Composition:
Elemental
Calcium..............................................250
mg
Vitamin
D3.............................................................125
I.U
Indications:
1. Calcium Strong tablets are
indicated as a basic dietary
supplement.
2. As a prophylactic treatment
of the relevant vitamin and
mineral
deficiency states during
pregnancy and/or lactation.
Calcium
with Magnesium is necessary for
the development of strong
bones and teeth, also prevents
muscle cramping, risk of colon
cancer, maintain regular heart
beat, protect against
osteoporosis and helps relax
the central nervous system with
added zinc.
Description:
Calcium is absorbed from the
small intestine by both active
and passive mechanisms. At low
and moderate intakes of calcium,
calcium is absorbed via active
transfer. Active transfer
depends on the action of the
active form of vitamin
D,1,25-dihydroxycholecalciferol
or 1,25(OH)2 D3.
Vitamin D-induced calcium
transport involves the synthesis
of the calcium-binding protein,
calbindin. Calbindin serves as a
calcium translocator. It also
serves as a cytosolic calcium
buffer. Calcium is typically
freed from calcium complexes
during digestion and is released
in a soluble and probably
ionized form for absorption. Low
molecular weight complexes, such
as calcium carbonate, may be
absorbed intact.
As
calcium intakes increase, the
active transfer mechanism
becomes saturated and an
increasing proportion of calcium
is absorbed via passive
diffusion.
The
absorption efficiency of calcium
varies throughout the life span.
It is highest during infancy
when it is about 60%. In
prepubertal children, it is
about 28%. During early puberty,
at the time of the growth spurt,
it increases to about 34% and
then drops to 25% two years
later where it remains for
several years. Absorption
efficacy increases during the
last two trimesters of
pregnancy. It does decline with
aging. In postmenopausal women,
fractional absorption of calcium
declines on the average of 0.21%
yearly. Men lose absorption
efficiency at about the same
rate as women.
Absorption efficiency appears to
vary with the different calcium
complexes. In one study,
absorption efficiency from a 250
milligram dose of calcium
citrate malate was found to be
35%; from calcium carbonate,
27%; and from tricalcium
phosphate, 25%. For comparison,
calcium absorption efficiency
from milk was found to be 29%.
Some, but not all, studies
suggest that calcium is more
efficiently absorbed from
calcium citrate and calcium
citrate malate than it is from
calcium carbonate. The
efficiency of absorption of
calcium from a calcium
supplement is greatest when
calcium is taken at doses of 500
milligrams or lower. Individuals
with achlorhydria absorb calcium
from calcium carbonate poorly
unless the calcium carbonate
supplement is taken with food.
Calcium that is unabsorbed from
the intestine is excreted in the
feces. Greater than 98% of
calcium from the glomerular
filtrate is reabsorbed. Renal
reabsorption is primarily
regulated by parathyroid hormone
or PTH.
Approximately 40% of calcium in
the plasma is bound to proteins,
primarily albumin; about 50% of
calcium in the plasma is
diffusible ionic calcium and
about 10% is diffusible, but is
complexed with such anions as
phosphate and citrate.
CONTRAINDICATIONS
Calcium supplementation is
contraindicated in those with
hypercalcemia. Conditions
causing hypercalcemia include
sarcoidosis,
hyperparathyroidism,
hypervitaminosis D and cancer.
Calcium supplementation is
contraindicated in those
hypersensitive to any component
of a calcium-containing
supplement.
PRECAUTIONS
Supplemental calcium taken
without food may increase the
risk of kidney stones in women
and possibly also in men. It is
thought that taking supplemental
calcium without food limits the
opportunity for the beneficial
effect that calcium may have in
binding oxalate in the
intestine. Therefore, it is
advisable that supplemental
calcium be taken with food.Those
who form calcium-containing
kidney stones are generally
advised not to take supplemental
calcium.
Dosage:
As
per the physician’s advice
Presentations: 10
tablets
MRP
Retailer Stockist
34.70
27.76
24.98
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