英文药名:DENOTAS CHEWABLE COMBINATION TABLETS（Precipitated Calcium Carbonate/Cholecalciferol/Magnesium Carbonate）
DENOTAS CHEWABLE COMBINATION TABLETS
沈降炭酸カルシウム（Precipitated Calcium Carbonate）
（3S, 5Z, 7E）-9, 10-Secocholesta-5, 7, 10（19）-trien-3-ol
DENOTAS CHEWABLE CONBINATION TABLETS（デノタスチュアブル配合錠 Precipitated Calcium Carbonate/Cholecalciferol/Magnesium Carbonate）
Brand name : DENOTAS CHEWABLE CONBINATION TABLETS
Active ingredient: Precipitated calcium carbonate
Dosage form: Almost white to pale yellow tablet, diameter: 14.1 mm, thickness: 6.4 mm
Print on wrapping: デノタスチュアブル配合錠, (plastic bottle) 56錠 or 100錠, (SP) DENOTAS
Effects of this medicine
This medicine contains calcium, natural vitamin D3 (cholecalciferol) and magnesium carbonate. Blood calcium is engaged in actions such as neurotransmission, muscle contraction and blood coagulation. Natural Vitamin D (Vitamin D2 and D3) is metabolized in the liver to 25(OH) D and then turns into activated vitamin D [1, 25(OH)2D] in the kidney. It increases the blood calcium by promoting calcium absorption in the small intestine and enhancing calcium reabsorption in the renal tubular. Magnesium is involved in calcium metabolism.
It is usually used to treat or prevent hypocalcemia associated with the use of RANKL inhibitors (denosumab [recombinant], etc.).
Before using this medicine, be sure to tell your doctor and pharmacist
If you have previously experienced any allergic reactions (itch, rash, etc.) to any medicines.
If you have hypercalcemia or renal disorder.
If you are pregnant or breastfeeding.
If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.)
Dosing schedule (How to take this medicine)
Your dosing schedule prescribed by your doctor is <<to be written by a healthcare professional>>
In general, for adults, take 2 tablets at a time, once daily. However, the dosage should be adjusted based on age and symptoms of the patient. Strictly follow the instructions.
This medicine is chewable. Chew or dissolve the tablet in your mouth.
If you miss a dose, take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed one dose. Never double the prescribed dose at one time.
If you accidentally take more than your prescribed dose, consult with your doctor or pharmacist.
Do not stop taking this medicine unless your doctor instructs you to do so.
Precautions while taking this medicine
Blood calcium may have to be measured while medication. Please follow your doctor's instructions and take a test on your designated date and time.
Be aware that disorders such as hypercalcemia may occur when you drink a large amount of milk during medication.
Possible adverse reactions to this medicine
The most commonly reported adverse reactions include rash, erythema, itch, constipation and diarrhea. If any of these symptoms occur, consult with your doctor or pharmacist.
The symptoms described below are rarely seen as initial symptoms of the adverse reactions indicated in brackets. If any of these symptoms occur, stop taking this medicine and see your doctor immediately.
No pertinent entries.
The above symptoms do not describe all the adverse reactions to this medicine. Consult with your doctor or pharmacist if you notice any symptoms of concern other than those listed above.
Storage conditions and other information
Keep out the reach of children. Store away from light, heat and moisture.
In case of plastic bottle, screw the cap tightly after use.
Do not replace the contents to a different container.
NITTO PHARMACEUTICAL INDUSTRIES,LTD. Internal
The information on this sheet is based on approvals granted by the Japanese regulatory authority. Approval details may vary by country. Medicines have adverse reactions (risks) as well as efficacies (benefits). It is important to minimize adverse reactions and maximize efficacy. To obtain a better therapeutic response, patients should understand their medication and cooperate with the treatment.