Introduction About D3 HD GRANULES

D3 HD GRANULES contains Cholecalciferol (Vitamin D3) which belongs to the group of medicines called Vitamin D analogue. It is used to manage Vitamin D deficiency. This may occur when your diet or lifestyle does not provide you with enough vitamin D or when your body requires more vitamin D during pregnancy.

Along with this management, your doctor might advise you to eat and drink foods rich in calcium. Your doctor might want to take certain blood tests prior to the management to understand the existing condition.

D3 HD GRANULES is not recommended for use if you have high levels of calcium in the blood, malabsorption syndrome, hypervitaminosis D, renal osteodystrophy (kidney disease weakening the bones) with hyperphosphataemia.

Before taking D3 HD GRANULES, inform your doctor if you have impaired kidney or liver function, are immobilized due to osteoporosis, sarcoidosis (a multisystem chronic inflammatory condition which can affect your lungs, heart and kidneys) and hyperlipidemia (high lipid levels).

D3 HD GRANULES should be used with caution in pregnant or breastfeeding women. It should be used with caution in children and elderly patients. Consult your doctor immediately if you experience any unusual effects during management with this medicine.

Uses Of D3 HD GRANULES

• Prevents or manages vitamin D deficiency

How D3 HD GRANULES Works

D3 HD GRANULES helps the body to absorb calcium and phosphorus by increasing their absorption from the gut and reducing the amount removed by the kidneys and is a fat-soluble vitamin.

How to use D3 HD GRANULES

Take D3 HD GRANULES as directed by the physician. Pour the contents of the sachet into a glass of water or milk. Stir with a spoon to obtain a pleasant-tasting suspension. Drink immediately. Your doctor will decide the right dose and duration for you depending on your age, body weight and disease condition.

Side Effects Of D3 HD GRANULES

Warning & Precautions

Pregnancy

D3 HD GRANULES should be used with caution in pregnant women or women planning to have a baby as safety and effectiveness have not been established yet. Overdosage of this medicine can harm the fetus. Consult your doctor before taking it.

Breastfeeding

D3 HD GRANULES should be used with caution in breastfeeding women as small amounts of it pass into the breast milk. Your doctor will monitor the levels of calcium in your blood and the breastfed baby. Consult your doctor before taking it.

Kidney

D3 HD GRANULES is not recommended for use in patients with severe kidney disease or renal osteodystrophy (kidney disease weakening the bones) with hyperphosphatemia. It should be used with caution in patients with kidney impairment. Consult your doctor before taking D3 HD GRANULES.

Liver

D3 HD GRANULES should be used with caution in patients with liver disease. Consult your doctor before taking D3 HD GRANULES.

Allergy

Do not take D3 HD GRANULES if you are allergic to Cholecalciferol or any other ingredients of this medicine.

Interactions

A. Drug-Drug Interactions:

Before taking D3 HD GRANULES, inform your doctor, if you are taking any of the following medicines:

• medicines used to manage epilepsy (Ex phenobarbital, phenytoin, primidone)
• other vitamin D-containing medicines including multi-vitamins
•  medicines used to control the rate of your heartbeat (Ex. digoxin, digitoxin)
• thiazide diuretics (water tablets) Ex. Bendroflumethiazide (used to manage fluid retention)
• calcium supplements
• antacids for indigestion (Ex. magnesium hydroxide)
• medicine used to manage fungal infections (Ex. ketoconazole)
• corticosteroids Ex. hydrocortisone or prednisolone (used to manage the inflammatory condition)
• laxatives such as paraffin oil (used to manage constipation)
• cholestyramine used to manage high cholesterol
• phosphate binding agents Ex. sevelamer (used to control high levels of phosphorous in the blood)

Overdosage:

If you or anyone else accidentally takes too much of D3 HD GRANULES, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose include hypervitaminosis, hypercalciuria and hypercalcaemia (signs include loss of appetite, thirst, nausea, vomiting, constipation, abdominal pain, muscle weakness, fatigue, mental disturbances, excess thirst or urination, bone pain, nephrocalcinosis, renal calculi and in severe cases it may cause cardiac arrhythmias.

Synopsis

More Information

• Keep the medicine out of reach of children
• Store D3 HD GRANULES at room temperature

FAQs About D3 HD GRANULES

What is D3 HD GRANULES is used for?

D3 HD GRANULES is used to manage or manage vitamin D deficiency (which may occur when your diet or lifestyle does not provide you with enough vitamin D or when your body requires more vitamin D during pregnancy).

For how long should I take D3 HD GRANULES?

Your doctor might advise you on how long you should continue to take D3 HD GRANULES. You will need to consult your doctor from time to time to review your management and assess your symptoms.

What happens if you take more D3 HD GRANULES than your required dose?

If you or anyone else accidentally takes too much of D3 HD GRANULES, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose include hypervitaminosis, hypercalciuria and hypercalcaemia (signs include loss of appetite, thirst, nausea, vomiting, constipation, abdominal pain, muscle weakness, fatigue, mental disturbances, excess thirst or urination, bone pain, nephrocalcinosis, renal calculi and in severe cases it may cause cardiac arrhythmias.

How does D3 HD GRANULES work?

D3 HD GRANULES helps the body to absorb calcium and phosphorus and is a fat-soluble vitamin. It is produced naturally by your skin after exposure to the sun and is also found in some foods. D3 HD GRANULES is prescribed as a dietary supplement when there is a deficiency of Vitamin D. 

Is D3 HD GRANULES safe to use in patients with heart problems?

D3 HD GRANULES should be used with caution in patients with cardiac function impairment or arteriosclerosis (buildup of fats, cholesterol and other substances in and on the artery walls). Consult your doctor before taking D3 HD GRANULES.

References

1. KD. Tripathi. Section 11, Vitamins. Essentials of medical pharmacology. Seventh edition. 2013. Page – 909.

2. Jose-Luis Perez-Castrillon, Ricardo Usategui-Martin and Pawel Pludowski Treatment of Vitamin D Deficiency with Calcifediol: Efficacy and Safety Profile and Predictability of Efficacy. May 2022. [Accessed on 21st June 2022] https://www.mdpi.com/2072-6643/14/9/1943/html

3. J Christopher Gallagher, Daniel D Bikle. Vitamin D: Mechanisms of Action and Clinical Applications. National library of Medicine, National center for Biotechnology information. Pubmed.gov 2017. [Accessed on 21st June 2022] Vitamin D: Mechanisms of Action and Clinical Applications - PubMed (nih.gov)

4. Ciplamed. D-sol Sachet. (Cholecalciferol 60000). [Revised on May 2016] [ Accessed on 21st June 2022]  https://www.ciplamed.com/content/d-sol-granules-chewable-tablets-drops

Useful Diagnostic Tests

• Vitamin D3 test
• Kidney function test