Acical JR 250mg

Tablet
Calcium Carbonate
ACI Pharmaceuticals

Other Strength:
- Acical 500mg
- Acical-C 1000mg+327mg+500mg
- Acical-D 500mg+200IU
- Acical-DX 600mg+400IU
- Acical-M
- Acical-MX

Alternative:
- KIDCAL 250mg
- Calcicar 250mg
- Calbo Jr 250mg



Acical JR
Description
Acical Jr.®is the preparation of Calcium Carbonate whichis used as dietary calcium supplement. Calcium is necessary for many normal functions of our body, especially bone and teeth formation. Calciumplays an important rolein muscularexcitation-contraction coupling, blood vessel contraction and expansion andsending message through the nervous system.

Indications
Acical Jr.®is indicated for the following conditions: For dietary calcium supplement of the children and adolescents during the time of rapid growth.For maintaining the development and growth ofbones and teeth.For prevention and treatment of osteoporosis, osteomalacia and rickets.

Dosage and administration
Children:OneAcical Jr.®tabletdailyAdolescents:One-TwoAcical Jr.®tablets dailyAdults:Two Acical Jr.®tablets daily or as directed by the physician

Use in pregnancy and lactation
Calcium containing drugs have been widely used in pregnancy by way of oral calcium supplementation or antacid therapy. Calcium carbonate can be safely used in lactating women.

Side Effects
Generally, this preparation is well tolerated. In rare cases constipation, flatulence or diarrhoea may occur. Hypercalcaemia and alkalosis are rarely produced with large doses.

Contraindications
Itis contraindicated in patient with known hypersensitivity to any component of the formulation. It is also contraindicated in hypercalcemia, hyper-parathyroidism, Zollinger-Ellison Syndrome, concomitant digoxin therapy, severe hypercalciuria, severe renal insufficiency, nephrolithiasis.

Precautions
Caution should be exercised when hypercalcemia occurs, discontinuation of the drug is usually sufficient to return serum calcium concentrations to normal. Calcium salts should be used cautiously in patients withsarcoidosis, renal or cardiac disease, and in patients receiving cardiac glycosides. Patients with a history of stone formation should also be recommended to increase their fluid intake. High doses of Vitamin-D should be avoided during calcium therapy unless specifically indicated.

Drug Interactions
Calcium may enhance the cardiac effects of Digoxin and other cardiac glycosides if systemic hypercalcaemiaoccurs. It may interfere with the absorption of concomitantly administered Tetracycline preparations. Modification of vitamin D therapy may be required to avoid hypercalcaemia when Calcium is used as a phosphate binder in chronic renal failure. Concurrentadministration of Calcium reduces total absorption and peakserum levels of Ciprofloxacin.

Pharmaceutical precautions
Store ina cool and dry place protected from light.

Presentation
Acical Jr.®Tablet: Eachchewabletablet contains Calcium 250 mg as Carbonate BP.

Package quantities
Acical Jr.®Tablet: Each carton contains 50 tabletsin blister pack.

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