What is Chewriv?
Antacids are taken by mouth to relieve heartburn, sour stomach, or acid indigestion. They work by neutralizing excess stomach acid. Some Chewriv combinations also contain simethicone, which may relieve the symptoms of excess gas. Antacids alone or in combination with simethicone may also be used to treat the symptoms of stomach or duodenal ulcers.
With larger doses than those used for the Chewriv effect, magnesium hydroxide (magnesia) and magnesium oxide antacids produce a laxative effect. The information that follows applies only to their use as an Chewriv.
Some antacids, like aluminum carbonate and aluminum hydroxide, may be prescribed with a low-phosphate diet to treat hyperphosphatemia (too much phosphate in the blood). Aluminum carbonate and aluminum hydroxide may also be used with a low-phosphate diet to prevent the formation of some kinds of kidney stones. Aluminum hydroxide may also be used for other conditions as determined by your doctor.
These medicines are available without a prescription. However, your doctor may have special instructions on the proper use and dose of these medicines for your medical problem.
Chewriv indications
this Chewriv is useful for the temporary relief of occasional indigestion and heartburn. Frequent, daily or nightly symptoms usually mean a more serious problem. Antacids by themselves do not correct these problems. The medications that are now available to treat acid problems are generally superior to antacids.
The second and more important use of Chewriv is as a source of calcium, necessary for bones and teeth and to prevent osteoporosis. A quart of milk contains about 1500 mg of calcium which is about what you need. Otherwise this or a similar calcium preparation can be taken.
How should I use Chewriv?
Use Chewriv as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Take Chewriv by mouth with or without food.
- Take Chewriv with a full glass of water (8 oz/240 mL).
- Do not take an Chewriv that has aluminum in it within 1 hour before or 2 hours after you take Chewriv.
- If you take azole antifungals (eg, ketoconazole), bisphosphonates (eg, etidronate), cation exchange resins (eg, sodium polystyrene sulfonate), cephalosporins (eg, cefdinir), direct thrombin inhibitors (eg, dabigatran), iron, mycophenolate, quinolones (eg, ciprofloxacin), tetracyclines (eg, minocycline), or thyroid hormones (eg, levothyroxine), ask your doctor how to take it with Chewriv.
- If you miss a dose of Chewriv, take it as soon as you remember. Continue to take it as directed by your doctor or on the package label.
Ask your health care provider any questions you may have about how to use Chewriv.
Uses of Chewriv in details
This medication is used to prevent or treat low blood calcium levels in people who do not get enough calcium from their diets. It may be used to treat conditions caused by low calcium levels such as bone loss (osteoporosis), weak bones (osteomalacia/rickets), decreased activity of the parathyroid gland (hypoparathyroidism), and a certain muscle disease (latent tetany). It may also be used in certain patients to make sure they are getting enough calcium (e.g., women who are pregnant, nursing, or postmenopausal, people taking certain medications such as phenytoin, phenobarbital, or prednisone).
Calcium plays a very important role in the body. It is necessary for normal functioning of nerves, cells, muscle, and bone. If there is not enough calcium in the blood, then the body will take calcium from bones, thereby weakening bones. Having the right amount of calcium is important for building and keeping strong bones.
How to use Chewriv
Take this medication by mouth with food. If your product contains calcium citrate, then it may be taken with or without food. Follow all directions on the product package, or take as directed by your doctor. For best absorption, if your daily dose is more than 600 milligrams, then divide your dose and space it throughout the day. If you are uncertain about any of the information, consult your doctor or pharmacist.
If you are using the chewable product, chew it well before swallowing.
If you are using the effervescent tablet, allow the tablet to fully dissolve in a glass of water before drinking it. Do not chew or swallow the tablet whole.
If you are using the liquid product or powder, measure the medication with a dose-measuring spoon or device to make sure you get the correct dose. Do not use a household spoon. If the liquid product is a suspension, shake the bottle well before each dose.
