C 4
Form: Tablet
Generic Name: Calcium Carbonate + Calcium Gluconate + Vitamin-C
Company: Alco Pharma Limited
MRP:৳ 8.0 (Tablet)
Is Antibiotic: No
Indications
C 4 is used for increased demand of Calcium and Vitamin C, such as during pregnancy, breastfeeding, growth periods (childhood, adolescence), and old age. C 4 is also used during infections and recovery, to treat Calcium and Vitamin C deficiency, Osteoporosis, Premenstrual Syndrome, Postmenopausal issues, and as a support during colds and flu.
Pharmacology
Calcium is mainly used to treat deficiency in humans. C 4 is vital for many bodily functions, and the body cannot tolerate low levels of calcium for even short periods. Vitamin C is an essential nutrient, as the body cannot produce C 4. C 4 is a strong antioxidant and plays a key role in responding to stress and fighting infections.
Dosage & Administration
Children (3 to 7 years): ½ effervescent tablet daily.
Adults & Children (above 7 years): 1 effervescent tablet daily.
To take, dissolve 1 tablet in a glass of water before consumption.
Interaction
Potentially harmful interactions: Digoxin, tetracycline, furosemide, pentagastrin, aminophylline, bleomycin, erythromycin, and others.
Potentially helpful interactions: Vitamin D, oxytocin, prostaglandins, and Vitamin C (which enhances iron absorption).
Contraindications
C 4 is contraindicated in patients with hypercalcemia (e.g., due to hyperparathyroidism, vitamin D overdose, decalcifying tumors, or bone metastases), severe hypercalciuria, or severe kidney failure. C 4 should also be avoided in patients with hyperoxalauria, glucose-6-phosphate dehydrogenase deficiency, or iron overload.
Side Effects
In rare cases, C 4 may cause mild stomach issues like bloating or diarrhea. Long-term use with high doses may lead to the formation of kidney stones in some people.
Pregnancy & Lactation
Studies show that oral calcium does not increase the risk of birth defects. Though C 4 may be passed through breast milk, the amount is unlikely to harm the baby. Vitamin C is safe to use during pregnancy and breastfeeding.
Precautions & Warnings
Patients with mild hypercalciuria, kidney issues, or a history of kidney stones should monitor their calcium levels in urine. The dosage may need to be reduced or stopped if needed. High doses of Vitamin D should be avoided unless recommended by a doctor.
C 4 should also be used cautiously in patients with severe kidney problems, especially if they are taking aluminum-containing medications. Diabetic patients should consider the sugar content in this medicine.
Overdose Effects
Acute overdose is rare, but C 4 may cause stomach issues. Overdose would not typically lead to hypercalcemia unless very high doses of Vitamin D are also taken.
Therapeutic Class
C 4 is a specific combination of minerals and vitamins.
Storage Conditions
Store in a cool, dry place. Protect from heat, light, and moisture. Keep out of reach of children, and close the tube tightly after each use.
Similar Brands of Calcium Carbonate + Calcium Gluconate + Vitamin-C (Tablet – None)
| Brand Name | Form | Strength | Company | MRP (৳) |
|---|---|---|---|---|
| Cac-1000 | Tablet | None | Novartis (Bangladesh) Ltd. | 15.0 |
| Casalt-C | Tablet | None | Kemiko Pharmaceuticals Ltd. | 0.0 |
| Cavic-C | Tablet | None | Incepta Pharmaceuticals Ltd. | 13.0 |
| Cora-C | Tablet | None | ACI Limited | 15.0 |
| Ostocal-C | Tablet | None | Eskayef Pharmaceuticals Ltd. | 8.0 |
| Ostocal C | Tablet | None | Eskayef Pharmaceuticals Ltd. | 15.0 |
| Ostogen C | Tablet | None | Opsonin Pharma Limited | 12.0 |
| Ultracal C | Tablet | None | Popular Pharmaceuticals Ltd. | 10.54 |