Calcemin during pregnancy. Reviews, instructions for use, analogues, price

Release forms and composition of the drug

Calcemin is produced in the form of tablets that have an oval, slightly elongated shape and are divided in half by a horizontal stripe. Its active ingredients are calcium (in the form of citrate and carbonate), zinc and copper oxide, vitamin D3, manganese and boron.

Additionally, the product contains stearic acid, silicon dioxide, soy, magnesium (stearate), sodium lauryl sulfate and croscarmellose, as well as cellulose.

Tablets are available in high-density polyethylene bottles of 30, 60 and 120 pcs. It has a screw-on lid and a protective foil wrap around the neck.

The bottle of Calcemin along with the instructions is placed in a rectangular cardboard box.

Pharmacodynamics and pharmacokinetics

Calcemin during pregnancy (reviews indicate its effectiveness) has a complex effect on the body due to the beneficial properties of the active components:

• Calcium strengthens bones and joints. Without it, the process of bone tissue formation is impossible. It prevents the development of diseases and dysfunctions of the musculoskeletal system. Calcium is also responsible for the acid-base balance in the body.
• Calcium citrate prevents destructive processes in bones and joints, promotes better absorption of Ca. It minimizes the occurrence of kidney stones and does not reduce the efficiency of iron absorption.
• vitamin D 3 – its main task is to enhance the absorption of calcium (occurs in the intestines). It also regulates the metabolic processes of calcium and phosphorus, participates in the formation of bone mass, strengthens bones and preserves their structure. The vitamin also enhances phosphorus absorption.
• Copper is an essential component necessary for the formation of elastin and collagen (components of bone and connective tissue).
• Zinc participates in the production of hormones responsible for bone density and strength. It regenerates bone tissue and normalizes protein metabolic processes in the body.

  

• Boron improves calcium absorption, reduces the increased activity of the hormone, which causes a decrease in calcium content in the bones, and also prevents the risk of developing osteoporosis (a bone disease associated with calcium loss).
• Manganese helps improve the quality of skin tissue and is involved in the formation of connective tissue.

Why does the body need calcium?

Calcium is necessary for our bones and teeth - so that they do not break, are strong and healthy. Calcium strengthens joints and compacts bone tissue. If there is a shortage of it, teeth may begin to decay, nails may break, hair may fall out - and these are just a few of the problems associated with a deficiency of this much-needed element.

If it happens that the body does not have enough calcium, you should take Calcemin or any other drug containing calcium. But you should not think that it is only in medicines. Many tasty and healthy foods contain calcium: nuts (most of all almonds), milk and all milk (as well as fermented milk), fish, herbs and green vegetables (for example, cabbage) and so on.

Indications for use

Calcemin is used when there is a lack of a number of components in the body (Ca, Mg, Zn, Cu, B), as well as vitamin D. It is prescribed in cases where it is impossible to compensate for the need for the above substances through diet.

In particular, with a long-term lack of nutrients, imbalance and irregularity of nutrition, as well as if it is necessary to increase their intake when:

• bearing a child;
• lactation period;
• treatment of diseases caused by calcium deficiency (for example, osteoporosis of various etiologies);
• calcium deficiency in children (in most cases, used during the period of active growth, prescribed from 6 years).

Contraindications

Calcemin during pregnancy, reviews of which indicate the safety of its use, may be contraindicated for use in a number of cases:

• hypersensitivity to the product or its individual ingredients;
• severe hypercalciuria (a condition in which there is a lot of calcium in the urine);
• severe hypercalcemia (a disorder where there is high calcium in the blood);

  

• disorders and diseases that can cause the development of the above conditions of the body (bone metastases, myeloma and others);
• nephrocalcinosis (deposition of calcium salts in the kidneys, causing inflammation and leading to deterioration of organ function);
• nephrolithiasis (kidney stone disease);
• severe form of renal failure;
• excess vitamin D content in the body;
• age of children under 6 years.

Instructions for use, dosage

Calcemin during pregnancy (patient reviews confirm its effectiveness, provided the prescribed dosages are followed) is prescribed by the attending gynecologist, based on the woman’s tests and symptoms. When carrying a child, use the product alone from the 20th week of pregnancy.

If there are no other instructions from the doctor, during pregnancy and breastfeeding you should take 1 tablet. 2 r. in a day. The table below shows calcemin dosage regimens for other population groups.

