Calcium Gluconate

Calcium Gluconate

Calcium gluconate is a calcium supplement to prevent or treat low levels of calcium in the blood (hypocalcemia). In addition, this drug can also be used in the treatment of osteoporosis, osteomalacia, rickets, or hypoparathyroidism.

Calcium is a type of mineral needed to maintain healthy bones, muscles and nerve cells. Calcium needs can be met by consuming foods that are high in calcium , such as milk, cereal, fish, yogurt, or cheese.

If calcium from food alone is not enough, for example due to certain medical conditions, additional intake of calcium-containing supplements is needed.

Trademarks of calcium gluconate:  Calcium Gluconate, Curvit, Kalsis, Takana, Tonic Bayer, Truvit

What Is Calcium Gluconate

class Prescription drugs and over-the-counter drugs
Category Mineral supplements
Benefit Overcome calcium deficiency conditions
Used by Adults and children
Calcium gluconate for pregnant and lactating women  Category C:  Animal studies have shown an adverse effect on the fetus, but there have been no controlled studies in pregnant women.

Drugs should only be used if the expected benefit outweighs the risk to the fetus.

Calcium gluconate can be absorbed into breast milk. Therefore, consult your doctor about the benefits and risks of using calcium gluconate while breastfeeding.

Drug form Capsules, caplets, syrup, injections

Precautions Before Using Calcium Gluconate

Before using this drug, you need to pay attention to the following points:

  • Do not use calcium gluconate if you are allergic to this drug. Tell your doctor about any history of allergies you have.
  • Tell your doctor if you have or currently have  kidney disease, heart disease, kidney stones , cancer, parathyroid gland disease, hypercalcemia, low stomach acid levels (achlorhydria), sarcoidosis , pancreatic disease, or malabsorption .
  • Consult calcium gluconate use if you have phenylketonuria or another condition in which you need to limit your intake of aspartame or phenylalanine, as some calcium gluconate products may contain aspartame ( an artificial sweetener ).
  • Tell your doctor if you are taking any medications, supplements or herbal products.
  • Tell your doctor if you are pregnant, breastfeeding or planning a pregnancy.
  • See your doctor immediately if you have an allergic drug reaction, serious side effects, or overdose after using calcium gluconate.

Dosage and Rules for Use of Calcium Gluconate

Calcium gluconate is only given on doctor's advice. The following is a general dosage for calcium gluconate based on the form of the drug, condition, and age of the patient:

Condition: Hypocalcemia

Forms: Capsules, caplets, syrup (oral)

  • Adult: For mild to moderate hypocalcemic conditions the dose is 1000–3000 mg per day, which is divided into several doses.
  • Children: For mild to moderate hypocalcemia, the dose is 500–725 mg/kg/BB per day which is divided into 5–6 times.

Shape: Syringe

  • Adult: For mild to moderate hypocalcaemia the dose is 1000–2000 mg over 2 hours.
  • Children: For severe hypocalcaemia the dose is 200–500 mg/kg/BB per day by continuous infusion or divided into 4 times.

Condition: Hypocalcaemic tetany

Drug form: Injection

  • Adult: 10–20 ml by slow injection. Dosage may be followed by infusion to prevent recurrence. The maximum infusion rate is 2 ml/minute.
  • Newborn: 1–2 ml/kg by slow injection over 10–20 minutes, followed by 0.5–1 ml/kg daily by infusion for 1–2 days.

Condition: Osteoporosis

Forms of medicine: Capsules, caplets, syrup (oral)

  • Adult: 1000–1500 mg per day in divided doses.

How to Use Calcium Gluconate Properly

Follow the doctor 's recommendations and read the information printed on the drug packaging before using calcium gluconate. Do not reduce or increase your dose without consulting your doctor first.

Injectable calcium gluconate will be given directly by a doctor or medical officer under the supervision of a doctor. The medicine will be given by injection through a vein (intravenously/IV) according to the doctor's instructions.

To take calcium gluconate in syrup form, shake the bottle before using the medication. Use the measuring spoon that is available in the medicine package so that the dosage is more precise.

Calcium gluconate caplets, capsules or syrup can be taken with food or immediately after a meal. Try to use calcium gluconate regularly at the same times each day.

While on treatment with calcium gluconate, your doctor may order you to have regular blood tests to check the level of calcium in your blood and urine tests to monitor kidney function. Follow the examination schedule given by the doctor.

Store calcium gluconate in a dry place and avoid exposure to direct sunlight. Keep this drug out of reach of children.

Interactions of Calcium Gluconate with Other Drugs

The following are some interactions between drugs that can occur when calcium gluconate is used with other drugs:

  • Increased risk of developing hypercalcemia when used with thiazide diuretics, vitamin D or vitamin A
  • Increased effectiveness and risk of drug poisoning digoxin
  • Reduced absorption and effect of calcium antagonists , oral fluoroquinolones, bisphosphonates , or tetracyclines
  • Increased effectiveness of epinephrine
  • Increased risk of developing deposits in the lungs and kidneys when used with ceftriaxone , especially in newborns (28 days of age)

Side Effects and Dangers of Calcium Gluconate

Some of the side effects that can occur after using calcium gluconate are:

  • A chalky taste appears in the mouth
  • Tingling in hands or feet
  • Stomach ache
  • Bloated
  • Constipation  or diarrhea

Consult a doctor if the side effects above do not subside immediately or get worse. You need to see a doctor immediately if you experience an allergic drug reaction or more serious side effects, such as:

  • No appetite
  • Severe nausea or vomiting
  • Unusual fatigue
  • Bone or muscle pain
  • Mood swings
  • Dizzy like you're about to faint
  • Slow or irregular heartbeat
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