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Colecalciferol-D3 Drops SMPC, Taj Phar maceuticals
Colecalciferol-D3 Taj Phar ma : Uses, Side Effects, Interactions, Pictures, Warnings, Colecalciferol-D3 Dosage & Rx Info | Colecalciferol-D3 Uses, Side Effects -: Indications, Side Effects, Warnings, Colecalciferol-D3 - Drug Information - Taj Phar ma, Colecalciferol-D 3 dose Taj pharmaceuticals Colecalciferol-D 3 interactions, Taj Pharmaceutical Colecalciferol-D 3 contraindications, Colecalciferol-D3 price, Colecalciferol-D3 Taj Phar ma Colecalciferol-D3 Drops SMPC- Taj Phar ma . Stay connected to all updated on Colecalciferol-D3 Taj Phar maceuticals Taj pharmac euticals Hyderabad.
RX
COLECALCIFEROL
D3 DROPS
1.NAME OF THE MEDICINAL PRODUCT
Colecalciferol-D3 Drops.
2. QUALITATIVE AND QUANTITATIVE
COMPOSITION
1 ml oral solution contains: 2740 IU
Colecalciferol (equivalent to 68.5
micrograms/ml vitamin D3)
3 drops contains 200 IU Colecalciferol (vitamin
D3)
For the full list of excipients, see section 6.1.
3. PHARMACEUTICAL FORM
Oral drops, solution
Clear, colourless to slightly yellow oil.
4. CLINICAL PARTICULARS
4.1 Therapeutic indications
The prevention and treatment of vitamin D
deficiency.
As an adjunct to specific therapy for
osteoporosis in patients with vitamin D
deficiency or at risk of vitamin D insufficiency.
4.2 Posology and method of administration
Posology
3 drops contains 200 IU vitamin D.
1 ml is equivalent to 41 drops.
Treatment vitamin D deficiency should be for up
to 12 weeks dependent upon the severity of the
disease and the patient's response to treatment,
followed by the appropriate long term
maintenance therapy.
Paediatric posology
Infants aged 0 up to 2 years
Treatment of vitamin D
deficiency 6 – 15 drops (400 – 1,000 IU) daily.
Long term maintenance therapy following
treatment of deficiency
AND
Prevention of vitamin D deficiency
3 – 15 drops (200 – 1,000 IU) daily.
Children aged 2 years to 11 years
Treatment of vitamin D deficiency
6 – 30 drops (400 – 2,000 IU) daily.
Long term maintenance therapy following
treatment of deficiency
AND
Prevention of vitamin D deficiency
6 – 15 drops (400 – 1,000 IU) daily.
Adolescents aged 12 years to 18 years
Treatment of vitamin D deficiency
6 – 60 drops (400 – 4,000 IU) daily.
Long term maintenance therapy following
treatment of deficiency
AND
Prevention of vitamin D deficiency
6 – 24 drops (400 – 1,600 IU) daily.
Adult posology
Adults and the elderly
Treatment of vitamin D deficiency
12 – 60 drops (800 – 4,000 IU) daily.
Long term maintenance therapy following
treatment of deficiency
AND
Prevention of vitamin D deficiency
12 – 24 drops (800 – 1,600 IU) daily.
As an adjunct to specific therapy for
osteoporosis
12 drops (800 IU) daily.
During pregnancy and breast-feeding
Colecalciferol-D3 Drops SMPC, Taj Phar maceuticals
Colecalciferol-D3 Taj Phar ma : Uses, Side Effects, Interactions, Pictures, Warnings, Colecalciferol-D3 Dosage & Rx Info | Colecalciferol-D3 Uses, Side Effects -: Indications, Side Effects, Warnings, Colecalciferol-D3 - Drug Information - Taj Phar ma, Colecalciferol-D 3 dose Taj pharmaceuticals Colecalciferol-D 3 interactions, Taj Pharmaceutical Colecalciferol-D 3 contraindications, Colecalciferol-D3 price, Colecalciferol-D3 Taj Phar ma Colecalciferol-D3 Drops SMPC- Taj Phar ma . Stay connected to all updated on Colecalciferol-D3 Taj Phar maceuticals Taj pharmac euticals Hyderabad.
