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Composition:
  Each 5 ml. contains 1.2 gm. calcium glubionate, a mixture of calcium lactobionate and calcium gluconate, equivalent to 87 mg. elemental calcium.
 
Properties:
Calcium is an essential element for maintaining the electrolyte equilibrium and for the proper function of many regulatory mechanisms, e.g. Heart contraction, nerve impulse propagation, hormone release, ... etc.
Hi-Cal syrup contains a high amount of calcium glubionate, which is a readily absorbable calcium salt, in a palatable syrup, assuring adequate and convenient calcium supply.
Hi-Cal syrup is used for the treatment and prophylaxis of acute and chronic calcium deficiency states and disturbed bone metabolism, in children and adults.
Indications:
1. Treatment of calcium deficiency states such as:
Osteoporosis e.g. senile, postmenopausal and corticosteroid induced.
Rickets and osteomalacia.
Latent tetany.
Hypoparathyroidism and pseudohypoparathyroidism.

Chronic renal failure.

   
2. Prophylaxis, as a dietary supplement whenever dietary calcium intake is inadequate, especially in states of increased calcium demand as in:
Childhood.
Adolescence.
Pregnancy and Lactation.
Perimenopausal females.
Elderly.
Long use of antiepileptic or corticosteroid therapy.
   
3. Supportive treatment in allergic conditions.
Contraindications:
Acute renal failure.
Severe hypercalcinuria and renal calculi.
Hypercalcaemia and Hypervitaminosis – D.
Hypersensitivity to any of the components of Hi-Cal syrup.
Precautions:
  Calcium should be given cautiously to patients with impaired renal function or diseases associated with elevated vitamin D concentration, plasma calcium concentration should be monitored closely in those patients.
Adverse Reactions:
  Hi-Cal syrup - being readily absorbable - is exceptionally well tolerated. Mild GIT symptoms such as, constipation, anorexia, dryness of mouth, thirst, vomiting or abdominal pains may rarely occur with oral calcium preparations. However these side effects are less common with Hi-cal syrup than with other less absorbable forms of oral calcium salts.
Interactions:
Calcium enhances the effect of digitalis glycosides on the heart and may precipitate digitalis toxicity.
Calcium reduces the absorption of a number of drugs e.g. fluorides, fluoroquinolones or tetracyclines: so administration should be separated by at least 3 hours.
Thiazide diuretics increase the renal reabsorption of calcium, thereby may lead to hypercalcaemia.
Dosage and Administration:
Hi-Cal syrup is better to be taken just before meals to enhance absorption.
Children:
  Up to 3 years: 1 to 3 teaspoonful daily.
More than 3 years: 1 to 2 tablespoonful daily
 
Adults:
  1 to 2 tablespoonful daily.
 
Postmenopausal females:
  2 to 3 tablespoonful daily.
 
Elderly:
  1 to 2 tablespoonful daily.
Treatment dose is individualized by prescriber based on severity of deficiency
How Supplied:
  Bottles of 100 ml.
Storage conditions:
Store at a temprerature not exceeding 30°C.
Avoid freezing.
 
 
 
 
 
 
 
 
 
 
 
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