What is Calcium gluconate?
Calcium is a naturally occurring mineral. Calcium is essential for the normal functioning of many body functions, including bone formation and maintenance.Calcium gluconate can be used to treat or prevent calcium deficiency.This medication guide does not list all possible uses of calcium gluconate.
Warnings
Ask your doctor before taking calcium gluconate or any antacids containing calcium. Calcium can interfere with the absorption of certain medications. Take calcium gluconate with food.Please follow all instructions on the label or package of your medication. Inform your healthcare provider about your medical conditions and allergies. Inform them which medications you are currently taking.
Before you take this drug
Tell your doctor about any of the following to ensure that calcium gluconate will be safe for you:
- Heart problems
- Kidney disease
- Kidney stone
- Cancer;
- Parathyroid disorder;
- High levels of calcium in the blood
Inform your doctor about whether you're pregnant or nursing. The dose you need may differ during pregnancy and while breastfeeding.
How to take Calcium gluconate?
Follow the directions on the bottle or those prescribed by your physician when using calcium gluconate.Oral calcium gluconate is taken orally. You can check the label of your particular brand to determine if you should take it with or without food.Take calcium gluconate orally along with plenty of fluids.Injections of calcium gluconate are given into the vein. This injection will be given by a healthcare provider.If you experience any pain or swelling when the iv needle is inserted, tell your carers.Calcium gluconate is only one part of an overall treatment programme that includes diet changes. Find out which foods contain calcium.You may need to adjust your dose as you change your diet. You should follow your doctor's advice.Store away from heat and moisture at room temperature.
Details on dosage
Adult dose for hypocalcemia:
Intravenous 500 to 2000 mg (5–20 ml), iv, once at a rate of not more than 0.5-2 ml/min. The dose can be increased as necessary. The typical daily dosage is 1000–15,000 mg (10–150 ml), divided into two doses, or given as an infusion. The doses can be repeated as often as every 1–3 days if tolerated and needed to normalise serum calcium levels.
Oral:
take 500–2000 mg 2–4 times a day.
Adult dose for hypermagnesemia:
This dose can be repeated as necessary in severe cases of hypermagnesemia (where discontinuation of exogenous magnesium is inadequate) to temporarily reverse many of the toxic effects of magnesium on the central nervous system. In severe cases of hypermagnesemia, this dose can be repeated if necessary to reverse the toxic effects caused by magnesium on the central nervous system.
Adult dose for hyperkalemia:
This dose can be repeated as necessary in cases of extreme hyperkalemia (https://www.drugs.com/cg/hyperkalemia.html) and cardiotoxicity when p waves are absent, the qrs complexes are widened, and continuous ecg monitoring is available. In cases of extreme hyperkalemia and cardiotoxicity, this dose can be repeated as needed, especially when the qrs complexes have widened and p waves are absent. Calcium does not lower serum potassium levels, but it counteracts hyperkalemia's effects on cardiac excitability.
Adult dose typical for exchange transfusion:
Use 300 mg (3 ml) intravenously once for every 100 ml of citrated serum at a maximum rate of 0.5-2 ml/min.
Adult dose for osteoporosis:
Divided doses of 1000–1500 mg/day
The usual paediatric dose for hypocalcemia is:
Neonatal:
the recommended daily allowance (rda), expressed in terms of elemental calcium, is:
oral: 400 mg/day
calcium: daily maintenance
iv: 3-4 meq/kg/day
if you have hyperkalemia, hypocalcemia, magnesium toxicity, or calcium antagonist toxicity, the dose of calcium gluconate is expressed in mg. Intraosseous or iv:
if necessary, repeat the dose in 10 minutes. Consider an iv infusion if it is effective.
Hypocalcemia:
the dose is expressed as mg of calcium gluconate.
As a continuous infusion or divided into 4 doses.
Oral dosage expressed in mg of elemental calcium
divided doses of 50–150 mg/kg/day, divided into 4–6
do not exceed 1 g/day.
The dose is expressed in mg of calcium gluconate.
