Thalassemia Patients and Friends

Discussion Forums => Thalassemia-related Issues => Topic started by: Annie on September 19, 2008, 08:06:41 AM

Title: calcium
Post by: Annie on September 19, 2008, 08:06:41 AM
Hi
i want to know how many calcium tabs. we can take in a day?
i m taking 6 tab per day.
Title: Re: calcium
Post by: Andy Battaglia on September 19, 2008, 03:06:32 PM
Hi Anie,

How much calcium is in each tab that you take? I also want to remind you that it's best to take calcium with magnesium and vitamin D.
Title: Re: calcium
Post by: Annie on September 23, 2008, 06:00:19 AM
hello sir
thanx for replyng.
i'm taking  4 tab of shelcal(500) and
2tab of rocaltrol(.25mcg) per day.
Title: Re: calcium
Post by: nice friend on September 23, 2008, 09:09:12 AM
Hi anie ,
i dont think that it is too much and to reduce it ... please wait for andy's reply .. i m just talking about the each tablet contains of the medicine you're taking ...  soo plz wait for Andy ...  and here is a little about the other one tablet you are asking about ... well i have a history of taking 3 different brands of Vitamins tablets ( chewcal , Dcalc and sandoz i dont remember the exact dose of these daily )  and one zinc syrup ( Pal-Z ) ....

Calcium Carbonate  Shelcal 500 mg Tablets
Quote
http://www.avoidmiddleman.com/amm/healthdetails.asp?ssid=117
SHELCAL -500 (calcium carbonate 1250 mg from organic source (oyster shell ) equiv to elemental calcium 500 mg vit D3 25 iu)


here is the information about your second vitamin pill ...


Quote
http://www.healthcare.com/drugs-r/rocaltrol-0-25-mcg-oral-capsule/

ROCALTROL 0 25 MCG ORAL CAPSULE
Generic Name: calcitriol

Preparations: Calcijex 1 mcg/mL injectable solution, Calcijex 2 mcg/mL injectable solution, Rocaltrol 0.25 mcg oral capsule, Rocaltrol 0.5 mcg oral capsule, Rocaltrol 1 mcg/mL oral liquid
Brands: Calcijex, Rocaltrol.
Prescription: Calcitriol is a synthetic (man-made) form of vitamin D. Vitamin D is important for the absorptionof calcium from the stomach and for the functioning of calcium in the body.Calcitriol is used in the treatment of low levels of calcium in the body of patients on chronicrenal dialysis and patients with hypoparathyroidism. Calcitriol is also used to treat secondaryhyperparathyroidism and resultant metabolic bone disease in patients with kidney failure who are notyet receiving dialysis.Calcitriol may also be used for purposes other than those listed in this medication guide

Quote
http://www.inhousepharmacy.com/general/rocaltrol.html

Product Name :   Rocaltrol
Product Type :   Calcitriol
Packaging and Product :   0.25mcg Capsules in Packets of 100 Capsules
Manufacturer :   Roche

Rocaltrol (Calcitriol)


Rocaltrol is used for the treatment of osteoporosis and as a preventative for people taking oral corticosteroids. It works by improving the absorption of calcium from the intestine and by stimulating growth of healthy bones. Rocaltrol contains Calcitriol which occurs naturally in the body and is a biologically active form of Vitamin D.

Dosage
A typical prescribed dose is for 1 capsule taken daily. However you should only use Rocaltrol as directed by your doctor or medical professional and a precise dose will depend on the nature of your condition.

Swallow the Rocaltrol capsule whole and drink a glass water. This medication can be taken with or without food.

Side Effects
In most people, taking Roclatrol results in no adverse side effects. However, some people may experience one or more of the following:

loss of appetite
nausea
headache
fever
vomit
stomach ache
constipation
weakness or general fatigue
dry mouth
irregular or rapid heart beat
unrinary tract infection

These side effects are likely to lessen with continued use of the medication, or disappear completely if you cease taking medication.

Precautions
Before taking Rocaltrol:

tell your doctor and pharmacist if you are allergic to calcitriol, other forms of vitamin D such as calcifediol (Calderol), dihydrotachysterol (Hytakerol, DHT), doxercalciferol (Hectorol), ergocalciferol (Drisdol, Calciferol), paricalcitol (Zemplar) or any othermedications or vitamins.
tell your doctor and pharmacist what prescription and nonprescription medications. vitamins, nutritional supplements, and herbal products you are taking, especially antacids; calcium supplements; cholestyramine (Questran); colestipol (Colestid); digoxin (Lanoxin); diuretics ('water pills')ketoconazole (Nizoral); lanthanum (Fosrenol); laxatives; oral steroids such as dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), and prednisone (Deltasone); other forms of vitamin D; phenobarbital (Luminal, Solfoton); phenytoin (Dilantin);and sevelamer (Renagel).Also tell your doctor or pharmacist if you are taking ergocalciferol (Drisdol, Calciferol) or have stopped taking it in the past few months. Your doctor may change the doses of your medications or monitor you more carefully for side effects.
you should know that many non-prescription medications are not safe to take with calcitriol. Ask your doctor or medical professional before you take any non-prescription medications while you are taking Rocaltrol.
tell your doctor or medical professional if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking calcitriol, call your doctor . You should not breastfeed while you are taking Rocaltrol

Andy you can delete this post or may tell me if it is out of context ... it was for reference only .. and anie , please wait for andy's reply .....

