Express delivery and free returns within 28 days

10747

Miura-D Oral/Im Injection 5mg/ml

0.00

Quantity:

Description

Requires Prescription (YES/NO)

Yes

Generics

Cholecalciferol

Used For

Vitamin D Supplement

How it works

Cholecalciferol (vitamin D3) is formed in the skin under influence of UV rays and metabolized in two hydroxylation steps at first in the liver and then in the kidney tissue into the biological active metabolite 1,25-dihydroxy-cholecalciferol. 1,25-dihydroxy-cholecalciferol is involved fundamentally in the regulation of the calcium and phosphate balance together with parathyroid hormone and calcitonin.

Usage And Safety

Dosage

a. Calcium Deficient Rickets: For children > 12months of age: 200,000 IU (1 ampoule) once per month repeated every 3 months until healing is established.b. Osteomalacia: Adults: 100,000 IU (1/2 ampoule) once a week for 6-12 months.c. Vitamin D Deficiency: i. Children > 12 months of age: 100,000 IU (1/2 ampoule) once a month for 3 months, followed by 400-1000 IU/day as maintenance;ii. Adults: 200,000 IU (1 ampoule) once a month for 2-3 months, followed by 100,000 IU (½ ampoule) once a month as maintenance.It is important to obtain calcium, phosphorus, and Alkaline Phosphatase levels before and 1 month after initiating therapy.

Side Effects

Acute symptoms : Arrhythmias, nausea, vomiting, psychic symptoms, and impaired consciousnesses.Chronic symptoms : Polyuria, polydipsia, weight loss, kidney stone formation, nephrocalcinosis, extraosseous calcifications

Drug Interactions

Thiazide diuretics , Phenytoin or barbiturates , glucocorticoids

Indication

Prevention of Vitamin D Deficiency due to malabsorption, drugs, certain chronic diseases, disorders of metabolism or other causes. Treatment of vitamin D deficiency states. These include the following: Rickets: In children , Osteomalacia: In adults.

When not to Use

It may not be used in the following conditions:Hypersensitivity to Cholecalciferol or any of the ingredients of the drug.Hypercalcemia and/or hypercalciuria.It should not be administered to patients : With a tendency towards the formation of kidney stones containing calcium ; With pseudohypoparathyroidism.

Precautions

Precaution

If other vitamin D containing drugs are administered, the dosage of Cholecalciferol must be taken into account. Additional administration of vitamin D or calcium should be carried out only under medical monitoring. In such cases the calcium levels in the serum and urine must be supervised.

Warnings

Warning 1

It should be administered only with caution to patients with a disturbed renal calcium and phosphate excretion.

Warning 2

In the case of hypercalcemia or reduced kidney function the dosage must be reduced or the therapy discontinued.

Warning 3

It should be administered only with caution to patients suffering from sarcoidosis since the risk of transformation of vitamin D into its active metabolites is increased.

Additional Information

Pregnancy category

Always consult your physician before using any medicine.

Storage (YES/NO)

Store this medicine at room temperature, away from direct light and heat.