Treatment of vitamin D deficiency
6 – 60 drops (400 – 4,000 IU) daily.
Long term maintenance therapy following
treatment of deficiency
AND
Prevention of vitamin D deficiency
6 – 30 drops (400 – 2,000 IU) daily.
Table summarising the posologies of different
indications against patient population
Paediatric posology Adult posology
Infan
t
(0 – 2
years
)
Childre
n (2 –
11
years)
Adolescent
s (12 – 18
years)
Adult
s and
the
elderl
y
Pregnanc
y / breast
feeding
Treatment
(for up to
12 weeks)
400 –
1,000
IU/da
y
400 –
2,000
IU/day
400 –
4,000
IU/day
800 –
4,000
IU/da
y
400 –
4,000
IU/day
Prevention/
long term
maintenanc
e
200 –
1,000
IU/da
y
400 –
1,000
IU/day
400 –
1,600
IU/day
800 –
1,600
IU/da
y
400
IU/day
(but up to
2,000)
IU/day
adjunct to
specific
therapy for
osteoporosi
s
- - - 800
IU/da
y
-
Doses of 800 IU and above can also be
administered using Colecalciferol-D3 soft
capsules.
Method of administration
Oral
The bottle should be held vertically while
dispensing drops.
Colecalciferol-D3 Drops can be dispensed onto a
spoon and taken as is or to facilitate the intake it
can also be mixed with a small amount of cold
or lukewarm food immediately prior to use. The
patient should be sure to take the entire dose.
In infants, children and adolescents
Colecalciferol-D3 Drops can be mixed with a
small amount of children's foods, yogurt, milk,
cheese or other dairy products. Colecalciferol-
D3 Drops must not be mixed into a bottle of milk
or container of soft foods in case the child does
not consume the whole portion, and
consequently does not receive the full dose.
4.3 Contraindications
Hypersensitivity to vitamin D or any of the
excipients in the product
Hypervitaminosis D
Nephrolithiasis
Diseases or conditions resulting in
hypercalcaemia and/or hypercalciuria
Severe renal impairment
4.4 Special Warnings and precautions for use
Vitamin D should be used with caution in
patients with impairment of renal function and
the effect on calcium and phosphate levels
should be monitored. The risk of soft tissue
calcification should be taken into account. In
patients with severe renal insufficiency, vitamin
D in the form of colecalciferol is not
metabolised normally and other forms of
vitamin D should be used (see section 4.3,
contraindications).
Caution is required in patients receiving
treatment for cardiovascular disease (see Section
4.5 – cardiac glycosides including digitalis).
Colecalciferol-D3 should be prescribed with
caution to patients suffering from sarcoidosis
because of the risk of increased metabolism of
vitamin D to its active form. These patients
should be monitored with regard to the calcium
content in serum and urine.
Allowances should be made for vitamin D
supplements from other sources.
The need for additional calcium supplementation
should be considered for individual patients.
Calcium supplements should be given under
close medical supervision.
Medical supervision is required whilst on
treatment to prevent hypercalcaemia.
4.5 Interaction with other medicinal products
and other forms of interaction
Concomitant treatment with phenytoin or
barbiturates can decrease the effect of vitamin D
Colecalciferol-D3 Drops SMPC, Taj Phar maceuticals
Colecalciferol-D3 Taj Phar ma : Uses, Side Effects, Interactions, Pictures, Warnings, Colecalciferol-D3 Dosage & Rx Info | Colecalciferol-D3 Uses, Side Effects -: Indications, Side Effects, Warnings, Colecalciferol-D3 - Drug Information - Taj Phar ma, Colecalciferol-D 3 dose Taj pharmaceuticals Colecalciferol-D 3 interactions, Taj Pharmaceutical Colecalciferol-D 3 contraindications, Colecalciferol-D3 price, Colecalciferol-D3 Taj Phar ma Colecalciferol-D3 Drops SMPC- Taj Phar ma . Stay connected to all updated on Colecalciferol-D3 Taj Phar maceuticals Taj pharmac euticals Hyderabad.
because of metabolic activation. Concomitant
use of glucocorticoids can decrease the effect of
vitamin D.
