Calcium deficiency
▶BY MOUTH
▶Neonate: 0. 25 mmol/kg 4 times a day, adjusted according
to response.▶Child 1 month–4 years: 0. 25 mmol/kg 4 times a day,
adjusted according to response
▶Child 5–11 years: 0. 2 mmol/kg 4 times a day, adjusted
according to response
▶Child 12–17 years: 10 mmol 4 times a day, adjusted
according to responselINTERACTIONS→Appendix 1 : calcium salts
lSIDE-EFFECTS
▶UncommonHypercalciuria
▶Rare or very rareFlatulence.gastrointestinal discomfort.
milk-alkali syndrome.skin reactions
lPRESCRIBING AND DISPENSING INFORMATIONAdcal®
contains calcium carbonate 1. 5 g (calcium 600 mg or Ca^2 +
15 mmol);Calcichew®contains calcium carbonate 1. 25 g
(calcium 500 mg or Ca^2 + 12. 5 mmol);Calcichew Forte®
contains calcium carbonate 2. 5 g (calcium 1 gorCa^2 +
25 mmol);Cacit®contains calcium carbonate 1. 25 g,
providing calcium citrate when dispersed in water (calcium
500 mg or Ca^2 + 12. 5 mmol); consult product literature for
details of other available products.
Flavours of chewable tablet formulations may include
orange or fruitflavour.
lPATIENT AND CARER ADVICE
Medicines for Children leaflet: Calcium salts for kidney disease
http://www.medicinesforchildren.org.uk/calcium-salts-kidney-
disease- 0
lMEDICINAL FORMS
There can be variation in the licensing of different medicines
containing the same drug. Forms available from special-order
manufacturers include: tablet, capsule, oral suspension
Tablet
CAUTIONARY AND ADVISORY LABELS 25
▶Calcium carbonate (Non-proprietary)
Calcium carbonate 1.25 gramCalcium carbonate 1. 25 g tablets|
100 tablets
Effervescent tablet
CAUTIONARY AND ADVISORY LABELS 13
▶Cacit(Warner Chilcott UK Ltd)
Calcium carbonate 1.25 gramCacit 500 mg effervescent tablets
sugar-free| 76 tabletp£ 11. 81 DT = £ 11. 81
Chewable tablet
CAUTIONARY AND ADVISORY LABELS 24
EXCIPIENTS:May contain Aspartame
▶Calcium carbonate (Non-proprietary)
Calcium carbonate 1.25 gramCalcium carbonate 1. 25 g chewable
tablets sugar free sugar-free| 100 tablet £ 12. 50 DT = £ 9. 33
▶Adcal(Kyowa Kirin Ltd)
Calcium carbonate 1.5 gramAdcal 1500 mg chewable tablets sugar-
free| 100 tabletp£ 8. 70 DT = £ 8. 70
▶Calcichew(Takeda UK Ltd)
Calcium carbonate 1.25 gramCalcichew 500 mg chewable tablets
sugar-free| 100 tabletp£ 9. 33 DT = £ 9. 33
Calcium carbonate 2.5 gramCalcichew Forte chewable tablets
sugar-free| 60 tabletp£ 13. 16 DT = £ 13. 16
▶Remegel(SSL International Plc)
Calcium carbonate 800 mgRemegel 800 mg chewable tablets mint
| 24 tabletG£ 2. 58
▶Rennie(Bayer Plc)
Calcium carbonate 500 mgRennie Orange 500 mg chewable tablets
| 24 tabletG£ 1. 50 | 48 tabletG£ 2. 57 DT = £ 2. 57
▶Setlers Antacid(Thornton & Ross Ltd)
Calcium carbonate 500 mgSetlers Antacid spearmint chewable
tablets| 36 tabletG£ 1. 40
Setlers Antacid peppermint chewable tablets| 36 tabletG£ 1. 40
▶TUMS(GlaxoSmithKline Consumer Healthcare)
Calcium carbonate 500 mgTums Assorted Fruit Antacid tablets|
36 tabletG£ 1. 33 | 75 tabletG£ 2. 14
Calcium carbonate with calcium
lactate gluconate
The properties listed below are those particular to the
combination only. For the properties of the components
please consider, calcium carbonate p. 592.lINDICATIONS AND DOSE
Calcium deficiency
▶BY MOUTH
▶Neonate: 0. 25 mmol/kg 4 times a day, adjusted according
to response.▶Child 1 month–4 years: 0. 25 mmol/kg 4 times a day,
adjusted according to response
▶Child 5–11 years: 0. 2 mmol/kg 4 times a day, adjusted
according to response
▶Child 12–17 years: 10 mmol 4 times a day, adjusted
according to responselINTERACTIONS→Appendix 1 : calcium salts
lPRESCRIBING AND DISPENSING INFORMATIONEach
Sandocal®tablet contains 1 g calcium (Ca^2 + 25 mmol);
flavours of soluble tablet formulations may include
orange.lMEDICINAL FORMS
There can be variation in the licensing of different medicines
containing the same drug.
Effervescent tablet
CAUTIONARY AND ADVISORY LABELS 13
EXCIPIENTS:May contain Aspartame
▶Sandocal(GlaxoSmithKline Consumer Healthcare)
Calcium carbonate 1.75 gram, Calcium lactate gluconate
2.263 gramSandocal 1000 effervescent tablets sugar-free|
30 tabletp£ 11. 65 DT = £ 11. 65eiiiiF 592Calcium chloride
lINDICATIONS AND DOSE
Acute hypocalcaemia
▶BY INTRAVENOUS INJECTION
▶Child:(consult product literature)lCAUTIONSAvoid in respiratory acidosis.avoid in
respiratory failure
lINTERACTIONS→Appendix 1 : calcium salts
lSIDE-EFFECTSSoft tissue calcification.taste unpleasant.
vasodilation
lDIRECTIONS FOR ADMINISTRATIONCare should be taken to
avoid extravasation.
lPRESCRIBING AND DISPENSING INFORMATIONNon-
proprietaryCalcium chloride dihydrate 7. 35 %(calcium
20 mg or Ca^2 + 500 micromol/mL);Calcium chloride
dihydrate 10 %(calcium 27. 3 mg or Ca^2 + 680 micromol/mL);
Calcium chloride dihydrate 14. 7 %(calcium 40. 1 mg or Ca^2 +
1000 micromol/mL).lMEDICINAL FORMS
There can be variation in the licensing of different medicines
containing the same drug. Forms available from special-order
manufacturers include: solution for infusion
Solution for injection
▶Calcium chloride (Non-proprietary)
Calcium chloride dihydrate 73.5 mg per 1 mlCalcium chloride
7. 35 % solution for injection 10 ml ampoules| 10 ampouleP
£ 66. 38
Calcium chloride dihydrate 100 mg per 1 mlCalcium chloride 10 %
solution for injection 10 ml pre-filled syringes| 1 pre-filled disposable
injectionP£ 9. 42 DT = £ 9. 42
Calcium chloride dihydrate 147 mg per 1 mlCalcium chloride
14. 7 % solution for injection 5 ml ampoules| 10 ampouleP
£ 109. 98BNFC 2018 – 2019 Hypocalcaemia 593
Blood and nutrition9