The duration of taking Calcemin when replenishing calcium and vitamin D3 deficiency is, on average, 4-6 weeks. When taking the drug for preventive purposes and as part of a complex treatment of osteoporosis, the course of use will be determined by the attending physician.

Types of the drug

The manufacturer produces a calcium-containing drug in two modifications:

• Calcemin;
• Calcemin Advance.

Patients may have a completely natural question: what is the difference between these two types of the same medication? The difference lies in the mass fraction of active components.

Calcemin Advance contains an increased dose of calcium and other components

Comparison of Kalcemin and Kalcemin Advance - table

Until what stage of pregnancy is the drug taken?

The daily dosage of calcium for pregnant women should not exceed 1.5 g. Therefore, you should not take Calcemin uncontrolled without a prescription from a gynecologist.

With calcium deficiency, a woman may experience a number of symptoms:

• a sharp desire to drink milk, eat cottage cheese, more nuts than usual;
• craving for eating chalk;
• sudden leg cramps;
• constipation in early pregnancy.

These symptoms should be reported to your treating gynecologist. He may refer the patient for a test to determine the level of calcium in the blood. If there is a deficiency of a component, then calcium supplements are prescribed. So, Calcemin can be taken from 20 weeks to 35 weeks.

After this period, taking the drug is not recommended, as it can cause premature ossification of the baby’s skull in the womb. This phenomenon increases the risk of complications during childbirth and increased intracranial pressure in a newborn baby.

Why does an expectant mother need Calcemin, what are the dangers of calcium deficiency/excess?

Calcium is the basis of the human musculoskeletal system. As the fetus develops in the womb, the skeleton of the unborn child is formed, so the need for calcium during pregnancy increases significantly. Nature provides that for the successful development of the baby, the mother’s body gives him all the necessary substances, even to the detriment of herself. Therefore, pregnant women often experience problems with hair, teeth and nails: all the calcium goes to the child’s growth, and his mother suffers.

Calcium is necessary not only for strong bones. It takes part in the functioning of the heart, is responsible for stable blood pressure, promotes the normal passage of nerve impulses, and maintains the uterus in a relaxed state. Thus, a lack of a mineral not only affects a woman’s appearance, but also significantly affects her health, and can even pose a threat to the normal course of pregnancy.

The need for calcium in a pregnant woman is 1.5 times higher compared to a woman who is not expecting a child, so doctors prescribe Kalcemin for prevention. Its use is also necessary if there are problems with the musculoskeletal system, a mineral deficiency has been reliably established, or there are cramps in the calf muscles. When starting to drink a calcium supplement, the expectant mother should remember one important point: her daily requirement for a macronutrient is 1500 mg, and for vitamin D3 - 600 IU. In this case, the intake of calcium and vitamin D3 from other sources (food, medications, exposure to sunlight) should be taken into account in order to exclude the possibility of overdose.

Calcemin is prescribed in the second half of pregnancy, when the need for calcium in the expectant mother and fetus is especially high.

However, not all doctors believe that calcium intake is necessary for pregnant women. For example, Dr. Elena Berezovskaya claims that expectant mothers absorb this mineral much better, so a balanced diet fully covers the need for it.

In addition, there is an opinion that excess calcium leads to premature ossification of the baby’s skull, so taking it in the last weeks of pregnancy is not advisable. But the same Elena Berezovskaya refutes this opinion.

Calcium is absorbed through calcium channels (the bulk), which have limited capacity. Therefore, no matter how much excess, only a certain amount of calcium ions will be passed through. Premature ossification is a pathology, a disease caused by “internal” reasons, for example, genetic damage and changes in metabolism, and does not depend on the amount of calcium taken by the mother.

Berezovskaya E.P.

https://www.komarovskiy.net/faq/izbytok-kalcijsoderzhashhix-produktov-pri-beremennosti.html

Video: calcium during pregnancy - the opinion of doctor E.P. Berezovskaya

Side effects

Calcemin during pregnancy, according to reviews, rarely causes side effects. But in some cases it can make you feel worse. A person may experience abdominal pain, flatulence, vomiting, and attacks of nausea.

Diarrhea, constipation, allergic manifestations (swelling, rash, itching of the skin, deterioration of the respiratory system), impaired functioning of the kidneys and urinary tract, and respiratory distress syndrome (pneumonia) may also appear.