The effects of digitalis and other cardiac
glycosides may be accentuated with the oral
administration of calcium combined with
Vitamin D. Strict medical supervision is needed
and, if necessary monitoring of ECG and
calcium.
Simultaneous treatment with ion exchange resins
such as cholestyramine or laxatives such as
paraffin oil may reduce the gastrointestinal
absorption of vitamin D.
The cytotoxic agent actinomycin and imidazole
antifungal agents interfere with vitamin D
activity by inhibiting the conversion of 25-
hydroxyvitamin D to 1,25- dihydroxyvitamin D
by the kidney enzyme, 25-hydroxyvitamin D-1-
hydroxylase.
4.6 Fertility, Pregnancy and lactation
There are no or limited amount of data from the
use of colecalciferol in pregnant women. Studies
in animals have shown reproductive toxicity (see
section 5.3). The recommended daily intake for
pregnant women is 400 IU, however, in women
who are considered to be vitamin D deficient a
higher dose may be required. During pregnancy
women should follow the advice of their medical
practitioner as their requirements may vary
depending on the severity of their disease and
their response to treatment.
Vitamin D and its metabolites are excreted in
breast milk. Overdose in infants induced by
nursing mothers has not been observed,
however, when prescribing additional vitamin D
to a breast-fed child the practitioner should
consider the dose of any additional vitamin D
given to the mother.
4.7 Effects on ability to drive and use
machines
Colecalciferol-D3 has no influence on the ability
to drive and use machines.
4.8 Undesirable Effects
Adverse reactions are listed below, by system
organ class and frequency. Frequencies are
defined as: uncommon (>1/1,000, <1/100) or
rare (>1/10,000, <1/1,000).
Metabolism and nutrition disorders
Uncommon: Hypercalcaemia and
hypercalciuria. Skin and subcutaneous disorders
Rare: Pruritus, rash and urticaria.
Reporting of suspected adverse reactions
Reporting suspected adverse reactions after
authorisation of the medicinal product is
important. It allows continued monitoring of the
benefit/risk balance of the medicinal product.
4.9 Overdose
The most serious consequence of acute or
chronic overdose is hypercalcaemia due to
vitamin D toxicity. Symptoms may include
nausea, vomiting, polyuria, anorexia, weakness,
apathy, thirst and constipation. Chronic
overdoses can lead to vascular and organ
calcification as a result of hypercalcaemia.
Treatment should consist of stopping all intake
of vitamin D and rehydration.
5. PHARMACOLOGICAL PROPERTIES
5.1 Pharmacodynamic properties
Pharmacotherapeutic group: Vitamin D and
analogues
In its biologically active form vitamin D3
stimulates intestinal calcium absorption,
incorporation of calcium into the osteoid, and
release of calcium from bone tissue. In the small
intestine it promotes rapid and delayed calcium
uptake. The passive and active transport of
phosphate is also stimulated. In the kidney, it
inhibits the excretion of calcium and phosphate
by promoting tubular resorption. The production
of parathyroid hormone (PTH) in the
parathyroids is inhibited directly by the
biologically active form of vitamin D3. PTH
secretion is inhibited additionally by the
increased calcium uptake in the small intestine
under the influence of biologically active
vitamin D3.
5.2 Pharmacokinetic properties
The pharmacokinetics of vitamin D is well
known. Vitamin D is well absorbed from the
gastro-intestinal tract in the presence of bile. It is
hydroxylated in the liver to form 25-
hydroxycolecalciferol and then undergoes
further hydroxylation in the kidney to form the
Colecalciferol-D3 Drops SMPC, Taj Phar maceuticals
Colecalciferol-D3 Taj Phar ma : Uses, Side Effects, Interactions, Pictures, Warnings, Colecalciferol-D3 Dosage & Rx Info | Colecalciferol-D3 Uses, Side Effects -: Indications, Side Effects, Warnings, Colecalciferol-D3 - Drug Information - Taj Phar ma, Colecalciferol-D 3 dose Taj pharmaceuticals Colecalciferol-D 3 interactions, Taj Pharmaceutical Colecalciferol-D 3 contraindications, Colecalciferol-D3 price, Colecalciferol-D3 Taj Phar ma Colecalciferol-D3 Drops SMPC- Taj Phar ma . Stay connected to all updated on Colecalciferol-D3 Taj Phar maceuticals Taj pharmac euticals Hyderabad.
active metabolite 1, 25 dihydroxycolecalciferol
(calcitriol). The metabolites circulate in the
blood bound to a specific Ξ± - globin, Vitamin D
and its metabolites are excreted mainly in the
bile and faeces.
