Tevacarbovit Overdose

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Overdose of Tevacarbovit in details

When a dose is taken in higher dose than the recommended doses, it is called Overdose. Overdose always needs a clinical supervision. Any medicine or drug when consumed in Overdose produces untoward side effects on one or various organs in the body. A medicine is excreted in the kidney or metabolized in the liver most of the times. This process goes without any hurdles when taken in normal dose, but when taken in an overdose, the body is not able to metabolize it or send it out properly which causes the effects of anoverdose.
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If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: nausea/vomiting, loss of appetite, mental/mood changes, headache, drowsiness, weakness, tiredness.

Notes

Keep all regular medical and laboratory appointments. If your doctor has directed you to take this medication, laboratory and/or medical tests (e.g., calcium levels) should be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details.

Foods rich in vitamin D include: fortified dairy products, eggs, sardines, cod liver oil, chicken livers, and fatty fish. Vitamin D is also made by the body as a result of exposure to the sun.

Foods rich in calcium include: dairy products (e.g., milk, yogurt, cheese, ice cream), dark-green leafy vegetables (e.g., broccoli, spinach, bok choy), and calcium-fortified foods (e.g., orange juice).

You can decrease the risk of bone disease by being physically active, not smoking, and avoiding the use of alcohol/caffeine.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Storage

Store at room temperature away from light and moisture. See packaging for the exact temperature range. If you have any questions about storage, ask your pharmacist. Do not store in the bathroom. Keep all medicines away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

Tevacarbovit warnings

Warnings are a mix of Precautions. Contraindications and interactions and serious harmful effects associated with the medicine intake. A diabetic or Hypertensive patient need to be warned about few drug interactions. A known hypersensitivity patient needs to be careful about the reactions or anaphylactic shock. A pregnant woman or a breastfeeding woman should be warned of certain medications. A Hepatitis [liver disease] patient or a cardiac patient should avoid few drugs.
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Tell your doctor if you are

allergic to any other medicines,

foods, dyes or preservatives.

Tell your doctor if you are

pregnant or plan to become

pregnant:

Your doctor will discuss the risks

and benefits of taking this medicine

during pregnancy.

Tell your doctor if you are

breastfeeding or wish to

breastfeed:

this medicine may pass into the breast

milk and cause drowsiness and

feeding difficulties in the baby.

Your doctor will discuss the risks

and benefits of taking this medicine

when breastfeeding.

Tell your doctor if you have any

medical conditions, especially

the following:

• depression, psychosis or

schizophrenia

• glaucoma (high pressure in the

eye)

• epilepsy (fits or convulsions)

• liver, kidney or lung disease

• high or low blood pressure

• previous problems with addiction

to medicine.

Tell your doctor if you drink

alcohol regularly:

Alcohol may increase the effects of

this medicine.

Tevacarbovit precautions

Certain people who are very sick or very old or who are sensitive show an exacerbation of side effect of the drug which can turn dangerous at times. So, it is very important to remember the precautions while taking the medicine. Pregnancy and Breastfeeding are also special categories wherein extra care or precaution is needed when taking a drug. Few patients may have a hypersensitivity reaction to few medications, and that can be life-threatening rarely. Penicillin hypersensitivity is one example. Diarrhea, rashes are few other symptoms which need a watch. A patient with other co-existing diseases like liver disease, heart disease, kidney disease should take special precautions.

In the event of prolonged treatment, checking calcaemia and renal function by assaying serum creatinine is justified. This monitoring is particularly important in the elderly, in cases of combined treatment with cardiac glycosides and diuretics and in patients who are frequently subject to the formation of kidney stones. In the presence of hypercalcaemia or signs of problems with renal function, the dose must be reduced or treatment interrupted. Therapy should be reduced or preliminary interrupted if urinary calcium level exceeds 7.5 mmol/24 hrs (300 mg/24 hrs).

Tevacarbovit must be prescribed with caution to patients who are immobilized and suffering from osteoporosis, because of the increase in the risk of hypercalcaemia.

Take into account the intake of vitamin D, calcium and alkali eg, carbonate from all other sources (eg, dietary supplements or food) before prescribing Tevacarbovit. As this product already contain vitamin D and Calcium Carbonate (Tevacarbovit), the additional administration of vitamin D or Calcium Carbonate (Tevacarbovit) may lead to a Burnett Syndrome (hypercalcaemia, metabolic alkalosis, renal failure and soft tissue calcification), and must therefore be carried out under strict medical supervision with regular monitoring of calcaemia and calciuria.

Tevacarbovit must be used with caution in patients suffering from sarcoidosis because of a possible increase in vitamin D3 metabolism to its active form. In these patients, calcaemia and calciuria must be monitored.

It must be used with caution and phosphate-calcium levels monitored in patients presenting with a decrease in renal function. The risk of soft tissue calcification must be taken into account. In patients with severe renal insufficiency, vitamin D3 in the form of cholecalciferol is not metabolized in the normal way and other forms of vitamin D3 must be used.

Tevacarbovit contains sucrose; therefore, patients with rare hereditary problems of fructose intolerance, glucosegalactose malabsorption or sucrose-isomaltase insufficiency should not take this medicine.

Note for Diabetics: The proportion of digestible carbohydrate in Tevacarbovit is 0.47 g per tablet. The daily dose of 2 tablets corresponds to 0.08 carbohydrate units (CU).

Use in pregnancy: Tevacarbovit may be given during pregnancy in cases of calcium and vitamin D3 deficiency. During pregnancy, the daily dose should not exceed 1500 mg of calcium and 600 IU of vitamin D. Therefore, the daily dose must not exceed 1 tablet. Animal studies have shown toxic effects on reproduction at high doses of vitamin D. In pregnant women, all calcium or vitamin D overdoses must be avoided, as prolonged hypercalcaemia in pregnancy may lead to retardation of physical and mental development, supravalvular aortic stenosis and retinopathy in the child. There are no indications that vitamin D3 at therapeutic doses is teratogenic in man.

Use in lactation: Tevacarbovit can be used during breastfeeding. Calcium and vitamin D3 pass into maternal milk. This must be taken into consideration when vitamin D3 is given concomitantly to the child.

In pregnant and lactating women, the calcium preparation should be taken at a distance of 2 hrs from a meal due to a possible decrease of iron absorption.

Use in children: Tevacarbovit is not intended for use in children or adolescents.


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References

  1. 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).
  2. 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).
  3. DrugBank. "Calcium Carbonate". http://www.drugbank.ca/drugs/DB06724 (accessed September 17, 2018).

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