IDEOS 500 mg / 400 IU Uses, Dosage, Side Effects, Precautions & Warnings

IDEOS 500 mg / 400 IU, tablet to suck or chew, box of 4 tubes of 15 >> Generic drug of the Therapeutic class: Metabolism and nutrition
Active ingredients: Calcium , Cholecalciferol

what is IDEOS 500 mg / 400 IU, tablet used for and indication?

This medication is indicated:

• in the elderly, in case of calcium and vitamin D deficiency,
• in combination with treatment for osteoporosis when calcium and vitamin D intake is insufficient.

PRESENTATION (S) AVAILABLE FOR IDEOS 500 MG / 400 IU

7 presentations are available for this drug:

• 2 polypropylene tube (s) of 10 tablet (s)
• 2 polypropylene tube (s) of 15 tablet (s)
• 4 polypropylene tube (s) of 15 tablet (s)
• 5 polypropylene tube (s) of 10 tablet (s)
• 6 polypropylene tube (s) of 15 tablet (s)
• 10 polypropylene tube (s) of 10 tablet (s)
• 12 polypropylene tube (s) of 15 tablet (s)

FEATURE	DESCRIPTION
Pharmaceutical class	mineral supplements
Active substance (s)	for one tablet: calcium carbonate (1250 mg), cholecalciferol concentrate, powder form (4 mg)
General medicine	no
Pharmaceutical form	tablet to suck or chew
Route (s) of administration	oral
Social security reimbursement rate	65%
Laboratory (s)	INNOTECH INTERNATIONAL
Conditions of issue	restricted prescription drug

IDEOS Dosage

Always take the dose recommended by your doctor. If in doubt, consult your doctor or pharmacist. The usual dose, reserved for adults, is 2 tablets per day.

IDEOS Contraindications

Never take IDEOS 500 mg / 400 IU, tablet to suck or chew in the following cases:

• if you are allergic (hypersensitive) to vitamin D or any of the ingredients of IDEOS,
• if you are allergic (hypersensitive) to peanuts or soybeans, due to the presence of soybean oil,
• if you have an abnormally high amount of calcium in your blood (hypercalcaemia),
• if you have excessive exaggeration of calcium in the urine (hypercalciuria),
• if you have a disorder which may cause hypercalcemia and / or hypercalciuria [overactive parathyroid glands, bone marrow disease (myeloma), malignant bone tumor, bone metastases)] ,
• if you have kidney failure
• if you have kidney stones (calcium lithiasis) or if you have calcium deposits in the kidneys (nephrocalcinosis),
• if you have too much vitamin D (hypervitaminosis D).

How To Take IDEOS ?

Instructions for proper use:

• Oral route.
• The tablets are to be sucked or chewed.

how does IDEOS work?

Calcium carbonate

• In the gastric environment, calcium carbonate releases the calcium ion, depending on the pH.
• Calcium is mainly absorbed in the upper part of the small intestine.
• The rate of absorption from the gastrointestinal tract is in the order of 30 percent of the ingested dose.
• Calcium is eliminated through sweat and gastrointestinal secretions.
• Urinary calcium is dependent on glomerular filtration and the rate of tubular reabsorption of calcium.

Vitamin D3

• Vitamin D 3 is absorbed in the intestine and transported by protein bonds in the blood to the liver (first hydroxylation) and to the kidney (second hydroxylation).
• Non-hydroxylated vitamin D 3 is stored in reserve compartments such as fatty and muscle tissue.
• Its plasma half-life is of the order of a few days. It is eliminated in the faeces and urine.

How To Store IDEOS ?

• Keep this medication out of the sight and reach of children.
• The cap contains small granules of silica gel to absorb moisture.
• Keep the plug out of the reach and sight of children. Do not swallow the silica gel granules.
• Do not use this medicine after the expiry date which is stated on the tube and the carton. The expiration date refers to the last day of that month.
• Store at a temperature not exceeding 25 ° C.
• Do not throw away any medicine via wastewater or household waste. Ask your pharmacist how to throw away the medicines you no longer use. These measures will help protect the environment.