5.3 Preclinical safety data
Vitamin D is well known and is a widely used
material and has been used in clinical practice
for many years. As such toxicity is only likely to
occur in chronic overdosage where
hypercalcaemia could result.
Colecalciferol has been shown to be teratogenic
in high doses in animals (4-15 times the human
dose). Offspring from pregnant rabbits treated
with high doses of vitamin D had lesions
anatomically similar to those of supravalvular
aortic stenosis and offspring not showing such
changes show vasculotoxicity similar to that of
adults following acute vitamin D toxicity.
6. PHARMACEUTICAL PARTICULARS
6.1 List of excipients
Medium-chain triglycerides (from coconut oil
and palm kernel oil)
6.2 Incompatibilities
Not applicable.
6.3 Shelf life
24 months.
Once opened use within 6 months.
6.4 Special precautions for storage
Store below 25Β°C.
6.5 Nature and contents of container
Brown glass bottle with dropper, 25 ml.
Bottle: Moulded brown glass, Type III
Vertical Dropper: White, polyethylene.
Closure: White, polypropylene screw cap with a
tamper evident ring.
Pack size: 25 ml of oral solution (corresponding
to 1,025 drops).
6.6 Special precautions for disposal and other
handling
Any unused product should be disposed of in
accordance with local requirements.
7. MANUFACTURER:
Manufactured in India by:
TAJ PHARMACEUTICALS LTD.
Mumbai, India
At: 615, GIDC, Kerala, Bavla, Dist. Ahmedabad
438225, Gujarat, INDIA

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  • 2. Colecalciferol-D3 Drops SMPC, Taj Phar maceuticals Colecalciferol-D3 Taj Phar ma : Uses, Side Effects, Interactions, Pictures, Warnings, Colecalciferol-D3 Dosage & Rx Info | Colecalciferol-D3 Uses, Side Effects -: Indications, Side Effects, Warnings, Colecalciferol-D3 - Drug Information - Taj Phar ma, Colecalciferol-D 3 dose Taj pharmaceuticals Colecalciferol-D 3 interactions, Taj Pharmaceutical Colecalciferol-D 3 contraindications, Colecalciferol-D3 price, Colecalciferol-D3 Taj Phar ma Colecalciferol-D3 Drops SMPC- Taj Phar ma . Stay connected to all updated on Colecalciferol-D3 Taj Phar maceuticals Taj pharmac euticals Hyderabad. Treatment of vitamin D deficiency 6 – 60 drops (400 – 4,000 IU) daily. Long term maintenance therapy following treatment of deficiency AND Prevention of vitamin D deficiency 6 – 30 drops (400 – 2,000 IU) daily. Table summarising the posologies of different indications against patient population Paediatric posology Adult posology Infan t (0 – 2 years ) Childre n (2 – 11 years) Adolescent s (12 – 18 years) Adult s and the elderl y Pregnanc y / breast feeding Treatment (for up to 12 weeks) 400 – 1,000 IU/da y 400 – 2,000 IU/day 400 – 4,000 IU/day 800 – 4,000 IU/da y 400 – 4,000 IU/day Prevention/ long term maintenanc e 200 – 1,000 IU/da y 400 – 1,000 IU/day 400 – 1,600 IU/day 800 – 1,600 IU/da y 400 IU/day (but up to 2,000) IU/day adjunct to specific therapy for osteoporosi s - - - 800 IU/da y - Doses of 800 IU and above can also be administered using Colecalciferol-D3 soft capsules. Method of administration Oral The bottle should be held vertically while dispensing drops. Colecalciferol-D3 Drops can be dispensed onto a spoon and taken as is or to facilitate the intake it can also be mixed with a small amount of cold or lukewarm food immediately prior to use. The patient should be sure to take the entire dose. In infants, children and adolescents Colecalciferol-D3 Drops can be mixed with a small amount of children's foods, yogurt, milk, cheese or other dairy products. Colecalciferol- D3 Drops must not be mixed into a bottle of milk or container of soft foods in case the child does not consume the whole portion, and consequently does not receive the full dose. 4.3 Contraindications Hypersensitivity to vitamin D or any of the excipients in the product Hypervitaminosis D Nephrolithiasis Diseases or conditions resulting in hypercalcaemia and/or hypercalciuria Severe renal