Divided doses of 500–1500 mg/kg/day, divided into 4–6
hypocalcemia secondary to a citrated blood infusion
iv:
for every 100 ml of citrated blood, give 0.45 meq calcium.
Tetany (dose expressed as mg of calcium gluconate)
iv: 100–200 mg/kg/dose given over 5–10 minutes. Repeat after 6 hours. Follow with infusions up to 500 mg/kg/day.
Dosage: usual
adequate intake (ai) (dose is expressed in terms of elemental calcium)
oral:
from 1 to 6 months: 220 mg/day
7–12 months: 270 mg/day
from 1 to 3 years: 500 mg/day
from 4 to 8 years old: 800 mg/day
from 9 to 18: 1300 mg/day
the recommended daily allowance (rda), expressed in terms of elemental calcium, is:
oral:
from 1 to 6 months: 400 mg/day
from 6 to 12 months: 600 mg/day
from 1 to 10 years: 800 mg/day
11–24 years: 1200 mg/day
hypocalcemia:
oral: (dose expressed as mg of elemental calcium)
children: 45–65 mg/kg/day, divided into 4 doses
the dose is expressed in mg of calcium gluconate.
Infants and children: 500 mg/kg/day, divided into 3 or 4 doses.
Hypocalcemia:
the dose is expressed as mg of calcium gluconate.
Infants and children: 200–500 mg/kg/day in a continuous infusion, or divided into 4 doses.
Cardiac arrest due to magnesium toxicity or calcium antagonist toxicity
the dosage is expressed as mg of calcium gluconate.
Infants and children: 60–100 mg/kg/dose (3 g maximum/dose); repeat if necessary in 10 minutes; consider iv infusion if it is effective.
Hypocalcemia secondary to a citrated blood infusion
iv: give 0.45 mg of elemental calcium per 100 ml of citrated blood.
Tetany:
the dose is expressed as mg of calcium gluconate.
Infants and children: 100–200 mg/kg/dose, over 5–10 minutes. Repeat after 6 hours. Follow with an infusion of a maximum of 500 mg/kg/day.
Calcium: daily maintenance
iv:
infants and children 25 kg or less: 1 to 2 mg/kg/day
children 25-45 kg: 0.5 to 1,5 meq/kg/day
children over 45 kg: 10 to 20 meq/day or 0.2 to 0.33 meq/kg
What happens if i miss the dose?
If you are almost due for your next dose, skip the missed one. Never take two doses of the same medicine at once.
What happens if i overdose?
Call 1-800-222-1222 immediately if you suspect poisoning and seek immediate medical care.
What should be avoided?
If your doctor has prescribed any restrictions regarding food, beverage, or activity, follow their instructions.
Side effects of Calcium gluconate
If you experience any of the following: hives, difficulty breathing, swelling of your lips, face, tongue, or throat, contact an emergency medical professional immediately.
If you experience:
- Little or no urinating is acceptable.
- Rapid weight gain and swelling
- Feeling as if they may faint.
- Slow or irregular heartbeats
- High levels of calcium are accompanied by nausea, vomiting, constipation, muscle pain, fatigue, and confusion.
Side effects of calcium gluconate include:
- Warmth, tingling, or a heavy sensation;
- A chalky taste in the mouth
- Upset stomach, gas,
There may be other side effects.need advice about adverse side effects? Make an appointment to visit your physician.the fda can be contacted at 1-800-fda-1088 to report side effects.
Interaction with other drug
Calcium may interfere with the absorption of certain medications. Take other medicines at least two hours before or four or six hours after taking calcium gluconate.
Inform your physician of any medications you are currently taking.calcium gluconate interacts with many drugs, including:
- Baloxavir marboxil is also known as xofluza.
- Digoxin (digitalis);
- Anti-microbial
- Other forms of calcium
This list isn't complete, and other drugs can interact with calcium gluconate. These include prescription and over-the-counter medicines, vitamins, and herbal products.this list does not encompass all possible interactions among medications.
