Компливит Кальций Д3 форте - современный стандарт лекарственного препарата кальция, содержит двойную дозу витамина Д*, для крепких костей и зубов, силы мышц и профилактики переломов . * По сравнению с Компливит Кальций Д3
Компливит Кальций Д3 форте для легкости движений без переломов и падений!
Фармакотерапевтическая группа
Кальциево-фосфорного обмена регулятор
Фармакологические свойства
Комбинированное лекарственное средство, регулирующий обмен кальция и фосфора в организме (костях, зубах, ногтях, волосах, мышцах). Снижает резорбцию (рассасывание) и увеличивает плотность костной ткани, восполняя недостаток кальция и витамина D3 в организме, усиливает всасывание кальция в кишечнике и реабсорбцию фосфатов в почках, способствует минерализации костной ткани и ткани зубов.
Кальций участвует в формировании костной ткани, в поддержании стабильной сердечной деятельности, в регуляции нервной проводимости, мышечных сокращений, выработки гормонов и является компонентом системы свертывания крови. Адекватное потребление кальция особенно важно в период роста, беременности и грудного вскармливания.
Витамин D3 (колекальциферол) увеличивает всасывание кальция в кишечнике, способствует формированию и минерализации костной ткани и ткани зубов.
Применение кальция и витамина D3 препятствует увеличению выработки ПТГ, который является стимулятором повышенной костной резорбции (вымывания кальция из костей).
Показания к применению
Профилактика и комплексная терапия остеопороза (менопаузный, сенильный, «стероидный», идиопатический) и его осложнений (переломы костей).
Восполнение дефицита кальция и/или витамина D3.
Противопоказания
Повышенная чувствительность к компонентам препарата (в т.ч. непереносимость лактозы, дефицит лактазы, глюкозогалактозная мальабсорбция), гиперкальциемия, гиперкальциурия, кальциевый нефроуролитиаз, гипервитаминоз D, декальцинирующие опухоли (миелома, костные метастазы, саркоидоз), остеопороз, обусловленный иммобилизацией, фенилкетонурия (содержит аспартам), туберкулез легких (активная форма), хроническая почечная недостаточность, детский возраст до 3-х лет.
С осторожностью
Беременность, период лактации
Применение при беременности и в период грудного вскармливания
Суточная доза не должна превышать 1500 мг кальция и 600 ME витамина D3. Гиперкальциемия, развивающаяся на фоне передозировки, в период беременности может вызвать дефекты умственного и физического развития ребенка. Витамин D и его метаболиты могут проникать в грудное молоко, поэтому необходимо учитывать поступление кальция и витамина D из других источников у матери и ребенка.
Способ применения и дозы
Внутрь, разжевывают или глотают целиком, преимущественно во время еды.
Взрослым: для лечения остеопороза – по 1 таблетке 2-3 раза в день, для профилактики остеопороза – по 1 таблетке 2 раза в день.
Для восполнения дефицита кальция и/или витамина D3:
•- Взрослым и детям старше 12 лет – по 1 таблетке 1-2 раза в сутки.
•- Детям от 3-х до 12 лет – по 1 таблетке в день или по назначению врача.
Побочное действие
Аллергические реакции. Диспепсические расстройства со стороны желудочно-кишечного тракта (запоры, метеоризм, тошнота, боль в желудке, диарея). Гиперкальциемия и гиперкальциурия (повышенное содержание кальция в крови и моче).
Передозировка
В случае обнаружения признаков передозировки обратитесь к врачу.
Симптомы: жажда, полиурия, снижение аппетита, тошнота, рвота, запоры, головокружение, слабость, головная боль, обморочные состояния, кома; при длительном применении: кальциноз сосудов и тканей.
Лечение: введение в организм большого количества жидкости, применение «петлевых» диуретиков (например, фуросемида), глюкокортикостероидов, кальцитонина, бисфосфонатов.