IDEOS Side Effects

Like all medicines, IDEOS 500 mg / 400 IU, lozenge or chewable tablet can cause side effects, although not everybody gets them.

Uncommon side effects (affects 1 to 10 users in 1,000): Too much increase in the level of calcium in the blood and urine.

Rare side effects (affecting 1 to 10 in 10,000 users): constipation, gas, nausea, abdominal pain, diarrhea, itching, rash, hives.

Cases of severe allergies (hypersensitivity), such as swelling of the face, lips, tongue or throat have been reported.

If you notice any side effects not listed in this leaflet, or if any side effects get serious, please tell your doctor or pharmacist.

Keep out of the reach and sight of children.

IDEOS Interactions

Combinations subject to precautions for use

Digital

• Risk of arrhythmia. Oral administration of calcium combined with vitamin D increases the toxicity of digitalis.
• Strict medical supervision and, if necessary, an ECG and serum calcium monitoring are necessary.

Biphosphonates

• It is advisable to respect an interval of at least two hours, before or after taking calcium (risk of reduced gastrointestinal absorption of bisphosphonates).

Thiazide diuretics

• Monitoring of serum calcium is recommended (decrease in urinary excretion of calcium).

Oral tetracyclines

• It is advisable to respect an interval of at least two hours before or after taking calcium (possible decrease in the absorption of tetracyclines).
• In case of additional administration of vitamin D in high dose, a weekly control of calciuria and calcemia is essential.

Iron salt, zinc

• It is advisable to respect an interval of at least two hours, before or after taking calcium (risk of reduced gastrointestinal absorption of iron salt or zinc).

Strontium

• Risk of reduction by 60 to 70% of the bioavailability of strontium when administered in combination with products containing calcium.
• It is recommended to avoid taking calcium before or after taking products containing strontium.

Estramustine

• Risk of reduced gastrointestinal absorption of estramustine. It is advisable to respect an interval of at least two hours before or after taking calcium.

Thyroid hormones

• Risk of reduced gastrointestinal absorption of levothyroxine. It is advisable to respect an interval of at least two hours before or after taking calcium.

Orlistat

• Treatment with orlistat may possibly decrease the absorption of vitamin D.

Food

• Possibility of interactions with foods containing oxalic acid (spinach, rhubarb, sorrel, cocoa, tea, etc.), phosphates (cold meats, ham, sausages, processed cheeses, dessert creams, cola drinks, etc.) or phytic acid (whole grains, pulses, oil seeds, chocolate…).
• This is why it is recommended to take meals containing this type of food a little before or a little after the ingestion of the product.

Effects on ability to Drive and use machines

• Not applicable.
• Not applicable.
• Not applicable.
• Not applicable.

Warnings and Precautions

• In the event of prolonged immobilization accompanied by hypercalciuria and / or hypercalcemia, the Vitamin D-Calcium treatment should only be used upon resumption of mobilization.
• In the event of long-term treatment, it is justified to control serum calcium, calciuria and renal function (creatinine clearance). It is advisable to reduce or temporarily interrupt the treatment if the calciuria exceeds 7.5 mmol / 24 h (300 mg / 24 h). This monitoring is particularly important in the elderly in the event of combined treatment with digitalis or thiazide diuretics (see section Interactions with other medicinal products and other forms of interactions ) and in patients frequently prone to renal stones. In case of hypercalcaemia or kidney function problems, the dose should be reduced or treatment interrupted.
• In case of treatment combined with bisphosphonates or tetracyclines: see section Interactions with other medicinal products and other forms of interactions .
• Take into account the dose of vitamin D. This product already contains vitamin D, the additional administration of vitamin D or calcium must be done under strict medical supervision, with weekly monitoring of calcium and calciuria.
• The product should be prescribed with caution in patients with sarcoidosis due to a possible increased metabolism of vitamin D in its active form. In these patients, serum calcium and calciuria should be monitored.
• The product should be prescribed with caution in patients with renal insufficiency with monitoring of the phosphocalcic balance. The risk of soft tissue calcification should be taken into consideration. In patients with severe renal impairment, vitamin D 3 as cholecalciferol is not metabolized by the normal route and other forms of vitamin D 3 should be used.
• This drug contains sorbitol. Its use is not recommended in patients with fructose intolerance (a rare hereditary disease).
• This medicine contains sucrose. Its use is not recommended in patients with fructose intolerance, glucose-galactose malabsorption syndrome or sucrase-isomaltase deficiency.
• This medicine is not indicated for children or adolescents.

