Calcium Acetate

Indications

Calcium Acetate is used for: Hyperphosphatemia

Adult Dose

Child Dose

Renal Dose

Administration

Should be taken with food.

Contra Indications

Patients with hypercalcaemia.

Precautions

Patients undergoing chronic hemodialysis. Renal impairment, diseases associated with hypercalcaemia such as sarcoidosis & some malignancies. Avoid in patients with calcium renal calculi or a history of renal calculi. Maintenance of normal serum calcium levels is important for maternal and fetal well being; hypercalcemia during pregnancy may increase risk for maternal and neonatal complications(eg, stillbirth, preterm delivery, neonatal hypocalcemia and hypoparathyroidism);calcium acetate treatment, as recommended, is not expected to harm a fetus if maternal calcium levels are properly monitored during and following treatment Lactation: unknown

Pregnancy-Lactation

Pregnancy Category: C Maintenance of normal serum calcium levels is important for maternal and fetal well being; hypercalcemia during pregnancy may increase risk for maternal and neonatal complications(eg, stillbirth, preterm delivery, neonatal hypocalcemia and hypoparathyroidism);calcium acetate treatment, as recommended, is not expected to harm a fetus if maternal calcium levels are properly monitored during and following treatment Lactation: unknown

Interactions

Tetracycline antibiotics, thiazide diuretics, vit D, corticosteroids, bisphosphonates, fluoride, some fluoroquinolones.

Adverse Effects

Side effects of Calcium Acetate : Arrhythmias, Hypomagnesemia, Hypophosphatemia, Hypotension, Nausea, Pruritus (rare), Weakness Hypercalcemia, Anorexia, Coma, Confusion, Delirium, Headache, Nausea, Vomiting

Mechanism of Action

Sequesters phosphate in the intestine by forming insoluble phosphates that are excreted faecally, thus reducing serum phosphate conc & secondary hyperparathyroidism.