Take Care
UMAIR
Title: Re: calcium
Post by: Annie on September 23, 2008, 10:38:43 AM
helloo nice friend,
thanks, it is really very usefull information for me..i will talk to my doctor..
r u taking any other medicine?
I'm also taking Carnitor and other heart tabs.
actually I'm facing heart and calcium problem..and taking around 10 to 15 tabs. per day.
anyways thanx for your reply..
Title: Re: calcium
Post by: nice friend on September 23, 2008, 11:51:12 AM
Hi Anie ,
well , don't need to worry about the quantity of the tablets , i m taking tablet in thiis quantity writen below , i hope it will help you to release your worries about the quantity f medicines ...

9 tablets ferriprox    ( Deferiprone )
1 tablet  Zeffix        ( Lamuvidine )
1 tablets Aldectone ( spironolactone)
1 capsule Evion       ( Vit-E )
6 tablets D-calc       ( Calcium + Vit-D ) each tablet contains : elemental calcium ( as lactate pentahydrate U.S.P & calcium phosphate U.S.P ) and vit-D B.P
and
Elemental zinc syrup 2-3  teaspoon twice a day

the calcium deficiancy called Hypocalciumia ...
calcium and minerals deficiancy , its nothing new for thals ... its quite common in thals and can be controle easily with the calcium and minerals supplements .. it  doesn't need any hard efforts ....
about your heart probleme , it could be due to Iron Overload , soo please keep good check on your iron and dont compromise with chelation ... it could be coped in this way ...

Quote
What is Carnitor (Levocarnitine)?Generic: Levocarnitine

What class of treatment is Carnitor (Levocarnitine)?
Category: Alternative Medicines / Nutraceutical Products


What conditions or indications might Carnitor (Levocarnitine) treat?
for answer and complete detail please check this site ...
http://www.revolutionhealth.com/drugs-treatments/carnitor

please wait for andy's reply ... its just for know about the medicine andy will guide you exactly soo plz wait for his reply .... and  also check this link 
http://www.fda.gov/Cder/foi/label/2002/18948S22lbl.pdf    you need to have adobe acrobat reader to view this file ... dont forget to chek this file it has complete trials info of Carnitor ...

Quote
for complete article : http://www.drugdelivery.ca/s33955-s-CARNITOR.aspx
Carnitor Information
Carnitor is a medicine that is also called Levocarnitine. This product is generally used in the treatment but also in the prevention of a lack of carnitine, especially in the case of patients who are suffering from kidney disorders and who are on dialysis. This medical product is generally prescribed to those patients whose organisms are unable to properly use the levels carnitine that ought to be absorbed through their daily meals (even if they are following a strict, special diet). A lack of carnitine is a severe medical condition, as it could lead to some other dangerous disorders that are known to include diseases that affect the patient’s liver, muscles and / or heart.  Carnitine is known to generally come in two forms: D, L-carnitine and Levocarnitine (L-carnitine). Only the L-form of this substance can be employed in the treatment of severe carnitine deficiency, as it is known to the D, L-form is unable to help the patient’s organism use fat. Furthermore, this form of carnitine can even sometimes harmfully interfere in the organism’s metabolic processes, thus leading to a more severe lack of levocarnitine.
Carnitor Indications
Carnitor is a popular medicine that is employed by patients throughout the world in order to treat their carnitine deficiency medical condition. This drug can also be used to prevent this unpleasant disorder. You should ask your personal doctor to give you more detailed information about this medicine and about the benefits that a treatment with this drug is able to grant you.
Carnitor Intake Guidelines
Your doses of Carnitor ought to be taken in either with or immediately after your daily meals. If you are using the liquid form of Carnitor, we recommend you to drink the medicine slowly (in this way, your risk of developing an unwanted stomach upset is lowered). You may use the liquid form of this drug either alone or mixed with other liquids (water, milk, juice and so on). Patients who have a constant amount of carnitine in their blood are less prone to developing this drug’s side effects. If you are using more than a dose of Carnitor per day, we advise you to evenly space your doses of this medicine thorough the day (al least 4 hours apart from each other). You can ask your personal health care provider to help you work out the best treatment schedule.
Carnitor Dosage
It is known that the correct Carnitor dosage will differ from one patient to another. Each patient who starts to follow a treatment with this medicine ought to ask their personal physician to prescribe them a proper dose of this medical product. Do not disobey from your medical provider’s instructions. During your treatment with Carnitor, your personal physician might want to sometimes alter your dose of this drug, depending how your organism responds to the treatment.
Storage indications:
Keep this medical product out of the reach of both pets and / or children.
Store Carnitor away from direct sunlight and / or heat.
Do not keep this medicine in your bathroom, or in any other type damp locations. You must keep in mind that your medicine will probably break down if you keep it near heat or if it gets wet.   
Store Carnitor at the normal room temperature. Avoid refrigerating this medicine.
Carnitor Overdose
If you suspect that you might be suffering from overdose with this medical product (Carnitor), we advise you to contact your personal physician and ask him or her for further instructions.
Carnitor Missed Dose
A missed dose of this medical product (Carnitor) should be skipped. If you forget to take a dose of this drug, throw it away and return to your usual dosing schedule. Double doses of this medicine are forbidden.
Carnitor Side Effects
Ask your physician about the potential side effects that could be triggered by a treatment with Carnitor.
Carnitor Drug Reactions
We have no information about potential drug interactions that involve Carnitor.