If these symptoms do not go away, stop taking the drug. You should seek medical help immediately.

Reviews about "Kalcemin"

Reviews about “Kalcemin” during pregnancy are quite good. Women note the absence of flavoring additives as an undoubted advantage of the drug. Pregnant women also report that thanks to taking Calcemin, leg cramps disappeared or significantly decreased, nervous tension went away, nails stopped breaking and hair fell out. Doctors themselves speak well of this drug; many recommend it.

Among the reviews about “Kalcemin” during pregnancy, there are, of course, not very positive ones. Some developed itching and an allergic reaction, some suffered from problems with the digestive system, and others were simply not satisfied with the price of the drug.

Overdose

In case of an overdose of the drug, the following disorders may appear:

• hypervitaminosis D;
• development of dangerous diseases caused by pathologically high levels of Ca in the body;
• renal failure;

  

• deposition of calcium salts (mainly in muscle tissue);
• milk-alkali syndrome;
• weight loss;
• malabsorption of nutrients.

Signs of an acute overdose are confusion and clarity of consciousness, severe headache, digestive tract disorders, dry mouth, and a feeling of thirst.

If these symptoms are detected, you should immediately consult a doctor. Treatment may include rehydration (replenishment of fluid loss by the body), diuretics, calcitonin (a hormone produced by the thyroid gland), therapy with steroid hormones, bisphosphonates (drugs that prevent bone loss).

In severe cases, blood purification through hemodialysis may be required.

special instructions

To ensure maximum benefit from taking Calcemin, you should follow some recommendations:

• When taking other products that contain calcium or vitamin D, you should consult a doctor to avoid an overabundance of these substances.
• It is also better to discuss the advisability of taking the drug with a doctor for patients under medical supervision.
• Elderly people taking the drug for a long time need to monitor the level of calcium in the urine and blood, as well as the functioning of the kidneys.
• Calcemin contains sodium, which is important to consider for people on a sodium diet.
• Take with caution to people with benign granulomatosis (autoimmune vascular inflammation).
• Calcemin has the ability to pass into breast milk, so the advisability of giving the child additional calcium supplements should be discussed with the pediatrician (if there is such a need).

Drug interactions

The calcium salts contained in the drug interact with many drugs, so simultaneous use of Calcemin and other drugs is not recommended. Medicines can be taken 2 hours before using Calcemin or 4-6 hours after.

Calcium helps reduce the effectiveness of antibiotics and drugs designed to fight viruses. To avoid this, you must adhere to the above application intervals.

Features of the interaction of calcium and other drugs are presented in the table below:

Calcium absorption is hindered by certain substances that enter the body with food. In particular, these are oxalic acid and phytic acid. They are found in cereals, rhubarb, and spinach. Therefore, it is better to consume Kalcemin 2 hours after eating foods that are rich in the above acids.

Analogs

Calcemin during pregnancy (consumer reviews indicate the high cost of the drug) can be replaced with cheaper analogues. They have a similar effect, but have a different composition of components. One of these products is Complivit calcium D3 (Russian production).

It is used to replenish calcium deficiency. It is also used for the prophylactic purpose of this phenomenon and for the treatment of disorders associated with calcium deficiency. The main active ingredients of the product are Ca and vitamin D3. Its dosage depends on the purpose for which it is taken.

So, for the treatment of osteoporosis, it is recommended to take 1 tablet 3 times a day. per day. The dose (when taken for prophylactic purposes) will be 1 tablet (taken 2 times a day).

If Ca and vitamin D3 are deficient, you should take 1 tablet 1-2 times a day. per day (the dosage is indicated for adults and children over 12 years old), and for children 5-12 years old the dosage is 1-2 tablets per day. The product can be taken for preventive purposes by children from 3 years of age. The daily dosage in this case will be 1 tablet.

The tablets can be chewed or swallowed whole and are recommended to be taken with meals.

The drug is not recommended for use in cases where there is hypersensitivity to the ingredients of the drug. It is also contraindicated in case of renal failure, fructose intolerance, sucrose deficiency, as well as in diseases when there is an excess of calcium or vitamin D in the body. The drug is prohibited for use in tuberculosis.