Use this medication regularly to get the most benefit from it. To help you remember, take it at the same time(s) each day.
If your doctor has recommended that you follow a special diet, it is very important to follow the diet to get the most benefit from this medication and to prevent serious side effects. Do not take other supplements/vitamins unless ordered by your doctor.
If you think you may have a serious medical problem, seek immediate medical attention.
Chewriv description
Each Chewriv milk powd contains: Energy Density 1 kCal/mL. Energy Distribution: Protein: Fat: CHO 13:37:50, Protein 32.5 g/L, CHO 125.7 g/L, Fat 42 g/L, Na 500 mg/L, K 1,250 mg/L, Mg 200 mg/L, P 500 mg/L, osmolality 300 mOsmol/kg H2O.
Each Chewriv oral liqd (ready-to-drink) contains: Energy Density 1 kCal/mL. Energy Distribution: Protein: Fat: CHO 14:32:54, Protein 35 g/L, CHO 135 g/L, Fat 36 g/L, Na 1,000 mg/L, K 1,200 mg/L, Mg 280 mg/L, P 870 mg/L, osmolality 330 mOsmol/kg H2O.
Chewriv is specifically formulated for the dietary management of malnutrition and other medical conditions with increased nutritional needs that cannot be met through diet modification alone.
Special Features: Chewriv is isotonic (low osmolality); 100% complex carbohydrate; 20% of fat as MCT; lactose-free; unflavoured.
Chewriv dosage
Chewriv Dosage
Applies to the following strength(s): 650 mg; 600 mg; 1250 mg/5 mL; 1250 mg; 1000 mg; 500 mg; 400 mg; base 500 mg; 750 mg; 900 mg; 648 mg; 420 mg; 250 mg; 550 mg; 1177 mg; 850 mg; 400 mg/5 mL; 350 mg; 1.5 g; 1 g; 300 mg; 450 mg
The information at Drugs.com is not a substitute for medical advice. Always consult your doctor or pharmacist.
Usual Adult Dose for:
- Osteoporosis
- Hypocalcemia
- Dyspepsia
- Duodenal Ulcer
- Gastric Ulcer
- Erosive Esophagitis
- Gastroesophageal Reflux Disease
Usual Pediatric Dose for:
- Hypocalcemia
Additional dosage information:
- Renal Dose Adjustments
- Liver Dose Adjustments
- Dialysis
- Other Comments
Usual Adult Dose for Osteoporosis
2500 to 7500 mg/day orally in 2 to 4 divided doses.
Usual Adult Dose for Hypocalcemia
900 to 2500 mg/day orally in 2 to 4 divided doses. This dose may be adjusted as needed to achieve a normal serum calcium level.
Usual Adult Dose for Dyspepsia
300 to 8000 mg/day orally in 2 to 4 divided doses. This dose may be increased as needed and tolerated to decrease symptoms of stomach upset.
Maximum Dose: 5,500 to 7980 mg (depending on product used). Not to exceed maximum daily dosage for a period of greater than 2 weeks unless directed by a physician.
Usual Adult Dose for Duodenal Ulcer
1250 to 3750 mg/day in 2 to 4 divided doses. This dose may be increased as needed and tolerated to decrease the abdominal discomfort. The major limiting factor to the chronic use of Chewriv is gastric hypersecretion and acid rebound.
Usual Adult Dose for Gastric Ulcer
1250 to 3750 mg/day in 2 to 4 divided doses. This dose may be increased as needed and tolerated to decrease the abdominal discomfort. The major limiting factor to the chronic use of Chewriv is gastric hypersecretion and acid rebound.
Usual Adult Dose for Erosive Esophagitis
1250 to 3750 mg/day orally in 2 to 4 divided doses. The potential for acid rebound could be detrimental. However, antacids have been frequently used in the management of erosive esophagitis and may be beneficial in decreasing the acidity of gastric contents.