В случае развития клинических симптомов передозировки следует определить концентрацию кальция и креатинина в крови. В случае повышенной концентрации кальция или креатинина в сыворотке крови следует снизить дозу препарата или временно прекратить лечение.
Взаимодействие с другими лекарственными средствами
Активность витамина D3 может снижаться при его одновременном применении с фенитоином или барбитуратами.
При одновременном лечении сердечными гликозидами необходим контроль ЭКГ и клинического состояния, так как препараты кальция могут потенцировать терапевтические и токсические эффекты сердечных гликозидов.
Препараты кальция и витамина D3 могут увеличивать всасывание тетрациклинов из желудочно-кишечного тракта. Поэтому интервал времени между приемами препаратов должен быть не менее трех часов.
Для предотвращения снижения всасывания препаратов бисфосфонатов или фторида натрия, рекомендуется принимать Компливит® Кальций Д3 Форте не ранее, чем через два часа после их приема.
Глюкокортикостероиды уменьшают всасываемость кальция, поэтому лечение глюкокор-тикостероидами может потребовать увеличения дозы препарата Компливит® Кальций Д3 Форте.
Одновременное лечение препаратами колестирамина или слабительными средствами на основе минерального или растительного масла может снижать всасывание витамина D3.
При одновременном применении диуретиков тиазидного ряда увеличивается риск возникновения гиперкальциемии, так как они увеличивают канальцевую реабсорбцию кальция. Фуросемид и другие «петлевые» диуретики, наоборот, увеличивают выведение кальция почками.
Особые указания
Во избежание передозировки необходимо учитывать дополнительное поступление витамина D3 из других источников.
Компливит Кальций Д3 Форте содержит аспартам, который в организме трансформируется в фенилаланин, поэтому препарат не должны принимать больные, страдающие фенилкетонурией.
В период лечения необходимо постоянно контролировать выведение кальция с мочой и концентрацию кальция и креатинина в плазме крови (в случае появления кальциурии, превышающей 7,5 ммоль/сут (300 мг/сут), необходимо уменьшить дозу или прекратить прием).
У пожилых людей потребность в кальции составляет 1500 мг/сут, в витамине D3 – 0,5-1 тыс. МЕ/сут.
Форма выпуска
Таблетки жевательные (апельсиновые, мятные).
По 30, 60, 90, 100 или 120 таблеток в банки полимерные.
Банки укупоривают крышками навинчиваемыми.
На банку, содержащую 30 таблеток, наклеивают самоклеящуюся этикетку.
На банку, содержащую 60, 90, 100 или 120 таблеток, наклеивают самоклеящуюся этикетку или многостраничную самоклеящуюся этикетку.
Каждую банку обтягивают колпачком защитным термоусадочным из пленки.
Каждую банку вместе с инструкцией по применению помещают в пачку из картона или банку, содержащую 60, 90, 100 или 120 таблеток с многостраничной этикеткой помещают в транспортную тару.
Условия хранения
При температуре не выше 25 0С.
Хранить в недоступном для детей месте.
Срок годности
3 года.
Не использовать по истечении срока годности, указанного на упаковке.
