Calcium gluconate is available in every department of the hospital. The review of the doctor using this drug suggests that without this drug it is impossible to treat many diseases, especially those when the cells of the body are in particular need of calcium.
The need for calcium ions for the body
Calcium is one of the main elements necessary for the normal function of the human body and is found in all tissues when examined. Gluconate and calcium chloride - these s alt solutions are perhaps the most popular for the treatment of life-threatening conditions associated with hypocalcemia and hyperkalemia. Additional indications include acute severe hypocalcemia, poisoning with beta-blockers or calcium channel blockers.
Calcium can be administered parenterally in two different forms: chloride and gluconate. The most commonly prescribed calcium gluconate intravenously. Reviews indicate that with this introduction a minimum of discomfort and good tolerance. 10 ml of a 10% solution contains 8.9 mg/ml of elemental calcium. In contrast, an ampoule of 10% calcium chlorideprovides three times the concentration of elemental calcium (27.2 mg/ml). Calcium chloride can only be administered intravenously, as it causes tissue necrosis if accidentally injected under the skin. Calcium gluconate (he althcare review confirms this) is the most preferred option in patients who do not suffer from hemodynamic instability. However, gluconate in the liver is metabolized to calcium ions and becomes bioavailable, therefore, in conditions of unstable hemodynamics or poor liver function, it is preferable to use calcium chloride. So, if calcium gluconate is indicated, it can be replaced with calcium chloride, but only use a third of the dose and remember that calcium chloride is advisable with good venous access with constant monitoring during administration.
Drug properties
Calcium gluconate is a compound of calcium and gluconic acid.
Calcium is required for the efficient functioning of the heart, muscle and nervous systems. The need for the correct process of formation of blood clots in the use of "Calcium Gluconate" has been proven. The doctors' opinion proves that in diseases where high levels of calcium are necessary, for example, with hypocalcemia, tetany, allergic and inflammatory processes, some types of poisoning, therapy without this drug will be ineffective.
Calcium gluconate is usually prescribed by a physician when indicated. In each case, the dosage is selected individually.
If a deterioration occurs during the use of the drug, then it is necessary to reconsider the appointment or reduce the dosage of the drug. When a patient takes a large amount of medicine, various complications are possible.
Indications
There are many different diseases in which the appointment of the drug "Calcium gluconate" is indicated. Instructions, reviews of many practitioners make it possible to identify groups of diseases, the main cause of which is:
- hypocalcemia;
- increased membrane permeability;
- violation of the susceptibility of nerve impulses by myocytes.
Medicine justified when:
- hypoparathyroidism (osteoporosis, latent tetany), metabolic disorders, especially vitamin D: rickets (osteomalacia, spasmophilia), hyperphosphatemia in patients with renal insufficiency;
- increased need for calcium ions: during pregnancy, lactation and increased body growth; insufficient calcium content in food, violation of its metabolism (in postmenopause);
- increased excretion of calcium ions, for example, with prolonged bed rest, chronic diarrhea, secondary hypocalcemia with long-term use of diuretics and antiepileptic drugs, glucocorticosteroids;
- poisoning with magnesium s alts, fluoric, oxalic acids and their s alts;
- hypercalcemic form of paroxysmal myoplegia.
Calcium gluconate is indicated for allergies. Reviews indicate rapid improvementconditions, as it reduces capillary permeability and reduces swelling. This property is used to treat thrombocytopenic purpura and exudative dermatoses such as dermatitis herpetiformis.
Contraindications
He alth worker prescribes drug with extreme caution or does not prescribe if patient:
- is allergic, sensitive or has a reaction to any of the calcium gluconate ingredients;
- is an elderly person;
- has cancer with spread to bone tissue;
- has heart problems;
- examination reveals high blood calcium levels, hypercalciuria and high vitamin D numbers;
- has kidney disease.
Calcium gluconate is given with extreme caution or not given at all to children and adolescents under 18.
Side effects
In medicine, there is a rule that a drug is prescribed only when clinical trials have shown that the benefits of taking the drug outweigh the risks. Some side effects may be serious, while others may be considered minor inconveniences.
