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D-cure

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Indications:

Nutritional deficiency,Deficiency due to malabsorption states or liver diseases, Hypocalcaemia caused by hypoparathyroidism.

Contraindications:

Hypercalcaemia. Evidence of vitamin D toxicity

Adverse reactions:

Hyperphosphataemia or hypercalcaemia (in excessive intake). Associated effects of hypercalcaemia include hypercalciuria, ectopic calcification, & renal & CV damage.

Interactions:

Increased risk of hypercalcaemia if given with thiazide diuretics, calcium or phosphate. Antiepileptics (e.g. carbamazepine, phenobarbitone, phenytoin & primidone) may increase vitamin D requirements. Rifampicin & isoniazid may reduce efficacy of vitamin D. Corticosteroids may counteract the effect of vitamin D. Digoxin or any cardiac glycoside. Reduced absorption when taken with cholestyramine, colestipol, mineral oil, orlistat. Ketoconazole. Food Interaction: Olestra (fat substitute).

Warnings:

Excessive intake may lead to development of hyperphosphataemia or hypercalcaemia. Infants, renal impairment or calculi, heart disease. Monitor plasma phosphate & calcium level. Pregnancy, lactation.

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Consultants Corner

Dr . Dirar Abboud

Dr . Dirar Abboud Hepatologist – Gastroenterologist

Dr. Samer Al-Jneidy

Dr. Samer Al-Jneidy Pediatrician

Yaser Habrawi , F.R.C.S.Ed

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Samir Moussa M.D. ENT Specialist

Dr. Hani Najjar

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Dr. Tahsin Martini

Dr. Tahsin Martini Degree status: M.D. in Ophthalmology
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