Bổ sung vitamin D3

  • Giá thị trường: Liên hệ

    Product Description

    description

    Fatigue and lack of drive are often the result of a vitamin D supply

    A link between a deficiency of vitamin D and depressive mood is now proven and proven. The lower the vitamin D level, the greater the detuning. *

    Treat these unintended symptoms with the VIGANTOLETTEN 500 IU vitamin D3 tablets  . Also for the treatment of osteoporosis, for rickitisprophylaxis and for the strengthening of immune defense, the taking of the tablets is best suited.

    Additional information for your online pharmacy

    application areas

    Which illnesses is this medication used for?

    • Vitamin preparation, is used:
      • For the prevention of rickets (calcification disorders of the skeleton in the age of growth)
      • For the prevention of rickets (calcification disorders of the skeleton in the growth age) in premature infants
      • For prevention with a recognizable risk of vitamin D deficiency in otherwise healthy persons without resorption disorder (disturbance of the intake of vitamin D in the intestine)
      • For the supportive treatment of osteoporosis (degradation of bone tissue)

    application Notes

    How is the medicine used?

    • Take special care with your medicine
      • When inclined to the formation of calcium-containing kidney stones,
      • If you have a disturbed excretion of calcium and phosphate over the kidneys,
      • For treatment with benzothiadiazine derivatives (medicines for promoting urine excretion),
      • In immobilized patients,
        • Since the risk of hypercalcemia (increased calcium concentration in the blood) and hypercalciuria (increased calcium concentration in the urine) is given here. In these patients, the calcium levels in the blood and urine should be monitored.
      • If you are suffering from sarcoidosis, as there is a risk of an increased conversion of vitamin D into its active form. In this case you should monitor calcium levels in blood and urine.
      • If you have a pseudohypoparathyroidism (disturbance of the parathormone budget), since the vitamin D requirement can be reduced by the phasewise normal vitamin D sensitivity. There is then the risk of a long-term overdose. For this purpose, more easily controllable active ingredients with vitamin D activity are available.
      • In patients with renal impairment treated with this medicinal product, the effect on calcium and phosphorus content should be monitored.
      • Infants and toddlers
        • The preparation should be used very carefully in infants and small children, as they may not be able to swallow the tablets. It is recommended to use the tablets as indicated or use drops instead.
        • If other vitamin D-containing medicines are prescribed, the dose of vitamin D must be considered. Additional doses of vitamin D or calcium should only be given under medical supervision. In such cases, calcium levels in the blood and urine must be monitored.
      • Daily doses above 500 IU / d
        • During long-term treatment, the calcium levels in the blood and urine should be monitored and the renal function should be checked by measuring serum creatinine. This review is particularly important in elderly patients and when co-administered with cardiac glycosides (drugs used to promote cardiac function) or diuretics (drugs used to promote urinary excretion). In the case of hypercalcemia (increased calcium concentration in the blood) or signs of decreased renal function, the dose must be reduced or the treatment discontinued. It is recommended to reduce the dose or stop the treatment if the calcium content in the urine exceeds 7.5 mmol / 24 hours (300 mg / 24 hours).

     

    • And the use of machines
      • There are no special precautions required.

    What is to be considered additionally?

    • Infants and toddlers
      • Dissolve the tablet on a teaspoonful of water or milk and place the dissolved tablet in the mouth directly, preferably during a meal.
      • The addition of the tablets to a bottle or brewed meal time for infants is not recommended, as no complete supply can be guaranteed.
      • If the tablets are still to be administered in the diet, the addition takes place only after boil-up and subsequent cooling. When using vitaminised food, the amount of vitamin D contained therein must be considered.
    • adult
      • Take the tablets with plenty of water.

    dosage

    How often and in what quantity is the medicine used?

    • Always take the medicine exactly as your doctor has told you. Please consult your doctor or pharmacist if you are not sure.
    • If the doctor does not prescribe otherwise, the usual dose is:
      • For the prevention of rickets daily 1 tablet (corresponding to 0,0125 mg or 500 IU vitamin D).
      • The dosage should be determined by the treating physician. In general, 2 tablets (equivalent to 0.025 mg or 1000 IU of vitamin D) are recommended daily for the prevention of rickets in premature infants.
      • For the prevention at a discernible risk of vitamin D deficiency a daily 1 tablet (corresponding to 0,0125 mg or 500 IU vitamin D).
      • For the supportive treatment of osteoporosis daily 2 tablets (corresponding to approximately 0.025 mg or 1000 IU vitamin D).
    • Daily doses above 500 IU / d
      • During a long-term treatment, calcium levels in the blood and urine should be monitored regularly, and the renal function should be checked by measuring serum creatinine. Possibly. A dose adjustment is to be made according to the blood calcium values.

