Calcium
Carbonate (Os-Cal, various)
Category:
Miscellaneous
Description:
Nutritional
supplement
Indications:
Chronic
hypocalcemia
Nutritional
supplement
Hyperphosphatemia
Osteoporosis
prophylaxis
Contraindications:
Hypercalcemia,
hypercalciuria, hyperparathyroidism, bone tumors
Ventricular
fibrillation, renal calculi
Precautions:
Pregnancy
category C
GI
obstruction, decreased GI motility
Fluid
restriction
Adverse
Reactions (Side Effects):
CV:
bradycardia, cardiac arrest, dysrhythymias, shortened Q-T
GI:
anorexia, constipation, diarrhea, eructation, flatulence, vomiting
GU:
renal stones, renal failure, renal dysfunction
METAB:
hypercalcemia, muscle weakness, headache, coma
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Dosage:
Administered
orally
-
Chronic
hypocalcemia: Dosage is based on the clinical condition of the patient and the serum
calcium concentration. Serum
concentrations of ionized calcium may be necessary to guide dosage
adjustments in some patients, especially those with hypoalbuminemia.
-
Adult:
Usual initial doses are 2-4 g PO of elemental calcium daily (5-10g
carcium carbonate) administered in 3-4 divided doses
-
Child:
45-60 mg/kg PO of elemental calcium (112.5-162.5 mg/kg calcium
carbonate daily, administered in 4 divided doses
-
Neonate:
50-150 mg/kg PO of elemental calcium (125-375 mg/kg calcium
carbonate) daily, administered in 4-6 divided doses
-
Nutritional
Supplementation (recommended daily allowance):
-
Adult
>25 years: 1000-1500mg PO elemental calcium (2500-3750mg
calcium carbonate) daily
-
Child
> = 11 years and adults < = 24 years: 1200-1500mg elemental
calcium (3000-3750mg calcium carbonate) daily
-
Child
6-10 years: PO 800-1200mg elemental calcium (2000-3000mg calcium
carbonate) daily
-
Child
1-5 years: PO 800mg elemental calcium (2000mg calcium carbonate)
daily
-
Infant
6-12 months: PO 600mg elemental calcium (1500mg calcium carbonate)
daily
-
Infant
<6 months: PO 400mg elemental calcium (1000mg calcium
carbonate) daily
-
Osteoporosis
prophylaxis: (in postmenopausal women)
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Distribution is unlimited. The information contained here is an abbreviated summary. For more detailed and complete information, consult the manufacturer's product information sheets or standard textbooks.
Source: Operational Medicine 2001, Health Care in Military Settings, NAVMED P-5139, May 1, 2001, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C., 20372-5300.
Bureau of Medicine and Surgery
Department of the Navy
2300 E Street NW
Washington, D.C
20372-5300 |
Operational Medicine
Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
January 1, 2001 |
United States Special Operations
Command
7701 Tampa Point Blvd.
MacDill AFB, Florida
33621-5323 |
*This web version is provided by The Brookside Associates, LLC. It contains
original contents from the official US Navy NAVMED P-5139, but has been
reformatted for web access and includes advertising and links that were not
present in the original version. The medical information presented was reviewed and felt to be accurate in 2001. Medical knowledge and practice methods may have changed since that time. Some links may no longer be active. This web version has not been approved by the
Department of the Navy or the Department of Defense. The presence of any
advertising on these pages does not constitute an endorsement of that product or
service by either the US Department of Defense or the Brookside Associates. The
Brookside Associates is a private organization, not affiliated with the United
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