Calcium-D3 Nikomed during pregnancy
While carrying a child, the load on the body of a pregnant woman increases, and her needs for minerals and vitamins increase. It is especially important to ensure that there is enough calcium in the future mom's food, because this element is considered one of the most important for the proper development of the fetus and maintaining the health of a woman during pregnancy.
If food can not provide a sufficient amount, resort to special preparations that contain the desired dose of calcium. One of them is Calcium-D3 Nycomed. Is this supplement prescribed during pregnancy, when it can harm a future mother or baby, and what analogs can be replaced if necessary?
Composition and release form
The drug is represented by sweet chewable tablets, in which the convex round shape and white color. The tablets have no shell, their edges may be uneven, and the structure is interspersed. They are placed in plastic bottles and sold for 20, 30, 50 or 100 pieces.
The smell and taste of the pill can be orange or mint.
Each of them contains a combination of two active substances:
- one of them is calcium in the form of carbonate, represented by a dose of 1250 mg (it corresponds to 500 mg of elemental calcium);
- The second important component of the supplement is vitamin D in the form of colecalciferol. Its amount in one tablet is 5 µg or 200 IU.
In addition to these substances, the drug includes aspartame, povidone, sorbitol and magnesium stearate, as well as additives for taste and smell.
Action and testimony
The main components of the tablets are important for the condition of bones, nails, hair, teeth and muscles, because they are involved in the exchange of calcium and phosphorus. Calcium D3 Nycomed helps to fill the lack of both calcium and vitamin D, which has a positive effect on bone density, tooth mineralization, blood clotting, conduction of nerve impulses and muscle contraction.
The addition of vitamin D to the formulation helps calcium to be absorbed in the intestines. The main reason for taking pills is prevention of calcium deficiency or vitamin D. In addition, Calcium-D3 Nycomed is also prescribed for treatment if a deficiency of vitamin D and calcium led to health problems.
Is it allowed for pregnant women?
According to the instructions for the pills, women in position should be prescribed with caution. This means that taking Calcium-D3 Nycomed while carrying a baby without the prescription of the doctor and his inspection should not be. The doctor must determine whether such a supplement is required for the expectant mother, as well as what dose would be optimal for her.
Without a sufficient amount of calcium in a woman carrying a child, the following problems are possible:
- hair will start to fall in greater quantities;
- nail plates will become more brittle;
- teeth begin to break down and become more vulnerable to caries;
- bones will be thinned;
- sleep may be disturbed;
- may cause cramps or trembling of the limbs;
- toxicosis or preeclampsia may develop;
- disrupted blood clotting system.
For a baby, calcium deficiency is fraught with stunted growth and development, as well as an increased risk of rickets.
Calcium-D3 Nycomed is usually recommended for women. in the first and second trimesters. Starting from the 26th week, the drug is used only for indications, because in the last trimester, the fetal bone system is almost fully formed, and an excess of minerals can adversely affect labor activity (the baby’s bones will become too dense, and this will make it harder for the babies to move through the birth canal) .
Contraindications
The drug should not be taken in the following cases:
- if tests show elevated levels of calcium in the blood or urine;
- if there are stones in the kidney of a pregnant woman;
- if hypervitaminosis D is found in a woman;
- if the kidney function of the pregnant woman is seriously impaired;
- if there is hypersensitivity to any of the components of the tablets;
- with active tuberculosis or sarcoidosis;
- if a woman has phenylketonuria, fructose intolerance, or a lack of enzymes involved in the digestion of carbohydrates.
Instructions for use
The tablet is advised to dissolve or chew during meals. Usually, for the prevention of prescribed double supplement from Nikomed 1 tablet.
The duration of admission is set individually, but on average it is at least 4-6 weeks.
Precautionary measures
In some women, Calcium D3 Nycomed can cause side effects, such as constipation, an allergic rash, nausea, itchy skin, or bloating. When they appear, you should refuse to use the supplement and report the reaction to it to the doctor.
Although tablets are advised to chew during meals, some foods can impair their absorption. For this reason, Calcium-D3 Nycomed incompatible with meals of cereals, sorrel, rhubarb or spinach. If a woman has eaten such foods, then the pill can be absorbed at least 2 hours later.
Taking the medication It is important not to exceed the dose prescribed by the doctor.. Annotation to tablets contains information that pregnant women should not take more than 3 tablets per day, since the maximum allowable dose of vitamin D for women in the position is 600 IU, and elemental calcium is 1500 mg. It is important to take these dosages into account when taking a multivitamin supplement, which may include calcium or vitamin D.
Calcium-D3 Nycomed, like other calcium drugs, do not advise to combine with many drugs, among which tetracyclines, cardiac glycosides, levothyroxine, diuretics and some other drugs. If a woman is treated with some kind of medication, it is important to take this into account before taking the pills.
Before you begin the prophylactic administration of Calcium-D3 Nicomede, it is important to check the shelf life of the drug. It is 3 years old and is marked on the bottle and box. In addition, you can not violate the conditions of storage of medicines. The bottle should be tightly closed and stored in a dry place at a temperature not exceeding +25 degrees.
Reviews
On the use of the drug during pregnancy respond mostly well. Women in the position say that taking this supplement helped to get rid of weakness, cramps in the legs, fatigue, numbness, pain in the joints and other symptoms of calcium deficiency.
According to expectant mothers, the condition of their hair and nails during the use of tablets improved.
Wherein drug tolerance is called good. Only occasionally there are negative reviews, in which there are complaints about the manifestation of side effects of the drug, for example, constipation or nausea.
Analogs
Instead of Calcium-D3 tablets, Nycomed in a pharmacy can offer a similar drug called Calcium-D3 Nycomed Forte. It is also represented by chewable tablets (they have lemon flavor), which contain a combination of calcium carbonate and vitamin D.
The main difference of the drug Forte is a double dose of colecalciferol - in each tablet, this ingredient is represented by the amount of 10 μg or 400 IU. It is important to remember if such an additive was chosen to replace the usual Calcium-D3 Nicomed.
In addition, the doctor may prescribe other calcium-containing medicines to expectant mothers, for example:
- Kalzemin Advance.This is a German supplement from Bayer, each tablet in the shell of which contains 500 mg of calcium in two forms (carbonate and citrate) and 200 IU of vitamin D. In addition, the drug includes boron, manganese, copper and zinc.
- Complivit Calcium D3. Such Russian chewable orange pills contain 500 mg of calcium carbonate in each tablet combined with vitamin D in a dose of 200 IU. There is also the drug Forte, represented by mint tablets. Its difference is the higher dosage of vitamin D (400 IU).
- Vitrum Calcium + Vitamin D3. Such coated tablets made in the USA also include Ca + in the form of carbonate (500 mg per tablet), supplemented with vitamin D3 in a dose of 200 IU.
- Natekal D3. This Italian supplement is available in two forms - lozenges and chewable tablets. Each of them is a source of 600 mg of Ca + and 400 IU of colecalciferol.
See the following video for interesting details and myths about calcium.