     

    • Duration of application
      • Infants receive the preparation from the second week to the end of the first year of life. In the second year of life further gifts are recommended, especially during the winter months.
      • For the necessary duration of the application please consult your doctor!
      • Please talk to your doctor or pharmacist if you have the impression that the effect is too strong or too weak.

     

    • If you have taken more than you should
      • Daily doses up to 500 IU / d
        • A) symptoms of overdose
          • Long-term overdose of vitamin D can lead to hypercalcemia (increased calcium concentration in the blood) and hypercalciuria (increased calcium concentration in the urine). In case of a considerable and long-term exceedance of the needs, calcifications of organs can occur.
        • B) Therapeutic measures for overdosing
          • Symptoms of a chronic overdose of vitamin D may necessitate an increase in urine excretion as well as the administration of glucocorticoids (medicines for the treatment of certain allergic diseases) and calcitonin (hormone for the regulation of the calcium concentration in the blood).
      • Daily doses above 500 IU / d
        • A) symptoms of overdose
          • Ergocalciferol (vitamin D2) and colecalciferol (vitamin D3) have only a relatively small therapeutic range. In adults with normal function of the parathyroid gland, the threshold for vitamin D intoxications is between 40,000 and 100,000 IU per day for 1 to 2 months. Infants and toddlers can already react sensitively to much lower doses.
          • Therefore, vitamin D is not advised without a doctor’s prescription.
          • In addition to an increase in the amount of phosphorus in the blood and urine, hypercalcemia syndrome (increased calcium concentration in the blood) is associated with overdosing, later also calcium deposits in the tissues and above all in the kidney (kidneys and renal calcification) and the vessels.
          • The symptoms of an intoxication are not characteristic and manifest themselves in nausea, vomiting, initially often diarrhea, later constipation, loss of appetite, languor, headache, muscle and joint pain, muscle weakness and persistent drowsiness, azotmia (increased nitrogen concentration in the blood) Increased thirst, increased urge to urinate, and in the final phase dehydration. Typical laboratory findings are hypercalcaemia (increased calcium concentration in the blood), hypercalciuria (elevated calcium concentration in the urine) as well as increased serum values for 25-hydroxycalciferol.
        • B) Therapeutic measures for overdosing
          • When overdosing, measures are needed to treat the often long-lasting and possibly threatening hypercalcemia (increased calcium concentration in the blood).
          • As a first step, the vitamin D preparation should be discontinued; Normalization of hypercalcemia (increased calcium concentration in the blood) due to vitamin D intoxication takes several weeks.
          • According to the extent of hypercalcaemia (increased calcium concentration in the blood), calcium – rich or calcium – free diet, ample fluid intake, increased urine excretion by means of the drug furosemide and the administration of glucocorticoids (medicines for the treatment of certain allergic diseases) and calcitonin Calcium concentration in the blood).
          • If the renal function is adequate, infusion with an isotonic saline solution (3 – 6 l in 24 hours) with the addition of furosemide (medicines to increase the urine excretion) and possibly also 15 mg / kg body weight / Sodium edetate (drug that binds calcium in the blood) is calcareous, with constant calcium and ECG control. On the other hand, a hemodialysis treatment (blood wash) with a calcium-free dialysate is indicated when the urine excretion is reduced.
          • A special antidote does not exist.
          • Please consult your physician about the symptoms of overdosing of vitamin D.

     

    • If you forget to take this medicine
      • If you miss a dose, take it as soon as you can. If you miss a dose, take it as soon as you can.

     

    • If you stop taking
      • In the event of an interruption or premature end of treatment, your symptoms may worsen or recur. Please consult your doctor.

     

    • If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

    Contraindications

    In which cases should not the medicine be used?

    • Must not be consumed:
      • If you are hypersensitive (allergic) to Colecalciferol or any of the other ingredients of the medicine.
      • If you are suffering from hypercalcemia (increased calcium concentration in the blood) and / or
      • If you have hypercalciuria (increased calcium concentration in the urine).

    What applies during pregnancy and breastfeeding?

    • pregnancy
      • Daily doses up to 500 IU / d
        • So far no risks are known in the given dose range.
        • Long-term overdosage of vitamin D must be prevented during pregnancy as a resultant hypercalcemia (increased calcium concentration in the blood) can lead to physical and mental handicap as well as congenital heart and eye diseases of the child.
      • Daily doses above 500 IU / d
        • During pregnancy, Vigotelettes 1000 IU should only be taken after a strict indication and only dosed as necessary to correct the deficiency.
        • Overdosage of vitamin D during pregnancy must be prevented, as long-term hypercalcaemia (increased calcium concentration in the blood) can lead to physical and mental handicaps as well as congenital heart and eye diseases of the child.
    • lactation
      • Vitamin D and its metabolic products go into the mother’s milk. An overdosing in the infant produced in this way has not been observed.
      • If you are pregnant or breastfeeding, or if you suspect you are pregnant or intend to become pregnant, ask your doctor or pharmacist for advice before taking this medicine.

    side effects

    What side effects can occur for individual patients?