Maximum Dose: 5,500 to 7980 mg (depending on product used). Not to exceed maximum daily dosage for a period of greater than 2 weeks unless directed by a physician.
Usual Adult Dose for Gastroesophageal Reflux Disease
1250 to 3750 mg/day orally in 2 to 4 divided doses. The potential for acid rebound could be detrimental. However, antacids have been frequently used in the management of erosive esophagitis and may be beneficial in decreasing the acidity of gastric contents.
Maximum Dose: 5,500 to 7980 mg (depending on product used). Not to exceed maximum daily dosage for a period of greater than 2 weeks unless directed by a physician.
Usual Pediatric Dose for Hypocalcemia
Neonatal:
Hypocalcemia (dose depends on clinical condition and serum calcium level): Dose expressed in mg of elemental calcium: 50 to 150 mg/kg/day in 4 to 6 divided doses; not to exceed 1 g/day
Usual
Dosage:
Chewriv:
Children 2 to 5 years: Childrens Pepto, Mylanta (R) Childrens: 1 tablet (400 mg Chewriv) as symptoms occur; not to exceed 3 tablets/day
Children 6 to 11 years: Childrens Pepto, Mylanta (R) Childrens: 2 tablets (800 mg Chewriv) as symptoms occur; not to exceed 6 tablets/day
Children 11 years and older:
Tums (R), Tums (R) E-X: 2 to 4 tablets chewed as symptoms occur; not to exceed 15 tablets [Tums (R)] or 10 tablets [Tums (R) E-X] per day
Tums (R) Ultra: 2 to 3 tablets chewed as symptoms occur; not to exceed 7 tablets per day
Hypocalcemia (dose depends on clinical condition and serum calcium level): Dose expressed in mg of elemental calcium:
Children: 45 to 65 mg/kg/day in 4 divided doses
Treatment of hyperphosphatemia in end-stage renal failure: Children and Adults: Dose expressed in mg of Chewriv: 1 g with each meal; increase as needed; range: 4 to 7 g/day
Hydrofluoric acid (HF) burns (HF concentration less than 20%):
Topical: Various topical calcium preparations have been used anecdotally for treatment of dermal exposure to HF solutions; Chewriv at concentrations ranging from 2.5% to 33% has been used; a topical Chewriv preparation must be compounded.
Renal Dose Adjustments
Patients with renal dysfunction have an increased risk of hypercalcemia. Periodically checking the serum calcium level, especially if signs or symptoms of hypercalcemia are detected, is recommended.
The use of Chewriv is not indicated for the treatment of hyperphosphatemia in patients with calculated or estimated creatinine clearance equal to or greater than 25 mL/min.
Liver Dose Adjustments
Data not available
Dialysis
Calcium is removed by hemodialysis. To ensure a positive net calcium flux into the patient during dialysis, a dialysate calcium concentration of 3 to 3.5 mEq/L is usually required. Mid-dialysis modest hypercalcemia is not uncommon when this concentration is used.
Calcium is removed by peritoneal dialysis. The standard peritoneal dialysate contains 3.5 mEq/L of calcium (in 1.5% dextrose) to maintain a positive calcium balance and to prevent calcium losses. When higher concentrations of dextrose are used, the net calcium balance may be negative because of a greater convective removal of calcium during ultrafiltration. This counterbalances the diffusion of calcium from the dialysate to the patient.
Other Comments
Dietary reference intake: Dosage is in terms of elemental calcium:
0 to 6 months: Adequate intake: 200 mg/day
7 to 12 months: Adequate intake: 260 mg/day
1 to 3 years: RDA: 700 mg/day
4 to 8 years: RDA: 1000 mg/day
9 to 18 years: RDA: 1300 mg/day
Adults, Female/Male: RDA:
19 to 50 years: 1000 mg/day
51 years and older, females: 1200 mg/day
51 to 70 years, males: 1000 mg/day
Female: Pregnancy/Lactating: RDA: Same as for Adults, Female/Male
Chewriv:
Elemental calcium: 400 mg/1 g (20 mEq calcium/gram)
Approximate equivalent dose: 225 mg of calcium salt
Osteoporosis may be associated with increased serum parathyroid hormone, excessive alcohol intake, tobacco use, inactivity, and certain drugs. Additional factors to consider in males with osteoporosis include hypogonadism and/or age related decreases in serum testosterone. Adequate vitamin D intake and weight bearing exercise (if possible) are recommended.
