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Pancal is often used to supplement the amount of calcium needed for patients prone to deficiency of this mineral, and to support the treatment of conditions caused by calcium deficiency. Patients should strictly follow their doctor's medication recommendations, including dosage, administration and duration of treatment to achieve the best results.1. What is Pancal?
Pancal medicine belongs to the group of mineral and vitamin drugs, helping to supplement the amount of calcium needed by the body, and at the same time treat, control, prevent and improve conditions such as hypoparathyroidism, thinness, and thinning. Currently, the drug with the main dosage form is an oral solution, each box includes 10 ampoules or 20 x 10ml ampoules, or a bottle with a capacity of 60ml, 100ml.Each 10ml of Pancal medicine contains the following ingredients:
Main active ingredient: Calcium lactate pentahydrate 500mg. Other excipients just enough: White sugar, Sucralose, Polyethylene glycol 6000, Sorbitol 70%, Anhydrous citric acid, Methylparaben, Propylene glycol, orange flavor (liquid form), Propylparaben, yellow tartrazine and purified water.
2. What are the effects of Pancal?
2.1 Indications to use Pancal medicine Pancal medicine is often prescribed by doctors to help supplement calcium for cases of deficiency of this mineral, including:
Postmenopausal women, pregnant women, nursing mothers. Adolescents are in a period of rapid growth (puberty). People with osteomalacia, osteoporosis, rickets, People with reduced calcium absorption after gastrectomy or regularly treated with corticosteroids. 2.2 Contraindications to using Pancal drug Do not use Pancal drug for the following subjects:
Patients who are hypersensitive or allergic to the ingredients in Pancal. Pancal is contraindicated in patients with signs of hypercalcemia and urinary calcium, such as hyperparathyroidism, vitamin D excess, immobility-induced osteoporosis, severe renal failure, tumors causing metastatic bone cancer or cancer. blood letter. Pancal should not be used in patients with ventricular fibrillation. Avoid taking Pancal to people who are being treated with cardiac glycosides, such as Digoxin.
3. Dosage and how to use Pancal effectively
3.1 Dosage of Pancal drug Dosage for adults:
Average dose of Pancal to prevent hypocalcaemia: Take 1g elemental calcium / day. Pancal dose is often used to treat hypocalcemia: Take 1-2g of elemental calcium / day or higher. Dose to prevent osteoporosis for women: Take 1 - 1.5g of elemental calcium / day. Dose to help reduce the risk of osteoporosis due to long-term use of Glucocorticoids: Take 1.5g of elemental calcium / day. Dosage for children:
Daily dose of calcium supplements for children: Take from 45 - 65mg of elemental calcium / kg. Dose for infants with hypocalcemia: Take 50 - 150ng of elemental calcium / kg / day, should not exceed 1g / day. 3.2 Instructions for proper and effective use of Pancal medicine Pancal medicine is used orally. The daily dose of the drug can be divided into 3-4 times and taken 1 to 1.5 hours after eating. In addition, patients also need to follow all recommendations of the doctor during the course of taking Pancal to prevent the risk of experiencing adverse side effects.
3.3 Treatment of Pancal Overdosage Taking Pancal Overdosage may lead to symptoms of hypercalcemia and urinary calcium, including nausea, anorexia, vomiting, abdominal pain, constipation, thirst. watery, dry mouth and polyuria. To handle an overdose of Pancal drug, the patient will be suggested by the doctor to do some of the following measures:
Rapid rehydration for the body by oral or intravenous in the early stages. Use diuretics, such as furosemide, to increase calcium excretion, but avoid thiazide diuretics as they may increase renal calcium reabsorption. Hemodialysis helps in the management of Pancal overdose. Your doctor will conduct careful monitoring of the serum levels of important electrolytes during treatment.
4. Possible side effects when using Pancal
Here are some potential side effects that may occur during the use of Pancal:
Gastrointestinal symptoms such as gastrointestinal irritation or constipation. Hypercalcemia, especially at high risk, occurs in patients with an overdose of Pancal or those with chronic renal failure. Mild hypercalcemia without symptoms or with manifestations such as anorexia, constipation, nausea, vomiting. Marked hypercalcemia with symptoms of mental changes, such as delirium or confusion. When experiencing any of the side effects mentioned above, the patient should stop taking the drug and notify the doctor for remedial measures.
5. Things to note and caution when treating with Pancal
5.1 What precautions should be taken while using Pancal pills? During treatment with Pancal, patients should note the following:
Caution should be exercised when using Pancal for patients with kidney stones, kidney failure, sarcoidose or cardiovascular disease. If medication is necessary for a person with kidney stones, this patient should drink plenty of fluids during treatment to reduce the risk of severe progression of the disease. Pancal should be used with caution in children with hypokalemia, because high serum calcium levels can cause hypokalemia. Avoid taking Pancal for long-term treatment without your doctor's approval. Regularly monitor serum calcium and urinary calcium levels in patients requiring high doses of calcium, especially children. Stop taking Pancal immediately if the blood calcium level is > 2.625 - 2.75 mmol/L, equivalent to 105 - 110mg/L; or urinary calcium concentration > 5mg/kg. There is a risk of hypercalcemia during treatment with Pancal due to impaired renal function. At that time, the dose of the drug can be reduced or discontinued. Do not use Pancal for people with a history of kidney stones or calcium kidney stones. Avoid high doses of vitamin D during treatment with Pancal. Pancal has been shown to be safe for use during pregnancy, so pregnant women should take it according to their daily needs. Pancal can be used by nursing women and patients whose jobs often operate machinery or drive vehicles. 5.2 What other drugs does Pancal interact with? Some drugs have a risk of interacting with Pancal, including:
Vitamin D. Thiazide diuretics. Corticosteroid drugs. Bisphosphonates such as Etidronate, Alendronate, Risedronate and Ibandronate. Cardiac glycosides. Oral iron preparations. Quinolones, eg Ciprofloxacin. Tetracycline drugs. The important information about Pancal above is not a substitute for your doctor's advice. Therefore, the best way is still to consult with your doctor or pharmacist to help you get the best results.
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