Decal B12 Syrup

Cholecalciferol, Calcium laevulinate, Cyanocobalamine
"1000 IU, 50mg, 10mcg/5ml"
AMRIYA PHARMACEUTICAL INDUSTRIES COMPANY
Pack size 120ml Glass Bottle
Dispensing mode P
Source EGYPT
AgentGULF DRUG L.L.C.
Retail Price 8.00 AED

Indications

Decal B12 Syrup is used for: CHOLECALCIFEROL
For the treatment of vitamin d deficiency or insufficiency, refractory rickets (vitamin d resistant rickets), familial hypophosphatemia and hypoparathyroidism, and in the management of hypocalcemia and renal osteodystrophy in patients with chronic renal failure undergoing dialysis. Also used in conjunction with calcium in the management and prevention of primary or corticosteroid-induced osteoporosis
CALCIUM
Calcium plays a vital role in the anatomy, physiology and biochemistry of organisms and of the cell, particularly in signal transduction pathways. It is vital in cell signaling, muscular contractions, bone health, and signalling cascades

Adult Dose

Child Dose

Renal Dose

Administration

Contra Indications

Precautions

Pregnancy-Lactation

Interactions

Adverse Effects

Side effects of Cholecalciferol, Calcium laevulinate, Cyanocobalamine :

Mechanism of Action

CHOLECALCIFEROL
The first step involved in the activation of vitamin d3 is a 25-hydroxylation which is catalysed by the 25-hydroxylase in the liver and then by other enzymes. The mitochondrial sterol 27-hydroxylase catalyses the first reaction in the oxidation of the side chain of sterol intermediates. The active form of vitamin d3 (calcitriol) binds to intracellular receptors that then function as transcription factors to modulate gene expression. Like the receptors for other steroid hormones and thyroid hormones, the vitamin d receptor has hormone-binding and dna-binding domains. The vitamin d receptor forms a complex with another intracellular receptor, the retinoid-x receptor, and that heterodimer is what binds to dna. In most cases studied, the effect is to activate transcription, but situations are also known in which vitamin d suppresses transcription. Calcitriol increases the serum calcium concentrations by: increasing gi absorption of phosphorus and calcium, increasing osteoclastic resorption, and increasing distal renal tubular reabsorption of calcium. Calcitriol appears to promote intestinal absorption of calcium through binding to the vitamin d receptor in the mucosal cytoplasm of the intestine. Subsequently, calcium is absorbed through formation of a calcium-binding protein
CALCIUM
Calcium plays a vital role in the anatomy, physiology and biochemistry of organisms and of the cell, particularly in signal transduction pathways. More than 500 human proteins are known to bind or transport calcium. The skeleton acts as a major mineral storage site for the element and releases ca2+ ions into the bloodstream under controlled conditions. Circulating calcium is either in the free, ionized form or bound to blood proteins such as serum albumin. Parathyroid hormone (secreted from the parathyroid gland) regulates the resorption of ca2+ from bone. Calcitonin stimulates incorporation of calcium in bone, although this process is largely independent of calcitonin. Although calcium flow to and from the bone is neutral, about 5 mmol is turned over a day. Bone serves as an important storage point for calcium, as it contains 99% of the total body calcium. Low calcium intake may also be a risk factor in the development of osteoporosis. The best-absorbed form of calcium from a pill is a calcium salt like carbonate or phosphate. Calcium gluconate and calcium lactate are absorbed well by pregnant women. Seniors absorb calcium lactate, gluconate and citrate better unless they take their calcium supplement with a full breakfast. The currently recommended calcium intake is 1,500 milligrams per day for women not taking estrogen and 800 milligrams per day for women on estrogen. There is close to 300 milligrams of calcium in one cup of fluid milk. Calcium carbonate is currently the best and least expensive form of calcium supplement available

Note

Decal B12 "1000 IU, 50mg, 10mcg/5ml" Syrup manufactured by AMRIYA PHARMACEUTICAL INDUSTRIES COMPANY. Its generic name is Cholecalciferol, Calcium laevulinate, Cyanocobalamine. Decal B12 is availble in United Arab Emirates. Farmaco UAE drug index information on Decal B12 Syrup is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.

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