittle bones)
• Hypoparathyroidism
• Rickets and Osteomalacia
• Latent tetany
• Meeting increased calcium demands during pregnancy and lactation.
• It also supports bone formation and maintenance, muscle function, nerve transmission, and blood clotting. Maxical 500 MG may also be used to treat hyperphosphataemia in chronic renal failure.

Dosage and Administration

• Always take Maxical 500 MG Tablet exactly as advised by your doctor.
• It is typically taken orally, preferably after meals, to enhance absorption.
• For general dietary supplementation or prevention of osteoporosis, recommended doses of calcium range from 500-1500 mg daily, tailored to individual needs. Do not exceed the prescribed dosage.

Side Effects Common side effects may include:

• Constipation
• Indigestion or stomach pain
• Diarrhea or gas
• Nausea or vomiting
• Loss of appetite
• In rare cases, especially with high doses or overdose, more serious effects like hypercalcaemia (high calcium levels), kidney stones, bone pain, or irregular heartbeat can occur.

Precautions

• Do not take if allergic to calcium, Vitamin D, or any other components.
• Contraindicated in patients with high blood levels of calcium or Vitamin D, kidney stones, or severe renal insufficiency.
• Use with caution in patients with sarcoidosis, kidney or cardiac disease, or those taking cardiac glycosides (e.g., digoxin), as careful monitoring may be required.
• Maxical 500 MG may interfere with the absorption of certain medications like tetracycline antibiotics, quinolone antibiotics, bisphosphonates, and levothyroxine; separate dosing is recommended.
• Limit alcohol intake as it can affect calcium absorption.

Storage

• Store in a cool, dry place, typically below 25°C or 30°C.
• Keep out of the sight and reach of children and pets.
• Store in the original packaging to protect from moisture.

MAXICAL 500 MG is a nutritional supplement manufactured by Mankind Pharma Ltd. containing Elemental Calcium (500 mg) and Vitamin D3 (Cholecalciferol) (250 IU). It is primarily used to address deficiencies in calcium and Vitamin D, which are vital for overall bone health.

What is MAXICAL 500 MG used for?

MAXICAL 500 MG is primarily used for the treatment and prevention of calcium and vitamin D deficiencies. It is also prescribed for conditions such as osteoporosis (weak and brittle bones), rickets, osteomalacia (softening or deforming of bones), hypoparathyroidism, and to alleviate muscle cramps. Additionally, it can be used as a calcium supplement during pregnancy and lactation, and to maintain calcium levels in certain kidney diseases. For short-term relief, it can help with dyspeptic symptoms as an antacid.

How does MAXICAL 500 MG work?

MAXICAL 500 MG works by providing essential nutrients to the body. The calcium carbonate component is a mineral crucial for building and maintaining strong bones and teeth, and for the normal functioning of nerves, muscles, and cells. Vitamin D3 (cholecalciferol) enhances the absorption of calcium and phosphorus from the intestine, playing a critical role in maintaining proper calcium levels in the body and supporting bone mineralization.

What is the usual dosage for MAXICAL 500 MG?

The dosage of MAXICAL 500 MG can vary depending on the condition being treated and individual needs. As a general dietary supplement, such as for the prevention of osteoporosis, 1250-3750 mg of Maxical (500-1500 mg calcium) daily is often recommended. For antacid use in adults, 540-2000 mg per day may be used. During pregnancy and lactation, the recommended daily dose of calcium is 1200-1500 mg. In cases of chronic renal failure, doses can range from 2.5-9.0 gm per day and should be adjusted by a doctor and taken with meals. Generally, it is advised to take one tablet daily after meals or as directed by a healthcare professional.

What are the possible side effects of MAXICAL 500 MG?

While generally well-tolerated, some individuals may experience mild gastrointestinal discomfort, including constipation, indigestion, stomach pain, diarrhea, gas, or nausea. Less common side effects can include itching, rash, or hives. In cases of overdose, more serious effects such as loss of appetite, vomiting, kidney stones, bone pain, excessive thirst, increased calcium levels in blood or urine, muscle weakness, and irregular heartbeat may occur.

Is MAXICAL 500 MG safe during pregnancy or breastfeeding?

Yes, MAXICAL 500 MG is generally considered safe during pregnancy and breastfeeding, as it helps meet the increased calcium and vitamin D demands during these periods, supporting both maternal and fetal bone health. However, it is crucial for pregnant or breastfeeding women to consult their healthcare provider before starting any supplement. During pregnancy, the daily dose should not exceed 1500 mg of calcium and 600 IU of vitamin D to avoid potential risks associated with prolonged hypercalcaemia.

Can MAXICAL 500 MG be taken with other medications?

MAXICAL 500 MG can interact with certain medications. It may enhance the cardiac effects of digoxin and other cardiac glycosides if systemic hypercalcaemia occurs. It can interfere with the absorption of tetracycline and quinolone antibiotics, bisphosphonates (e.g., alendronate), estramustine, and levothyroxine; therefore, these medications should be taken as far apart as possible from MAXICAL doses. Concurrent use with systemic corticosteroids may reduce calcium absorption, and thiazide diuretics may decrease calcium excretion. It is not recommended to take thyroid medicine and MAXICAL together. Always inform your doctor about all medications and supplements you are taking.

What precautions should be taken when using MAXICAL 500 MG?

MAXICAL 500 MG is not recommended for individuals with high levels of calcium or vitamin D in their blood, high calcium in urine (hypercalciuria), kidney stones, or certain conditions like Zollinger-Ellison syndrome, hyperparathyroidism, or sarcoidosis. Use with caution in patients with renal or cardiac disease, and in elderly patients with renal failure due to a higher risk of constipation. Avoid exceeding the recommended dosage to prevent overdose. Patients with a history of stone formation should increase their fluid intake. Limit alcohol intake as it can affect calcium absorption.

What happens if a dose of MAXICAL 500 MG is missed?

If a dose of MAXICAL 500 MG is missed, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you frequently forget doses, it is advisable to contact your healthcare provider.

How should MAXICAL 500 MG be stored?

MAXICAL 500 MG should be stored in a cool, dry place at a controlled room temperature, ideally below 30°C or 25°C. It should be protected from direct sunlight and moisture, and kept out of the sight and reach of children and pets. Do not refrigerate the medicine.