Similar in effect to Calcemin is Calcium-D3 Nycomed. The ingredients that have an active effect are calcium with vitamin D3. The product is used to replenish Ca and vitamin D reserves.

It can also be used by people who have a lack of calcium in bone tissue. Calcium-D3 Nycomed is approved during pregnancy and breastfeeding. The product is not intended for use by children and adolescents. For adults, the recommended dosage is 1 tablet 1 r. in a day.

Almost identical in composition and effect to Calcemin is the drug DeMiCalcin (manufactured in the UK). Its active components are vitamin D3, Ca, manganese (sulfate), as well as boron, zinc and copper.

The drug is indicated for use for:

• osteoporosis (senile, menopausal);
• broken bones;
• rickets;
• lack of calcium (bearing a child, breastfeeding);
• long-term treatment with hormonal drugs;
• anticonvulsant therapy.

  

DeMiCalcin is suitable for use as an additional drug in complex therapy, as well as for prophylactic purposes. The dosage for adults and children over 12 years of age is 1 tablet, which should be taken 2 times. in a day. Children aged 5 to 12 years can take 1 tablet 1 r. per day. The drug is recommended to be taken with meals.

Indications for the drug Calcemin Advance

For osteoporosis, take Calcemin Advance. Instructions and reviews show that the drug is prescribed both for complex treatment and for the prevention of this disease in the following cases:

• menopause (surgical, natural);
• long-term use of immunosuppressants, corticosteroids.

The use of vitamins is carried out for the purpose of implementing therapy for lesions of the musculoskeletal system, when the main task is to improve the consolidation of fractures resulting from traumatic exposure.

For teenagers, doctors prescribe this remedy if necessary to eliminate calcium and microelements deficiency. For the same purpose, tablets are used during increased physical activity.

Carrying a child, lactation

The attending physician decides whether a woman needs to use Calcemin Advance tablets. Reviews left after treatment with the drug often indicate the need to take into account that vitamin D3 and metabolites that are formed as a result of metabolism may be present in breast milk. It is important to pay attention to the quantities of this vitamin that enter the body from other sources.

Kidney disorders

Tablets may worsen the condition of patients with moderate renal failure. In such cases, medical supervision is needed.

In some cases, patients should not be prescribed Calcemin Advance. Instructions for use, reviews of such cases include:

• hypersensitivity to components;
• age less than 12 years;
• the presence of kidney stones;
• excretion of large amounts of calcium in the urine;
• a pathological condition in which there is an increased calcium content in the blood plasma.

The drug is taken orally while eating. Patients are prescribed a double dose of the drug in a dosage corresponding to one tablet. The duration of the course of therapy is generally 1-1.5 months. It is set by the doctor separately for each case. The maximum dose at one time cannot exceed two tablets, the maximum daily dosage should be no more than three tablets. If necessary, the doctor will extend the treatment.

1. Preventive measures and complex therapy for osteoporosis of various origins;
2. Replenishing the deficiency of nutrients in the body of adolescents;
3. Recommended for use by women during menopause;
4. Combating diseases of the musculoskeletal system;
5. To improve consolidation of traumatic injuries;
6. Persons who have been taking glucocorticosteroids and immunosuppressants for a long time.

1. In case of increased individual sensitivity and intolerance to the components of the drug;
2. Manifestation of an allergic reaction to peanut butter, since the active ingredient of the drug is soy polysaccharide;
3. Hypervitaminosis of group D vitamins;
4. Diagnosed urolithiasis;
5. Hypercalcemia and hypercalciuria;
6. Severe renal failure;
7. Nephrolithiasis;
8. For tuberculosis in the active phase;
9. Sarcoidosis;
10. Children under 12 years old.

Particular caution should be taken when taking the drug during pregnancy and breastfeeding, as well as in case of diagnosing renal failure.

During pregnancy and breastfeeding, the use of Calcemin Advance must be agreed with your doctor. The daily intake of pregnant women should not exceed 1500 mg of calcium and 600 IU of vitamin D3, since hypercalcemia can cause mental and physical defects in the development of the fetus.

