Health, Preparations
Calcium gluconate: reviews. Calcium gluconate intramuscular - reviews
In any department of the hospital, calcium gluconate is available. The response of the doctor using this drug suggests that without this drug it is impossible to treat many diseases, especially those when the body cells need calcium in particular.
The need for calcium ions for the body
Calcium is one of the basic elements necessary for the normal function of the human body and when found in all tissues. Gluconate and calcium chloride - these solutions of salts 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. Calcium gluconate is usually given intravenously. Reviews indicate that with this introduction, a minimum of unpleasant sensations and good tolerability. 10 ml of 10% solution contain 8.9 mg / ml elemental calcium. In contrast, an ampoule of 10% calcium chloride provides a three-fold higher concentration of elemental calcium (27.2 mg / ml). Calcium chloride can be administered only intravenously, as it causes necrosis of the tissue if it accidentally enters the skin. Calcium gluconate (medical workers' confirmation of 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 replace calcium with chloride, but use only a third of the dose and remember that the appointment of calcium chloride is advisable with good venous access with constant monitoring during the administration.
Properties of the medicine
Calcium gluconate is a compound of calcium and gluconic acid.
Calcium gluconate is usually prescribed by a doctor when there are indications. In each individual case, the dosage is selected individually.
If during the use of the drug there is a worsening of the condition, then it is required to reconsider the purpose or reduce the dosage of the drug. With the admission of a large number of patients, various complications are possible.
Indications
There are many different diseases in which the purpose of the drug "Calcium gluconate" is indicated. Instruction, reviews of many practitioners allow us to identify groups of diseases, the main cause of which is:
- Hypocalcemia;
- Increased membrane permeability;
- Violation of the susceptibility of nerve impulses by myocytes.
The administration of the drug is justified when:
- Hypoparathyroidism (osteoporosis, latent tetany), metabolic disorders, especially vitamin D: rickets (osteomalacia, spasmophilia), hyperphosphataemia in patients with renal insufficiency;
- Increased need for calcium ions: during pregnancy, during lactation and increased body height; 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 prolonged intake of diuretics and antiepileptics, glucocorticosteroids;
- Poisoning with magnesium salts, fluoride, oxalic acids and their salts;
- Hypercalcemic form of paroxysmal myoplegia.
Calcium gluconate is indicated for allergies. Feedback indicates a rapid improvement in the condition, as it reduces the permeability of capillaries and reduces swelling. This property is used to treat thrombocytopenic purpura and exudative dermatoses, such as herpetiform dermatitis.
Contraindications
The medical worker prescribes the drug with extreme caution or does not prescribe it if the patient:
- Is allergic, sensitive or exhibits a reaction to any of the ingredients of calcium gluconate;
- Is an elderly person;
- Has oncological disease with spread to bone tissue;
- Has heart problems;
- The examination reveals high levels of calcium in the blood, hypercalciuria and high figures of vitamin D;
- Has kidney disease.
Calcium gluconate is administered with extreme caution or is not prescribed to children and adolescents under the age of 18 at all.
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 medicine outweigh the risks. Some side effects can be severe, while others can be regarded as minor inconveniences.
Different patients have different reactions to drugs. It is difficult to predict what side effects you will have from taking a particular medicine, or there will be side effects on all drugs. The main thing - it is necessary to inform your doctor about any unpleasant feelings.
Reactions to taking the drug may occur in many cases:
- After intravenous injection , problems may arise if calcium gluconate is not injected correctly.
- Immediately after the injection, nausea, vomiting, hot flashes, sweating, low blood pressure, tingling, a feeling of oppression or heat waves, arrhythmias are possible if calcium gluconate is injected too quickly. But in some cases, blood circulation problems can be fatal.
- There are complaints about the sensations of Cretaceous aftertaste after the administration of the drug "Calcium gluconate - vial." The opinions of many patients indicate such side effects.
- Rarely abscessed after intramuscular injection.
If you feel unwell or have fears about the side effect, be sure to notify the health care provider.
Other medications
If you take more than one medicine, they can interact with each other, enhancing or decreasing the effectiveness of each other.
The decision to use medicines that interact depends on the circumstances. In such cases, you need to change the dose or monitor the intake of the drug more carefully.
When prescribing treatment, you should tell the doctor the names of all the medicines that you are taking. This will take into account all possible interactions. This includes all medications prescribed by your doctor, dentist, nurse, health visitor , midwife or pharmacist. You should also talk about the medicines that you bought at the pharmacy without a prescription.
If you take calcium gluconate and one of the above drugs or types of medications, make sure your doctor knows about it.
Witness the incompatibility of the drug "Calcium gluconate" reviews. Tablets or injection solution can not be combined with carbonates, salicylates, sulfates. This is confirmed by the enormous practice of using this drug. The formation of complexes with tetracyclines reduces the antibacterial effect of the latter. In the treatment of digitalis preparations parenteral application of calcium gluconate is not indicated because of the increased toxic effect of glycosides. Calcium gluconate and thiazide diuretics can increase hypercalcemia. The effect of calcitonin decreases with hypercalcemia and the bioavailability of phenytoin when combined with this drug.
Such medications as ceftriaxone, calcium channel blockers, cardiac glycosides or thiazide diuretics are not combined with the preparation "Calcium gluconate", as the effect of interacting drugs decreases.
Complementary drugs and vitamins
Calcium gluconate can be combined with complementary drugs and vitamins. In general, there is not much available information about their interaction. If you are going to take or already take any medications and vitamins, you should ask your doctor about the presence of known effects when combined with calcium gluconate.
Diet
Medications can interact with a number of nutrients. In some cases, it can be harmful, and the doctor may advise you to adhere to a certain diet.
In the case of calcium gluconate, there are no specific products that must be excluded from their diet. And even the use of alcohol will not affect the effectiveness of the drug.
Family planning and pregnancy
Most drugs can affect the development of the baby in the womb. When taking calcium gluconate, you should not self-medicate. The medicine can be prescribed only by your doctor.
You need to discuss specific circumstances with your doctor to weigh the overall risks and benefits of taking this medication. You and your doctor decide whether or not you will take this medicine during pregnancy.
If the solution is that you should not use calcium gluconate, you should discuss whether there is an alternative medicine that can be taken during pregnancy.
This medicine penetrates into breast milk, so nursing mothers need to weigh all the risks and benefits of such an appointment.
Only the doctor decides the expediency of prescribing "Calcium gluconate" for children. Pediatricians' responses correspond to the thesis that small patients tolerate the drug well.
Forms of administration
Possible introduction of the drug "Calcium gluconate" - intramuscularly. The reviews of many doctors say that this method is safe, with a longer action of the drug substance. Intravenous administration is used in acute conditions or to achieve a rapid effect. This method is more acceptable for children on a 2-3 day schedule with a one-day break of 1-5 ml. In / m is administered only to adults every day or also according to the scheme of intermittent course: 2-3 days of intake - 1 day break - 2-3 days of administration.
Tablets are taken 2 or 3 times a day for 1-3 g (2-6 tablets), not mixed with food and preferably washed down with milk.
There are many indications for the use of the "Calcium gluconate". The response of the therapist or pediatrician allows us to conclude that the purpose of each medication is stability, safety and effectiveness. Only from these positions is shown the use of the drug.
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