impairment 4.4 Special Warnings and precautions for use Vitamin D should be used with caution in patients with impairment of renal function and the effect on calcium and phosphate levels should be monitored. The risk of soft tissue calcification should be taken into account. In patients with severe renal insufficiency, vitamin D in the form of colecalciferol is not metabolised normally and other forms of vitamin D should be used (see section 4.3, contraindications). Caution is required in patients receiving treatment for cardiovascular disease (see Section 4.5 – cardiac glycosides including digitalis). Colecalciferol-D3 should be prescribed with caution to patients suffering from sarcoidosis because of the risk of increased metabolism of vitamin D to its active form. These patients should be monitored with regard to the calcium content in serum and urine. Allowances should be made for vitamin D supplements from other sources. The need for additional calcium supplementation should be considered for individual patients. Calcium supplements should be given under close medical supervision. Medical supervision is required whilst on treatment to prevent hypercalcaemia. 4.5 Interaction with other medicinal products and other forms of interaction Concomitant treatment with phenytoin or barbiturates can decrease the effect of vitamin D
  • 3. Colecalciferol-D3 Drops SMPC, Taj Phar maceuticals Colecalciferol-D3 Taj Phar ma : Uses, Side Effects, Interactions, Pictures, Warnings, Colecalciferol-D3 Dosage & Rx Info | Colecalciferol-D3 Uses, Side Effects -: Indications, Side Effects, Warnings, Colecalciferol-D3 - Drug Information - Taj Phar ma, Colecalciferol-D 3 dose Taj pharmaceuticals Colecalciferol-D 3 interactions, Taj Pharmaceutical Colecalciferol-D 3 contraindications, Colecalciferol-D3 price, Colecalciferol-D3 Taj Phar ma Colecalciferol-D3 Drops SMPC- Taj Phar ma . Stay connected to all updated on Colecalciferol-D3 Taj Phar maceuticals Taj pharmac euticals Hyderabad. because of metabolic activation. Concomitant use of glucocorticoids can decrease the effect of vitamin D. The effects of digitalis and other cardiac glycosides may be accentuated with the oral administration of calcium combined with Vitamin D. Strict medical supervision is needed and, if necessary monitoring of ECG and calcium. Simultaneous treatment with ion exchange resins such as cholestyramine or laxatives such as paraffin oil may reduce the gastrointestinal absorption of vitamin D. The cytotoxic agent actinomycin and imidazole antifungal agents interfere with vitamin D activity by inhibiting the conversion of 25- hydroxyvitamin D to 1,25- dihydroxyvitamin D by the kidney enzyme, 25-hydroxyvitamin D-1- hydroxylase. 4.6 Fertility, Pregnancy and lactation There are no or limited amount of data from the use of colecalciferol in pregnant women. Studies in animals have shown reproductive toxicity (see section 5.3). The recommended daily intake for pregnant women is 400 IU, however, in women who are considered to be vitamin D deficient a higher dose may be required. During pregnancy women should follow the advice of their medical practitioner as their requirements may vary depending on the severity of their disease and their response to treatment. Vitamin D and its metabolites are excreted in breast milk. Overdose in infants induced by nursing mothers has not been observed, however, when prescribing additional vitamin D to a breast-fed child the practitioner should consider the dose of any additional vitamin D given to the mother. 4.7 Effects on ability to drive and use machines Colecalciferol-D3 has no influence on the ability to drive and use machines. 4.8 Undesirable Effects Adverse reactions are listed below, by system organ class and frequency. Frequencies are defined as: uncommon (>1/1,000, <1/100) or rare (>1/10,000, <1/1,000). Metabolism and nutrition disorders Uncommon: Hypercalcaemia and hypercalciuria. Skin and subcutaneous disorders Rare: Pruritus, rash and urticaria. Reporting of suspected adverse reactions Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. 