The drug is taken orally, one capsule, preferably with meals, twice a day. The drug is indicated for the treatment and prevention of the following diseases:

• Osteoporosis of various origins. It is a systemic, progressive disease affecting the human skeleton. As the disease develops, the structure of the bone tissue deteriorates and the density decreases. It becomes loose and is very susceptible to fractures, which can occur even with minor loads. Deficiency of vitamin D 3 and calcium is a serious risk factor affecting the development of this disease.
• Any fractures, including those that take a long time to heal. Poor bone healing may be due to a lack of the required amount of microelements in the body. Taking the drug allows the body to obtain building material for the regeneration of damaged bone tissue.
• Mineral deficiency, including in adolescence.
• Taking immunosuppressants.
• Natural or surgical menopause.
• Therapy of lesions of the musculoskeletal system.

Excess calcium can interfere with the intestinal absorption of certain biologically active substances. You cannot take the drug above the specified norm - this is a strict limitation of the drug "Calcemin Advance".

The instructions indicate that if significant bone loss is diagnosed, the dosage can be increased from one tablet to two. The duration of the course is determined individually by the attending physician, but the average doses and duration of their administration (depending on the patient’s condition) can be indicated as follows:

• Complex treatment of progressive osteoporosis – 3 months, 1 capsule twice a day.
• Prevention of osteoporosis – 2 months, 1 capsule once a day.
• Improving the healing of traumatic fractures – 1 tablet per day for six weeks.
• Replenishment of mineral deficiencies in adolescents - 1 tablet per day for one month.

The medication should not be taken if the patient has renal failure. This disease is accompanied by disturbances in the balance of calcium and its absorption in the intestines. Elimination of such conditions and replenishment of mineral substances is carried out according to strict medical indications and with more highly specialized drugs.

Diagnosed urolithiasis can also be aggravated by uncontrolled use of vitamin and mineral medications.

Excess calcium in the body, allergies to the components of the drug, including soy and peanut butter, active form of tuberculosis, sarcoidosis, nephrolithiasis also become the main contraindications to taking the medication.

Price

The cost of Calcemin depends on the number of tablets in the package.

The average price of a drug in online pharmacies is:

1. 30 tablets in a bottle – 350 rubles.
2. 60 tablets – 500 rub.
3. 120 tablets – 760 rub.

Calcemin helps restore calcium deficiency, which is especially important during pregnancy. According to reviews, it helps to get rid of the unpleasant symptoms of a lack of nutrients, provided that the drug is taken correctly and is constantly monitored by the attending physician.

Patient opinions

Next, you should indicate which reviews from doctors the drug “Calcemin Advance” deserves:

• The medicine is good to take for various diseases of the oral cavity. Many doctors recommend taking this drug after successfully taking Kalcemin. A preventive course helps to achieve a stable improvement in overall well-being and appearance.
• Calcemin Advance tablets are practically the only drug that does not contain aspartame. Excess of this substance can cause a decrease in intelligence in children. Therefore, the pharmacological agent can be taken by adolescents.
• The drug is often prescribed to those patients who are undergoing therapy using medications that wash away calcium from the bones. This will help replenish the deficiency of minerals and prevent the destruction of teeth and bones.
• To replenish the calcium balance in the body, a healthy person only needs to take a preventive course, the duration of which is one month. The dosage should be agreed with the attending physician, despite the fact that this is a vitamin and mineral complex.

It is useful to consider what reviews the drug “Calcemin Advance” deserves among ordinary consumers:

• The product is recommended for women to take at the first signs of menopause. This helps maintain healthy bone tissue. In addition, appearance improves significantly, including the condition of hair, skin, and nails, which is important at any age.
• The drug "Calcemin Advance" (reviews from many expectant mothers fully confirm this) is often prescribed during pregnancy. It helps get rid of most serious conditions, such as intercostal neuralgia, muscle cramps, etc. The attending physician may prescribe it as part of complex vitamin therapy, for example, in combination with magnesium.
• It is enough to take a course with the drug “Calcemin Advance” once a year. The product has shown particular effectiveness among professional athletes. It relieves pain that occurs in the joints, especially in the knees, and improves the general condition of bone tissue.
• After taking these vitamins, some patients experience a sharp deterioration in their general condition. Sometimes this manifests itself as dizziness, nausea, and pain in the stomach. When the drug is discontinued, these symptoms quickly disappear.
• The drug is prescribed after certain surgical operations. A very effective drug that helps restore the balance of vitamins and minerals in the body, does not irritate the gastric mucosa, and prevents the formation of kidney stones. All women during menopause need to drink this remedy to maintain vigor, strength and good health.