SHELCAL 200ML SYP

Uses and Benefits

Shelcal syrup is used in the treatment of hyperphosphatemia in patients with chronic renal failure and hyperacidity. The medicine is also used to treat calcium deficiency in supplementation during growth, pregnancy, lactation, refractory rickets, hyperparathyroidism, and controlling hypocalcemia and renal osteodystrophy in patients with chronic renal failure who had undergone dialysis. However, the uses mentioned here are not exhaustive. There may be other conditions for which this medication may be used upon a doctor’s discretion.

Composition

The active ingredients of Shelcal Syrup 200ml are Calcium Carbonate 625mg and Vitamin D3 (also known as Cholecalciferol) 125 IU/5ml.

Mechanism of Action of Drugs

Calcium Carbonate is an antacid which works by neutralizing the acid released in the stomach.

On the other hand, Vitamin D3 (also known as Cholecalciferol) is a fat-soluble vitamin naturally synthesized in the body when the skin is exposed to sunshine. It acts by regulating phosphorous and calcium levels in the body.

Contraindications and Caution

Patients with the following conditions are suggested to seek advice from their health care professional before using this Shelcal syrup 200ml:

• Hypersensitivity to any of the ingredients used in the syrup such as Calcium Carbonate and Vitamin D3 also known as Cholecalciferol.
• History of Renal Calculi
• Hypercalcemia
• Hypophosphataemia
• Patients with Digoxin toxicity
• Hypervitaminosis D

• Caution:
• Hypercalciuria
• Renal impairment
• Hyperparathyroidism
• GI Bleeding
• GI Obstruction
• Renal stones
• Leukemia
• Lymphoma
• Sarcoidosis
• Cardiovascular disease

Side and Adverse Effects

The following side effects may or may not occur during the usage of this Shelcal syrup 200ml. It is generally well tolerated when taken in the prescribed dosage guidelines. More common ones are generally mild and may include:

• Constipation
• Flatulence
• Hypercalcemia
• Nausea
• Vomiting

Rare but more serious adverse effects may include:

• Hypervitaminosis D
• Hypercalcemia
• Hypercalciuria
• Nephrotoxicity
• Hyperphosphatemia
• Renal and CV Damage

How to Use

Do not exceed the dose prescribed by your doctor.
Shelcal syrup 200ml is meant for oral administration. Shake the bottle well before consuming. Dosage can be administered with the cap that comes along with the container.
Avoid missing a dose. If you do, take it as soon as you remember; but if it is time for your next dose, skip it and take it according to your normal schedule. Don’t consume two doses at the same time which is dangerous to your health.
Dosage as directed by your physician.

Warnings and Precautions

Take the Shelcal Syrup 200ml only on the advice of a medical practitioner. Dosage adjustment or complete avoidance of the medication may be required in the following conditions:

Kidney:

Inform your doctor if you have any renal problems before consuming the syrup.

Liver:

Inform your doctor if you have any hepatic problems before consuming the syrup.

Pregnancy:

Calcium Carbonate: May be used during pregnancy – no known risks of fetal harm based on human data.

Vitamin D3 (cholecalciferol): May be used during pregnancy. For pregnant patients with vitamin D deficiency, 1k-2k units per day can be used. Note that there can be a risk of teratogenicity if the intake is more than the prescribed.

Lactation:

Calcium Carbonate: May be used during lactation – no known risks of infant harm based on drug properties.

Vitamin D3 (cholecalciferol): May be used during lactation. Daily recommended dose: 5k-6k per day while breastfeeding. Simultaneously, the calcium levels of the breastfed infant should be monitored because there may be possible risk of infant hypercalcemia and also, there is no human data available to asses effects on production of milk and the possible risks.

Food Interactions:

Avoid using fiber content food along with the syrup.
Avoid taking olestra, a polyester derived from sucrose.

Drug Interactions:

When used along with corticosteroids, the absorption of calcium in the body reduces.
When used along with tetracyclines, it affects the absorption of tetracyclines.
Urinary excretion of calcium may be decreased with the use of thiazide diuretics.

FDA Pregnancy Category

Category C: Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.