please also chek these links listed below :

http://www.drugdigest.org/DD/DVH/Uses/1,3915,11066%7CCarnitor%2BOral%2BSolution%7C2426,00.html

http://www.drugs.com/cdi/carnitor.html

best regards
take care
UMAIR
Title: Re: calcium
Post by: Andy Battaglia on September 24, 2008, 01:19:37 AM
The one thing I would suggest is to also take magnesium with the calcium, in about 50% of the calcium dose. They are needed in balance for the heart, as they each regulate one side of a heartbeat. An imbalance of calcium to magnesium can be a cause of heart palpitations.
Title: Re: calcium
Post by: Annie on September 24, 2008, 06:23:10 AM
hello...friends
how ru today?
thanx for your suggestion..I will consult with my doctor..
hey nice friend it is again very usefull information.thanx and i m not worried about my medicines
i,m very regular in my chelation..
andy i will ask my doc for mg too.thanx again.
with regards..
bye

Title: Re: calcium
Post by: Zaini on September 24, 2008, 02:22:26 PM
Umair,

Try replacing Evion with Tokosvit,as Evion contains synthetic vitamin E while Tokosvit contains natural vitamin E.

Zaini.
Title: Re: calcium
Post by: nice friend on September 25, 2008, 01:20:18 AM
Zaini ,
i think i can replace it on my own bcoze doctor only prescripted me Vit-E suplement and not mentoned Evion ... sooo i think i can Change the brand on my own .. i will try "Tokosvit " very soon .. when i will be able to visit my chemist ... thank you Sis for a good sugesstion and telling me about someting good ...

best regards
take care
umair
Title: Re: calcium
Post by: Zaini on September 25, 2008, 02:09:43 PM
You are welcome Umair.

Zaini.
Title: Re: calcium
Post by: sahil on October 14, 2008, 05:51:22 PM
Hi,

What's the maximum dosage of calcium that a Thal can consume in a day. Cause its said excess calcium can lead to calcium stones. And thals are more prone to it.

I am on Alendronate Tablets. And I'm not consuming any other calcium supplement like shelcal etc.


\peace/
Title: Re: calcium
Post by: Smurfette on October 15, 2008, 06:29:40 AM
Sahil,

You probably can take 2 600mg of calcium tablets a day since your on aledronate...Are you on any other supplements: ie: Vit D, E

I dont know where your from, but you probably be able to get a calcium tablet that has Vit D in it also with Magenesium... They are a good combination to take together, because they bond well...

Its best to take them after food or when going to bed...

I know this cause I work in pharmacy..and have been told by doctors too..

Hope this helps...

Ps: What strength Alendronate are you on? There are different sorts here in australia now... we have the 70mg, the 70mg + calcium and the, 70mg + calcium and Vit D..

Take care
Title: Re: calcium
Post by: sahil on October 15, 2008, 06:47:36 AM
Smurfette,

Thanks for replying!!

I am from India and I am on 70mg of Alendronate. I am very keen on starting with a multivitamin cause I've never been on it. And reading here that majority of thals are taking some or the other vitamins, I feel the need too.

Sharmin mentioned about Centrum Silver, but it has iron in it. Do all the multivitamins have iron in them? And is it okay if we consume those multivitamins?