Each 1 g of Chewriv contains 400 mg elemental calcium, or 20 mEq calcium.
More about Chewriv
- Side Effects
- During Pregnancy
- Dosage Information
- Drug Images
- Drug Interactions
- Support Group
- Pricing & Coupons
- 13 Reviews - Add your own review/rating
Consumer resources
- Chewriv
- Chewriv chewable tablets
- Chewriv tablets
- Calcium/glycine
- Other brands: Caltrate, Os-Cal, Tums Regular Strength, Oysco 500, More (14) »
Professional resources
- Chewriv (Wolters Kluwer)
Related treatment guides
- Duodenal Ulcer
- Erosive Esophagitis
- GERD
- Hypocalcemia
- Indigestion
- More (3) »
Chewriv interactions
See also:
What other drugs will affect Chewriv?
An interaction generally means that one drug may increase or decrease the effect of another drug. Also, the more medications a person takes, the more likely there will be a drug interaction. Antacids do interact with or prevent the absorption of many medications. As a general rule it is best to separate Chewriv use and any other medications by at least 1 hour. When antacids are only taken occasionally, this seldom presents a serious problem. Since there are so many good medications to reduce stomach acid, some of them over-the-counter, it is unusual to require frequent Chewriv use during the day and night.
Interactions with this Chewriv may occur with the following:
* flecainide (Tambocor)
* phenytoin type drugs (Dilantin, Mesantoin, Peganone, Cerebyx)
* iron (Feosol, ferrous sulfate, Nu-Iron)
* quinidine (Quinidex, Quinaglute)
* aspirin, salicylates
* tetracycline (Sumycin, Tetracyn)
Chewriv side effects
See also:
What are the possible side effects of Chewriv?
Applies to Chewriv: tablets
Other dosage forms:
- chewable tablets
Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Constipation.
Seek medical attention right away if any of these SEVERE side effects occur while taking Chewriv (the active ingredient contained in Chewriv)
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); confusion; increased urination; loss of appetite; mental or mood changes; nausea; severe or persistent constipation or stomach pain; weakness; vomiting.
Chewriv contraindications
See also:
What is the most important information I should know about Chewriv?
Known hypersensitivity reaction to any of the ingredients of Chewriv.
Active ingredient matches for Chewriv:
Unit description / dosage (Manufacturer) | Price, USD |
Chewriv 400 mg+200 iu Tablet | $ 0.03 |
List of Chewriv substitutes (brand and generic names): | |
Chew Cal (Egypt) | |
Chewriv-Kid | |
Chewriv-Kid 625 mg Tablet (East African (I) Remedies Pvt Ltd) | $ 0.03 |
Children's Pepto (United States) | |
Chooz | |
Chooz gum, chewing 500 mg/1 (Schering-plough) | |
Cimascal (Spain) | |
Cincal-CT (India) | |
Cincal-CT Calcium carbonate 500 mg, Calcitriol 0.25 mcg, Zinc 7.5mg. S-GEL / 100 (Cinerea) | $ 11.45 |
100's (Cinerea) | $ 11.45 |
CINCAL-CT soft-gelatin cap 10's (Cinerea) | $ 1.14 |
Ciocar (Mexico) | |
Citca Tablet | |
Citca Tablet (Ziyon Healthcare) | $ 0.03 |
Cool Joint Tablet | |
