Sandochew Uses

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Sandochew indications

An indication is a term used for the list of condition or symptom or illness for which the medicine is prescribed or used by the patient. For example, acetaminophen or paracetamol is used for fever by the patient, or the doctor prescribes it for a headache or body pains. Now fever, headache and body pains are the indications of paracetamol. A patient should be aware of the indications of medications used for common conditions because they can be taken over the counter in the pharmacy meaning without prescription by the Physician.
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this antacid 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 Calcium Carbonate (Sandochew) 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.

Uses of Sandochew in details

There are specific as well as general uses of a drug or medicine. A medicine can be used to prevent a disease, treat a disease over a period or cure a disease. It can also be used to treat the particular symptom of the disease. The drug use depends on the form the patient takes it. It may be more useful in injection form or sometimes in tablet form. The drug can be used for a single troubling symptom or a life-threatening condition. While some medications can be stopped after few days, some drugs need to be continued for prolonged period to get the benefit from it.

This combination 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. Vitamin D helps your body absorb calcium and phosphorus. Having the right amounts of vitamin D, calcium, and phosphorus is important for building and keeping strong bones.

How to use Sandochew(3)

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 total 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 liquid form of this medication, carefully measure the dose using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose.

If you are taking the chewable form of this medication, chew thoroughly before swallowing. If you are taking capsules, swallow each capsule whole.

Do not crush or chew extended-release tablets. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split the tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing.

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.

Calcium supplements come in different forms that contain different amounts of calcium/vitamin D. Ask your doctor or pharmacist to help select the best product for you.

If you think you may have a serious medical problem, seek immediate medical attention.

Sandochew description

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Each chewable tablet contains Calcium Carbonate (Sandochew) 1500 mg (equivalent to elemental calcium 600 mg) and Sandochew concentrate 4 mg (equivalent to vitamin D3 400 IU).

Sandochew dosage

Adult and the

Elderly: 1 tab twice daily [eg, 1 tab in the morning and in the evening (equivalent to calcium 1200 mg & vitamin D3 800 IU)]. Reduction of intake should be considered necessary following the monitoring of calcium levels.

Pregnant Women: 1 tab daily. No dose adjustment is required in cases of hepatic insufficiency.

The tablets are chewed and then swallowed with some liquid. In exceptional cases (eg, disabled patients), the tablets can, after consulting a doctor, be sucked.

Sandochew should be taken by adults only.

Sandochew interactions

Thiazide diuretics reduce calcium excretion in the urine. Because of the increased risk of hypercalcaemia, calcium monitoring is recommended in cases when thiazide diuretics are given simultaneously.

Systemic corticosteroids reduce calcium absorption. In the case of concomitant administration of corticosteroids, it might be necessary to increase the dose of Sandochew.

Orlistat, combined ion-exchange resin treatment eg, cholestyramine or laxatives eg, paraffin oil can reduce the gastrointestinal absorption of vitamin D3. An interval of at least 2 hrs should be observed between ingestion of ion-exchange resins (eg, cholestyramine) or laxatives and Sandochew as otherwise the absorption of vitamin D3 is reduced.

Calcium Carbonate (Sandochew) can alter tetracycline absorption when given simultaneously. It is recommended that taking tetracycline be staggered by at least 2 hrs before or 4-6 hrs after taking calcium by mouth.

Hypercalcaemia can increase the toxicity of cardiac glycosides in the case of simultaneous administration with calcium and vitamin D. Consequently patients must be monitored regularly (ECG check and calcaemia).

Rifampicin, phenytoin or barbiturates may reduce the activity of vitamin D3, since they increase the rate of its metabolism.

Calcium salts may decrease the absorption of iron, zinc or strontium. Consequently, the iron, zinc or strontium preparation should be taken at a distance of 2 hrs from the calcium preparation.

Calcium salts may reduce the absorption of the estramustin or thyroid hormones. It is recommended that taking Sandochew be spaced at least 2 hrs from these medicines.

In the case of concomitant bisphosphonate, sodium fluoride or fluoroquinolone administration, it is recommended that taking Sandochew be spaced by at least 3 hrs, as their absorption during digestion may be reduced.

Oxalic acid (found in spinach and rhubarb) and phytic acid (found in wholegrain cereals) can inhibit calcium absorption by forming insoluble compound with calcium ions. Patients must not take calcium containing-products in the 2 hrs after the consumption of foods rich in oxalic acid and phytic acid.

Sandochew side effects

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Constipation or stomach upset may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

If your doctor has directed you to use this medication, remember that he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if any of these unlikely but serious side effects occur: nausea/vomiting, loss of appetite, unusual weight loss, mental/mood changes, signs of kidney problems (such as change in the amount of urine), bone/muscle pain, headache, increased thirst, increased urination, weakness, tiredness, fast/pounding heartbeat.

A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Sandochew contraindications

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Hypersensitivity to the Calcium Carbonate (Sandochew) or Sandochew, or to any of the excipients of Sandochew. Renal failure; hypercalciuria and hypercalcaemia and diseases and/or conditions, which lead to hypercalcaemia and/or hypercalciuria (eg, myeloma, bone metastases, primary hyperparathyroidism); kidney stones (nephrolitiasis, nephrocalcinosis); hypervitaminosis D.

Active ingredient matches for Sandochew:

Calcium Carbonate/Colecalciferol in India.

Calcium Carbonate/Vitamin D3

Cholecalciferol

Calcium/Calcium Carbonate/cholecalciferol/Colecalciferol in India.