\peace/
Title: Re: calcium
Post by: Andy Battaglia on October 15, 2008, 07:05:20 AM
Centrum Silver does not have iron in it. See the label at http://www.centrum.com/product_detail.aspx?productid=CENTRUMSLVR&panel=tablets
Title: Re: calcium
Post by: Zaini on October 15, 2008, 09:42:34 AM
Can anyone from Pakistan suggest a brand name which contains calcium,magnesium and vitamin D?
I am unable to find the combination and doctors aren't much help.My daughter is taking Chewcal right now which contain vitamin D and calcium.By the way when we tested her magnesium levels in summer they were normal,is she supposed to take magnesium still?

Zaini.
Title: Re: calcium
Post by: sahil on October 15, 2008, 10:58:55 AM
Centrum Silver does not have iron in it. See the label at http://www.centrum.com/product_detail.aspx?productid=CENTRUMSLVR&panel=tablets

Thanks a lot Andy. I've gone mad searching for a multivitamin. My brains are not working.


\peace/
Title: Re: calcium
Post by: Annie on October 15, 2008, 11:23:33 AM
hi friends,
I Have some white spots on my legs and hand.
is it because of lack of calcium or is there any other reason?
plz tell me
 
Title: Re: calcium
Post by: Smurfette on October 15, 2008, 11:43:59 AM
Anie!!

Those white spots could be from your liver!!! Do you have alot of iron in your liver or do you have Hep C?

they are not because of lack of calcium...


Sahil,

I am not sure about centrum silver its different to the centrum here in australia... We just got a new one and its all Vit B groups...

We have another multivitamin here called SWISSE multi and there is one that doesnt contain any iron or iodine in it...You only take one...

its no use taking a multivitamin with iron..defeats the purpose of chelating..

Hope this helps..
Title: Re: calcium
Post by: sahil on October 15, 2008, 11:55:38 AM
Thanks a lot Smurfette!!

Andy has cleared my doubt about Centrum Silver, that it doesn't contain iron.

in Swisse multivitamins there are 5 of them, in which one doesn't contain iron. Please check once, I'm giving the link below. The very first one is the one you're talking about I guess.

http://www.swisse.com.au/content/products/ultivite_specifics/ingredients_mens.asp#glucose

Thanks again!!


\peace/
Title: Re: calcium
Post by: Smurfette on October 15, 2008, 11:59:40 AM
Sahil,

Yes the mens formula doesnt contain any iron and there is a women's formula too...I should have said that... lol


So any women out there that  have thal maj and want to take multivitiamis..they surely can..

I do and they are good for you..not only are they a multivitamin they have minerals and antioxidants and herbs..

 Thank you..
Title: Re: calcium
Post by: sahil on October 15, 2008, 12:06:53 PM
Smurfette,

I'm pretty much sure, like Centrum Silver, Swisse Men's Ultivite Glucose Balance D is also not marketed in India. And I don't have any info whether an Indian Pharmaceutical Company manufactures multivitamins like these two. So, I'll have to call for the drugs which ever I go for. Could you please find out the cost of Swisse Men's Ultivite Glucose Balance D, as I'm not able to find it. It would be of great help Smurfette.

Thanks!!


\peace/
Title: Re: calcium
Post by: Smurfette on October 15, 2008, 12:10:16 PM
Sahil,

I will try and find out for you..when i go back to work...I work in a pharmacy as a technician...it wont be untill the end of the week...thats when i go back to work on friday...

hope thats ok?
Title: Re: calcium
Post by: Ayesha on October 15, 2008, 12:35:29 PM
white spots?? I get them on my face near lips, just two small spots and my doctor told me it is because of lack of calcium and when i take calcium they go away...!!!!!!!!

my cousin who is normal get them too, and she take calcium tablets for them too!
Title: Re: calcium
Post by: sahil on October 15, 2008, 12:38:09 PM
Smurfette,

Yeah sure, take your time, I'm not hurrying you ;-)

Thanks!!


\peace/
Title: Re: calcium
Post by: Annie on October 16, 2008, 06:41:25 AM
Hi Ayesha,
that's what I was saying.
I also Hear it is beacouse of lack of calcium..
Title: Re: calcium
Post by: nice friend on October 25, 2008, 08:50:34 AM
Hi ,
Quote
I also Hear it is beacouse of lack of calcium

me too hear that it is bcoze of Calciuum deficiency ...
Quote
Can anyone from Pakistan suggest a brand name which contains calcium,magnesium and vitamin D?
@ Zain
i asked abt the supplement like you mentioned, i didn't find , i inquire to Care pharmacy , serveaid pharmacy , and to Fazal din as well but.. noop they all have the routine supplements like  DeCalc , Evion , and Cecon ( vit-C ) .... onething i found and triied is The Vitamin Company's Vitamin-E Supplement .. its my third day on this new brand supplement ..  here is the link about that supplement , they say that it contain's natural vitamin-E ........
http://www.thevitamincompany.net/products.html