Условия отпуска
Без рецепта
Производитель
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номер","slug":"","body":[{"type":"paragraph","data":{"text":"ЛСР-008769/09"}}]},{"id":2,"name":"Торговое название препарата","slug":"","body":[{"type":"paragraph","data":{"text":"Компливит Кальций Д3 Форте"}}]},{"id":3,"name":"Лекарственная форма","slug":"","body":[{"type":"paragraph","data":{"text":"Таблетки жевательные"}}]},{"id":4,"name":"Состав","slug":"ingredients","body":[{"type":"paragraph","data":{"text":"\n\nДействующие вещества:"}},{"type":"paragraph","data":{"text":"Кальций - 500 мг (в виде кальция карбоната) - 1,25 г"}},{"type":"paragraph","data":{"text":"Колекальциферол (витамин Д3) - 0,01 мг (400 МЕ) (в пересчете на 100 % колекальциферол)"}},{"type":"paragraph","data":{"text":"(в виде гранулята, содержащего колекальциферол - 0,27 %, D,L-альфа-токоферол - 0,0275 %, триглицериды среднецепочечные - 10,7 %, сахарозу - 36 %, камедь акации - 22 %, ку-курузный крахмал - 27 %, кальция фосфат (Е 341) - 0,5 %, воду до 100 %)."}},{"type":"paragraph","data":{"text":"Вспомогательные вещества: лактозы моногидрат - 333,118 мг/333,118 мг, повидон (поливинилпирролидон среднемолекулярный, повидон К-30) - 68,24 мг/68,24 мг, полисорбат-80 - 0 мг/1,731 мг, крахмал картофельный - 18,969 мг/18,969 мг, кроскармеллоза натрия - 45,713 мг/50,282 мг, лимонной кислоты моногидрат - 3,325 мг/3,325 мг, аспартам (Е 951) - 5,95 мг/5,95 мг, магния стеарат - 15,75 мг/15,75 мг, ароматизатор апельсиновый - 8,925 мг или мяты перечной листьев масло - 2,625 мг.\n\n"}}]},{"id":5,"name":"Описание","slug":"common_description","body":[{"type":"paragraph","data":{"text":"Компливит Кальций Д3 форте - современный стандарт лекарственного препарата кальция, содержит двойную дозу витамина Д*, для крепких костей и зубов, силы мышц и профилактики переломов . * По сравнению с Компливит Кальций Д3"}},{"type":"paragraph","data":{"text":"Компливит Кальций Д3 форте для легкости движений без переломов и падений!\n\n"}}]},{"id":6,"name":"Фармакотерапевтическая группа","slug":"","body":[{"type":"paragraph","data":{"text":"Кальциево-фосфорного обмена регулятор"}}]},{"id":7,"name":"Фармакологические свойства","slug":"pharmacologic_effects","body":[{"type":"paragraph","data":{"text":"Комбинированное лекарственное средство, регулирующий обмен кальция и фосфора в организме (костях, зубах, ногтях, волосах, мышцах). Снижает резорбцию (рассасывание) и увеличивает плотность костной ткани, восполняя недостаток кальция и витамина D\u003csub\u003e3\u003c/sub\u003e в организме, усиливает всасывание кальция в кишечнике и реабсорбцию фосфатов в почках, способствует минерализации костной ткани и ткани зубов."}},{"type":"paragraph","data":{"text":"\u003ci\u003eКальций \u003c/i\u003eучаствует в формировании костной ткани, в поддержании стабильной сердечной деятельности, в регуляции нервной проводимости, мышечных сокращений, выработки гормонов и является компонентом системы свертывания крови. Адекватное потребление кальция особенно важно в период роста, беременности и грудного вскармливания."}},{"type":"paragraph","data":{"text":"\u003ci\u003eВитамин D\u003csub\u003e3\u003c/sub\u003e (колекальциферол) \u003c/i\u003eувеличивает всасывание кальция в кишечнике, способствует формированию и минерализации костной ткани и ткани зубов."}},{"type":"paragraph","data":{"text":"Применение кальция и витамина D\u003csub\u003e3\u003c/sub\u003e препятствует увеличению выработки ПТГ, который является стимулятором повышенной костной резорбции (вымывания кальция из костей)."}}]},{"id":8,"name":"Показания к применению","slug":"indications","body":[{"type":"paragraph","data":{"text":"\n\nПрофилактика и комплексная терапия остеопороза (менопаузный, сенильный, «стероидный», идиопатический) и его осложнений (переломы костей)."