Unit description / dosage (Manufacturer)Price, USD
20's$ 1.11
Sandochew Ca 500mg, Cholecalciferol 250iu CHW-TAB / 20$ 1.11
Sandochew Calcium 500 mg, Cholecalciferol 250 IU. CHW-TAB / 20$ 1.11
Sandochew Ca 500mg, Cholecalciferol250IU CHW-TAB / 20$ 1.11
Sandochew 1250 mg+250 iu Tablet$ 0.06
SANDOCHEW chewable tab 10's (Novartis India)$ 0.56
Sandochew Ca 500mg, Cholecalciferol250IU CHW-TAB / 20$ 1.11
Sandochew Ca 500mg, Cholecalciferol 250iu CHW-TAB / 20$ 1.11
Sandochew Calcium 500 mg, Cholecalciferol 250 IU. CHW-TAB / 20$ 1.11

List of Sandochew substitutes (brand and generic names):

Capsule; Oral; Calcium / Calcium Carbonate 320 mg; Vitamin D3 / Cholecalciferol 125 IU (Sanitas)
Capsule; Oral; Calcium / Calcium Carbonate 450 mg; Vitamin D3 / Cholecalciferol 175 IU
Sayocal Calcium 250 mg, Vitamin D3 25IU. SYR / 200ml (Sayona (Zota Healthcare Pvt Ltd))$ 0.95
200ml (Sayona (Zota Healthcare Pvt Ltd))$ 0.95
Sayocal 200 ml Syrup (Sayona (Zota Healthcare Pvt Ltd))$ 0.02
SAYOCAL syr 200ml (Sayona (Zota Healthcare Pvt Ltd))$ 0.95
Sayocal-500 Calcium carbonate 1107 mg, Dibasic calcium phosphate 200mg, Vitamin D3 200 IU, Magnesium 90 mg, Zinc 4 mg. TAB / 10 (ZHPL (Sayona))$ 0.44
10's (ZHPL (Sayona))$ 0.44
SAYOCAL-500 tab 10's (ZHPL (Sayona))$ 0.44
SEPTA-D3 cap 60000 IU x 4's (Septalyst)$ 1.84
Setcal MOM Calcium carbonate equiv. toelemental calcium 400mg 1000mg, Magnesium 50 mg, Vitamin C50 mg, Vitamin D3 200 IU, Zinc3.5 mg. TAB / 10 (Wanbury)$ 0.63
10's (Wanbury)$ 0.63
SETCAL MOM tab 10's (Wanbury)$ 0.63
Shel -D Ca Carbonate 250mg, Vit D3125iu TAB / 10$ 0.32
Shel -D Ca Carbonate 500mg, Vit D3250iu TAB / 15$ 0.78
Shel-D Ca Carbonate 250mg, Vit D3125iu TAB / 10 (UniOrange)$ 0.32
Shel-D Ca Carbonate 500mg, Vit D3250iu TAB / 15 (UniOrange)$ 0.78
10's (UniOrange)$ 0.32
15's (UniOrange)$ 0.78
SHEL-D tab 10's (UniOrange)$ 0.32
SHEL-D tab 15's (UniOrange)$ 0.78
Shelcal Ca carbonate 1250mg, Vit D3250iu TAB / 15 (Elder Pharmaceuticals Pvt Ltd)$ 0.76
Shelcal Ca 500mg, Vit D3 250iu TAB / 15 (Elder Pharmaceuticals Pvt Ltd)$ 0.51
Shelcal Ca carbonate 625mg, Vit D3125iu TAB / 30 (Elder Pharmaceuticals Pvt Ltd)$ 0.76
30's (Elder Pharmaceuticals Pvt Ltd)$ 0.76
15's (Elder Pharmaceuticals Pvt Ltd)$ 0.76
Shelcal 1 Bottle 150 mL (Elder Pharmaceuticals Pvt Ltd)
Shelcal 625 mg+125 iu Tablet (Elder Pharmaceuticals Pvt Ltd)$ 0.03
Shelcal 200 ml Syrup (Elder Pharmaceuticals Pvt Ltd)$ 0.02
Shelcal 250 mg+125 iu Tablet (Elder Pharmaceuticals Pvt Ltd)$ 0.03
Shelcal 150 ml Suspension (Elder Pharmaceuticals Pvt Ltd)$ 0.02
Shelcal 1250 mg+250 iu Tablet (Elder Pharmaceuticals Pvt Ltd)$ 0.06
Shelcal 500 mg+250 iu Tablet (Elder Pharmaceuticals Pvt Ltd)$ 0.06
Shelcal KID Ca Carbonate 250mg, Vit D3125iu CHW- TAB / 30 (Elder Pharmaceuticals Pvt Ltd)$ 0.55
Shelcal Kid Ca Carbonate 250mg, Vit D3125iu CHW-TAB / 30 (Elder Pharmaceuticals Pvt Ltd)$ 0.55
30's (Elder Pharmaceuticals Pvt Ltd)$ 0.55
Shelcal Kid 250 mg+125 iu Tablet (Elder Pharmaceuticals Pvt Ltd)$ 0.01

References

  1. DailyMed. "ASCORBIC ACID; BIOTIN; CHOLECALCIFEROL; CYANOCOBALAMIN; DEXPANTHENOL; FOLIC ACID; NIACINAMIDE; PYRIDOXINE; RIBOFLAVIN; THIAMINE; TOCOPHEROL ACETATE; VITAMIN A; VITAMIN K: 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).
  2. 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).
  3. DailyMed. "CHOLECALCIFEROL: 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).

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Information checked by Dr. Sachin Kumar, MD Pharmacology

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