    • Like all medicines, this medicine can cause side effects, although not everybody gets them.
    • The frequencies of the side effects are not known, since no major clinical studies were carried out, which allow an estimation of the frequencies.
    • possible side effects
      • Metabolism and nutrition disorders:
        • Hypercalcaemia (increased calcium concentration in the blood) and hypercalciuria (increased calcium concentration in the urine).
      • Gastrointestinal disorders:
        • Complaints in the gastrointestinal tract such as constipation, bloating, nausea, abdominal pain or diarrhea.
      • Skin and subcutaneous tissue disorders:
        • Hypersensitivity reactions such as itching, skin rash, or nettle.
    • If any of the side effects gets serious, or if you notice any side effects not listed above, please tell your doctor or pharmacist.

    What may interact with other medicines?

    • Taking other medicines
      • Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
      • What other medicines affect the effect?
        • Phenytoin (drugs for the treatment of epilepsy) or barbiturates (medicines for the treatment of epilepsy and sleep disorders as well as anesthesia) can impair the effect of vitamin D.
        • Thiazide diuretics (drugs used to promote urinary excretion) can lead to hypercalcaemia (increased calcium concentration in the blood) by reducing calcium excretion via the kidney. The calcium levels in blood and urine should therefore be monitored during long-term treatment.
        • Concomitant administration of glucocorticoids (medicines for the treatment of certain allergic diseases) may affect the effect of vitamin D.
        • Vitamin D metabolites or analogs (eg calcitriol): A combination with is recommended only in exceptional cases. The calcium levels in the blood should be monitored.
        • Rifampicin and isoniazid (medicines used to treat tuberculosis): The metabolism of vitamin D can be increased and the effectiveness can be reduced.
      • How does the drug affect the effects of other medicines?
        • The risk of an undesirable effect on the intake of cardiac glycosides (drugs used to promote cardiac function) may increase as a result of an increase in calcium levels in the blood during treatment with vitamin D (risk of cardiac arrhythmias). Patients should be monitored for ECG and calcium levels in the blood and urine as well as, where appropriate, the drug level in the blood.
        • Please note that this information may also apply to recently used medicinal products.

    composition

    What is included in medicines?

    The stated quantities are based on 1 piece.
    Active ingredient Colecalciferol12.5μg
    Corresponds to vitamin D500IE
    Adjuvant alpha-tocopherol+
    Adjuvant carboxymethyl starch, sodium salt type C+
    Excipient Cellulose, microcrystalline+
    Excipient magnesium stearate+
    Corn starch+
    Excipient mannitol+
    Excipient sodium ascorbate+
    Excipient sucrose+
    Excipient silicon dioxide, highly disperse+
    Adjuvant starch+
    Excipient talc+
    Auxiliaries Triglycerides, medium chain+

    Top customer reviews and ratings

    Give your opinion about this product.

    3 out of 4 customers found the following review helpful.

    Reviewer’s reviewer writes on 09.03.2014
    The Vigotes have helped me a lot since I took them, I feel better and I am almost never more. They were recommended to me by the doctor, with the 500s you can not overdose and if you need more, in the winter months, one can either take the 1000s or the 500s.

    1 of 1 people found the following review helpful.

    Reviewer’s review / reviewer is writing on 14.11.2014
    When we started to give our daughter the Vigantol tablets began their digestion problems. When we had forgotten the tablets once a few days and the diaper was daily full, the suspicion came that it could be because of it. We then went over to the Vigantol oil drops. Since then, everything is all right. I myself postponed the tablets but flawlessly and thereby corrected my vitamin D deficiency.

    0 of 1 people found the following review helpful.

    Reviewer’s reviewer / reviewer writes on June 12, 2016
    Our baby has been given daily VitaminD3 tablets since the 8th day of life. The vigotes do not dissolve quite as fast as the predecessor, which we used for the first few weeks, but has the same effect and is just as well tolerated. We are very satisfied with the supplement, which will accompany us for a while.

    0 of 1 people found the following review helpful.

    Reviewer’s reviewer / reviewer writes on 05.04.2016
    Buy only that for my son he gets in winter always vitamin D since one can prove the benefit. He takes it with pleasure and without any side effects. Good value for money

    0 of 1 people found the following review helpful.

    Reviewer’s reviewer / reviewer writes on 07.03.2015
    Our baby gets the Vigotelettes since the second week of life (now 6 months old) and tolerates them super good. There have never been problems with the chair or other intolerance. I would always recommend it.