4.9 Overdose The most serious consequence of acute or chronic overdose is hypercalcaemia due to vitamin D toxicity. Symptoms may include nausea, vomiting, polyuria, anorexia, weakness, apathy, thirst and constipation. Chronic overdoses can lead to vascular and organ calcification as a result of hypercalcaemia. Treatment should consist of stopping all intake of vitamin D and rehydration. 5. PHARMACOLOGICAL PROPERTIES 5.1 Pharmacodynamic properties Pharmacotherapeutic group: Vitamin D and analogues In its biologically active form vitamin D3 stimulates intestinal calcium absorption, incorporation of calcium into the osteoid, and release of calcium from bone tissue. In the small intestine it promotes rapid and delayed calcium uptake. The passive and active transport of phosphate is also stimulated. In the kidney, it inhibits the excretion of calcium and phosphate by promoting tubular resorption. The production of parathyroid hormone (PTH) in the parathyroids is inhibited directly by the biologically active form of vitamin D3. PTH secretion is inhibited additionally by the increased calcium uptake in the small intestine under the influence of biologically active vitamin D3. 5.2 Pharmacokinetic properties The pharmacokinetics of vitamin D is well known. Vitamin D is well absorbed from the gastro-intestinal tract in the presence of bile. It is hydroxylated in the liver to form 25- hydroxycolecalciferol and then undergoes further hydroxylation in the kidney to form the
  • 4. Colecalciferol-D3 Drops SMPC, Taj Phar maceuticals Colecalciferol-D3 Taj Phar ma : Uses, Side Effects, Interactions, Pictures, Warnings, Colecalciferol-D3 Dosage & Rx Info | Colecalciferol-D3 Uses, Side Effects -: Indications, Side Effects, Warnings, Colecalciferol-D3 - Drug Information - Taj Phar ma, Colecalciferol-D 3 dose Taj pharmaceuticals Colecalciferol-D 3 interactions, Taj Pharmaceutical Colecalciferol-D 3 contraindications, Colecalciferol-D3 price, Colecalciferol-D3 Taj Phar ma Colecalciferol-D3 Drops SMPC- Taj Phar ma . Stay connected to all updated on Colecalciferol-D3 Taj Phar maceuticals Taj pharmac euticals Hyderabad. active metabolite 1, 25 dihydroxycolecalciferol (calcitriol). The metabolites circulate in the blood bound to a specific Ξ± - globin, Vitamin D and its metabolites are excreted mainly in the bile and faeces. 5.3 Preclinical safety data Vitamin D is well known and is a widely used material and has been used in clinical practice for many years. As such toxicity is only likely to occur in chronic overdosage where hypercalcaemia could result. Colecalciferol has been shown to be teratogenic in high doses in animals (4-15 times the human dose). Offspring from pregnant rabbits treated with high doses of vitamin D had lesions anatomically similar to those of supravalvular aortic stenosis and offspring not showing such changes show vasculotoxicity similar to that of adults following acute vitamin D toxicity. 6. PHARMACEUTICAL PARTICULARS 6.1 List of excipients Medium-chain triglycerides (from coconut oil and palm kernel oil) 6.2 Incompatibilities Not applicable. 6.3 Shelf life 24 months. Once opened use within 6 months. 6.4 Special precautions for storage Store below 25Β°C. 6.5 Nature and contents of container Brown glass bottle with dropper, 25 ml. Bottle: Moulded brown glass, Type III Vertical Dropper: White, polyethylene. Closure: White, polypropylene screw cap with a tamper evident ring. Pack size: 25 ml of oral solution (corresponding to 1,025 drops). 6.6 Special precautions for disposal and other handling Any unused product should be disposed of in accordance with local requirements. 7. MANUFACTURER: Manufactured in India by: TAJ PHARMACEUTICALS LTD. Mumbai, India At: 615, GIDC, Kerala, Bavla, Dist. Ahmedabad 438225, Gujarat, INDIA