}},{"type":"paragraph","data":{"text":"Восполнение дефицита кальция и/или витамина D3.\n\n"}}]},{"id":9,"name":"Противопоказания","slug":"contraindications","body":[{"type":"paragraph","data":{"text":"Повышенная чувствительность к компонентам препарата (в т.ч. непереносимость лактозы, дефицит лактазы, глюкозогалактозная мальабсорбция), гиперкальциемия, гиперкальциурия, кальциевый нефроуролитиаз, гипервитаминоз D, декальцинирующие опухоли (миелома, костные метастазы, саркоидоз), остеопороз, обусловленный иммобилизацией, фенилкетонурия (содержит аспартам), туберкулез легких (активная форма), хроническая почечная недостаточность, детский возраст до 3-х лет."}}]},{"id":10,"name":"С осторожностью","slug":"cautions","body":[{"type":"paragraph","data":{"text":"Беременность, период лактации"}}]},{"id":11,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","body":[{"type":"paragraph","data":{"text":"Суточная доза не должна превышать 1500 мг кальция и 600 ME витамина D3. Гиперкальциемия, развивающаяся на фоне передозировки, в период беременности может вызвать дефекты умственного и физического развития ребенка. Витамин D и его метаболиты могут проникать в грудное молоко, поэтому необходимо учитывать поступление кальция и витамина D из других источников у матери и ребенка."}}]},{"id":12,"name":"Способ применения и дозы","slug":"dosage","body":[{"type":"paragraph","data":{"text":"\n\nВнутрь, разжевывают или глотают целиком, преимущественно во время еды."}},{"type":"paragraph","data":{"text":"Взрослым: для лечения остеопороза – по 1 таблетке 2-3 раза в день, для профилактики остеопороза – по 1 таблетке 2 раза в день."}},{"type":"paragraph","data":{"text":"Для восполнения дефицита кальция и/или витамина D3:"}},{"type":"paragraph","data":{"text":"•- Взрослым и детям старше 12 лет – по 1 таблетке 1-2 раза в сутки."}},{"type":"paragraph","data":{"text":"•- Детям от 3-х до 12 лет – по 1 таблетке в день или по назначению врача.\n\n"}}]},{"id":13,"name":"Побочное действие","slug":"side_effects","body":[{"type":"paragraph","data":{"text":"Аллергические реакции. Диспепсические расстройства со стороны желудочно-кишечного тракта (запоры, метеоризм, тошнота, боль в желудке, диарея). Гиперкальциемия и гиперкальциурия (повышенное содержание кальция в крови и моче)."}}]},{"id":14,"name":"Передозировка","slug":"overdose","body":[{"type":"paragraph","data":{"text":"\n\nВ случае обнаружения признаков передозировки обратитесь к врачу."}},{"type":"paragraph","data":{"text":"Симптомы: жажда, полиурия, снижение аппетита, тошнота, рвота, запоры, головокружение, слабость, головная боль, обморочные состояния, кома; при длительном применении: кальциноз сосудов и тканей."}},{"type":"paragraph","data":{"text":"Лечение: введение в организм большого количества жидкости, применение «петлевых» диуретиков (например, фуросемида), глюкокортикостероидов, кальцитонина, бисфосфонатов."}},{"type":"paragraph","data":{"text":"В случае развития клинических симптомов передозировки следует определить концентрацию кальция и креатинина в крови. В случае повышенной концентрации кальция или креатинина в сыворотке крови следует снизить дозу препарата или временно прекратить лечение.\n\n"}}]},{"id":15,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","body":[{"type":"paragraph","data":{"text":"\n\nАктивность витамина D3 может снижаться при его одновременном применении с фенитоином или барбитуратами."}},{"type":"paragraph","data":{"text":"При одновременном лечении сердечными гликозидами необходим контроль ЭКГ и клинического состояния, так как препараты кальция могут потенцировать терапевтические и токсические эффекты сердечных гликозидов."