Different patients react differently to medications. It is difficult to predict which side effects you will have from taking a particular drug, or which side effects you will have with all drugs. The main thing is that you must definitely inform your doctor about the discomfort that has arisen.
Reactions to receptiondrug may occur in many cases:
- Problems can occur after intravenous injection if calcium gluconate is administered incorrectly.
- Immediately after the injection, nausea, vomiting, flushing, sweating, low blood pressure, tingling, oppression or heat waves, arrhythmias are possible if calcium gluconate is injected too quickly. But in some cases, circulatory problems can be fatal.
- Complaints of sensations of a chalky aftertaste after the introduction of the drug "Calcium gluconate - vial" are possible. Feedback from many patients indicates such side effects.
- Rarely observed abscess formation after intramuscular injections.
If you feel unwell or have concerns about a side effect, be sure to tell your he althcare professional.
Taking other medicines
If you are taking more than one medication, they may interact with each other, increasing or decreasing each other's effectiveness.
The decision to use drugs that interact depends on individual circumstances. In such cases, it is necessary to change the dose or monitor the drug more carefully.
When prescribing treatment, tell your doctor the names of all medications you are taking. In this case, all possible interactions will be taken into account. This includes any medicines prescribed by your doctor, dentist, nurse, he alth visitor, midwife, or pharmacist. Youalso have to say about medicines that you bought at the pharmacy without a prescription.
If you are taking calcium gluconate and any of the above drugs or types of medication, make sure your doctor knows about it.
Evidence of the incompatibility of the drug "Calcium Gluconate" reviews. Tablets or injection solution cannot be combined with carbonates, salicylates, sulfates. This is confirmed by the vast practice of using this drug. The formation of complexes with tetracyclines reduces the antibacterial effect of the latter. In the treatment of digitalis preparations, the parenteral use of calcium gluconate is not indicated due to the increased toxic effect of glycosides. Calcium gluconate and thiazide diuretics may exacerbate hypercalcemia. Reduces the effect of calcitonin in hypercalcemia and the bioavailability of phenytoin when used together with this drug.
Medications such as ceftriaxone, calcium channel blockers, cardiac glycosides, or thiazide diuretics should not be combined with Calcium Gluconate as they reduce the effect of the interacting drugs.
Supplementary drugs and vitamins
Calcium gluconate can be combined with complementary drugs and vitamins. In general, there is not much information available about their interaction. If you are about to take or are already taking any medications and vitamins, you should ask your doctor if there are any known effects when taken together withcalcium gluconate.
Diet
Drugs can interact with a number of nutrients. In some cases, this can be harmful, and your doctor may advise you to follow a specific diet.
When taking calcium gluconate, there are no specific foods that need to be eliminated from your diet. And even drinking alcohol will not affect the effectiveness of the medicine.
Family planning and pregnancy
Most drugs can affect the development of a baby in the womb. When taking calcium gluconate, you should not self-medicate. The medicine can only be prescribed by your doctor.
You should discuss your specific circumstances with your doctor to weigh the overall risks and benefits of taking this medicine. You and your doctor decide whether you will take this medicine during pregnancy.
If the decision is that you should not use calcium gluconate, you should discuss whether there is an alternative medication that can be taken during pregnancy.
This medication passes into breast milk, so breastfeeding mothers need to weigh the risks and benefits of this prescription.
Only a doctor decides whether to prescribe "Calcium Gluconate" to children. Reviews of pediatricians correspond to the position that small patients tolerate the drug well.
Introduction Forms
Possible introduction of the drug "Calcium gluconate" - intramuscularly. Reviews of manydoctors say that this method is safe, while there is a longer effect of the drug. Intravenous administration is used in acute conditions or to achieve a quick effect. This method is more acceptable for children according to the scheme of 2-3 days with a one-day break of 1-5 ml. V / m is administered only to adults every day or also according to the intermittent course: 2-3 days of admission - 1 day break - 2-3 days of administration.
Pills are taken 2 or 3 times a day, 1-3 g (2-6 tablets), without mixing with food and preferably with milk.
There are many indications for the use of Calcium Gluconate. A review by a therapist or pediatrician leads to the conclusion that the purpose of each drug is stability, safety and efficacy. Only from these positions is the use of the drug indicated.