PREGNANCY & BREAST-FEEDING & FERTILITY

This product can be used during pregnancy and lactation. However, the daily dose should not exceed 1500 mg of calcium and 600 IU of vitamin D3 .

Pregnancy

During pregnancy, cholecalciferol overdose should be avoided:

• overdoses of vitamin D during gestation have had teratogenic effects in animals,
• Pregnant women, overdoses in vitamin D should be avoided as permanent hypercalcaemia can result in children physical and mental retardation, aortic stenosis or retinopathy supravalvar.
• However, several children were born without malformation after administration of very high doses of vitamin D3 for hypoparathyroidism in the mother.

Feeding with milk

• Vitamin D3 and its metabolites pass into breast milk. This must be taken into account when administering vitamin D to children.

What happens if I overdose from IDEOS ?

The following symptoms may appear:

• loss of appetite.
• intense thirst.
• nausea, vomiting.
• constipation.
• stomach pain.
• muscle weakness.
• fatigue.
• mental health problems.
• copious amounts of urine.
• bone pain.
• kidney stones.

If such effects occur, stop taking IDEOS and tell your doctor immediately who will take the necessary measures.

If you take too much dIDEOS for a long time, calcium deposits may appear in the blood vessels or tissue.

What should I do if I miss a dose?

If you forget to take IDEOS 500 mg / 400 IU, tablet to suck or chew:

• Do not take a double dose to make up for the dose you forgot to take.

What happens if you stop taking IDEOS ?

If you have further questions on the use of this medicine, ask your doctor or pharmacist for more information.

What is  Forms and Composition ?

SHAPES and PRESENTATIONS

500 mg / 400 IU tablet to be sucked or chewed (square; gray-white):  

•  Tubes ^* of 15, box of 2 and 4.
• ^*  Closed with a stopper (polypropylene) containing a desiccant (silica gel).

COMPOSITION

• Excipients: xylitol, sorbitol, povidone, lemon flavor ^** , magnesium stearate.
• Excipients with known effect: sorbitol, sucrose, hydrogenated soybean oil.
• ^*   Composition of vitamin D ₃  : cholecalciferol, alpha-tocopherol, partially hydrogenated soybean oil, gelatin, sucrose, corn starch.
• ^**   Composition of lemon flavoring: flavoring preparations, natural flavoring substances, maltodextrin, gum arabic, sodium citrate, citric acid, butylated hydroxyanisole.

NOT’s

Edrug-online contains comprehensive and detailed information about drugs available in the medical field, and is divided into four sections:

general information:

• Includes a general description of the drug, its use, brand names, FAQs, and relevant news and articles

Additional information:

• General explanation about dealing with the medicine: how to take the medicine, the doses and times of it, the start and duration of its effectiveness, the recommended diet during the period of taking the medicine, the method of storage and storage, recommendations in cases for forgetting the dose and instructions to stop taking the drug and take additional doses.

Special warnings:

• For pregnant and breastfeeding women, the elderly, boys and drivers, and use before surgery.

Side effects:

• It treats possible side effects and drug interactions that require attention and its effect on continuous use.
• The information contained in this medicine is based on medical literature, but it is not a substitute for consulting a doctor.