}},{"type":"paragraph","data":{"text":"Препараты кальция и витамина D3 могут увеличивать всасывание тетрациклинов из желудочно-кишечного тракта. Поэтому интервал времени между приемами препаратов должен быть не менее трех часов."}},{"type":"paragraph","data":{"text":"Для предотвращения снижения всасывания препаратов бисфосфонатов или фторида натрия, рекомендуется принимать Компливит® Кальций Д3 Форте не ранее, чем через два часа после их приема."}},{"type":"paragraph","data":{"text":"Глюкокортикостероиды уменьшают всасываемость кальция, поэтому лечение глюкокор-тикостероидами может потребовать увеличения дозы препарата Компливит® Кальций Д3 Форте."}},{"type":"paragraph","data":{"text":"Одновременное лечение препаратами колестирамина или слабительными средствами на основе минерального или растительного масла может снижать всасывание витамина D3."}},{"type":"paragraph","data":{"text":"При одновременном применении диуретиков тиазидного ряда увеличивается риск возникновения гиперкальциемии, так как они увеличивают канальцевую реабсорбцию кальция. Фуросемид и другие «петлевые» диуретики, наоборот, увеличивают выведение кальция почками.\n\n"}}]},{"id":16,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"\n\nВо избежание передозировки необходимо учитывать дополнительное поступление витамина D3 из других источников."}},{"type":"paragraph","data":{"text":"Компливит Кальций Д3 Форте содержит аспартам, который в организме трансформируется в фенилаланин, поэтому препарат не должны принимать больные, страдающие фенилкетонурией."}},{"type":"paragraph","data":{"text":"В период лечения необходимо постоянно контролировать выведение кальция с мочой и концентрацию кальция и креатинина в плазме крови (в случае появления кальциурии, превышающей 7,5 ммоль/сут (300 мг/сут), необходимо уменьшить дозу или прекратить прием)."}},{"type":"paragraph","data":{"text":"У пожилых людей потребность в кальции составляет 1500 мг/сут, в витамине D3 – 0,5-1 тыс. МЕ/сут.\n\n"}}]},{"id":18,"name":"Форма выпуска","slug":"","body":[{"type":"paragraph","data":{"text":"\n\nТаблетки жевательные (апельсиновые, мятные)."}},{"type":"paragraph","data":{"text":"По 30, 60, 90, 100 или 120 таблеток в банки полимерные."}},{"type":"paragraph","data":{"text":"Банки укупоривают крышками навинчиваемыми."}},{"type":"paragraph","data":{"text":"На банку, содержащую 30 таблеток, наклеивают самоклеящуюся этикетку."}},{"type":"paragraph","data":{"text":"На банку, содержащую 60, 90, 100 или 120 таблеток, наклеивают самоклеящуюся этикетку или многостраничную самоклеящуюся этикетку."}},{"type":"paragraph","data":{"text":"Каждую банку обтягивают колпачком защитным термоусадочным из пленки."}},{"type":"paragraph","data":{"text":"Каждую банку вместе с инструкцией по применению помещают в пачку из картона или банку, содержащую 60, 90, 100 или 120 таблеток с многостраничной этикеткой помещают в транспортную тару.\n\n"}}]},{"id":19,"name":"Условия хранения","slug":"storage","body":[{"type":"paragraph","data":{"text":"\n\nПри температуре не выше 25 0С."}},{"type":"paragraph","data":{"text":"Хранить в недоступном для детей месте.\n\n"}}]},{"id":20,"name":"Срок годности","slug":"expiry_date","body":[{"type":"paragraph","data":{"text":"\n\n3 года."}},{"type":"paragraph","data":{"text":"Не использовать по истечении срока годности, указанного на упаковке.\n\n"}}]},{"id":21,"name":"Условия отпуска","slug":"release_condition","body":[{"type":"paragraph","data":{"text":"Без рецепта"}}]},{"id":22,"name":"Производитель","slug":"","body":[{"type":"paragraph","data":{"text":"ОАО «Фармстандарт-УфаВИТА»"}}]}],"source":null},"description_toggle":false,"short_description":"Комбинированное лекарственное средство, регулирующий обмен кальция и фосфора в организме (костях, зубах, ногтях, волосах, мышцах). 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