Cool Joint Tablet (Invision Medi Sciences) | $ 0.09 |
Cool-Joint (India) | |
Cool-Joint Glucosamine Sulphate potassium500 mg, Calcium carbonate 250mg, Manganese 20 mg, vitamin C25 mg, vitamin E 4 mg, methylsulfonylmethane 250 mg. TAB / 10 (Invision) | $ 0.91 |
10's (Invision) | $ 0.91 |
COOL-JOINT tab 10's (Invision) | $ 0.91 |
Coral-M (India) | |
Coral-M Calcium carbonate 1107 mg, Dicalcium phosphate 200 mg, Vitamin D3 200 IU, Magnesium90 mg, zinc 4 mg. TAB / 10 (Haledew) | $ 0.30 |
10's (Haledew) | $ 0.30 |
CORAL-M tab 10's (Haledew) | $ 0.30 |
Corcium (India) | |
Corcium 225mg FC-TAB / 10 (Lupin) | $ 0.92 |
CORCIUM film-coated tab 225 mg x 10's (Lupin) | $ 0.92 |
Costin (Bangladesh) | |
Cpcal (Bangladesh) | |
CRV Z | |
CRV Z 500+7.5+0.25 Capsule (Mac Organics) | $ 0.12 |
Cypacal Forte | |
Cypacal Forte 1250 mg+250 iu Tablet (Cyper Pharma) | $ 0.02 |
D-Cal | |
D-cal tablet, chewable 750 mg/1 (A&Z Pharmaceutical Inc. (US)) | |
D-Vital (Belgium) | |
Dailycal Ortho | |
Dailycal Ortho 1250 mg+20 mg+0.25 mcg Tablet (Systopic Laboratories (P) Ltd.) | $ 0.06 |
Dalcal | |
Dalcal 500 mg+200 iu Tablet (Dallas Pharmaceuticals) | $ 0.03 |
Dalcal 250 mg+200 iu Tablet (Dallas Pharmaceuticals) | $ 0.02 |
Dancalcio (Colombia) | |
Deecal Alpha | |
Deecal Alpha 250 mg+0.25 mcg Tablet (Park Pharmaceuticals) | $ 0.08 |
Deecal Forte | |
Deecal Forte 500 mg+250 iu Tablet (Park Pharmaceuticals) | $ 0.03 |
Delcimed | |
Delcimed 1250 mg+500 mg+250 iu Tablet (Indamed Pharmaceuticals Pvt. Ltd) | $ 0.03 |
Deltacal (Australia) | |
Densical (France, Spain, Tunisia) | |
Tablet, Chewable; Oral; Calcium / Calcium Carbonate 600 mg (Rubio) | |
Dexacid (Argentina) | |
Dianutrin Tablet | |
Dianutrin Tablet (Biological Evans Ltd) | $ 0.04 |
Dicarbosil | |
Doll | |
Doll 200 mg+0.25 mcg Capsule (Santo Formulations) | $ 0.06 |
Dolvic (India) | |
Dolvic Alfacalcidol 0.25 mcg, Calciumcarbonate 1250 mg. TAB / 10 (Kaizen) | |
10's (Kaizen) | |
DOLVIC tab 10's (Kaizen) | |
Dreisacarb (Austria, Germany) | |
Tablet, Film-Coated; Oral; Calcium Carbonate (Brady) | |
See 1630 substitutes for Chewriv |
References
- DailyMed. "CALCIUM CARBONATE; FAMOTIDINE; MAGNESIUM HYDROXIDE: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailyme... (accessed September 17, 2018).
- DailyMed. "CALCIUM: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailyme... (accessed September 17, 2018).
- PubChem. "Calcium". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
Reviews
The results of a survey conducted on ndrugs.com for Chewriv are given in detail below. The results of the survey conducted are based on the impressions and views of the website users and consumers taking Chewriv. We implore you to kindly base your medical condition or therapeutic choices on the result or test conducted by a physician or licensed medical practitioners.User reports
Consumer reported useful
No survey data has been collected yetConsumer reported price estimates
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Information checked by Dr. Sachin Kumar, MD Pharmacology