6 X Valupak Vitamin D 1000Iu

Product Information

Treatment of vitamin D deficiency: 1-4 capsules (1 000- 4 000 IU) daily for 10 weeks dependent upon the severity of the disease and the patient's response to treatment, followed by maintenance therapy of 1-2 capsules (1 000- 2 000 IU) daily, as directed by your doctor. Allowances should be made for vitamin D supplements, other vitamin D containing medicines or from other sources. Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. This includes any medicines which you have bought without a prescription. Colecalciferol and its metabolites are excreted in breast milk. Overdose in infants induced by nursing mothers has not been observed but allowance for any maternal dose should be made when prescribing vitamin D products to a breast-fed child. After a single oral dose of Colecalciferol, the maximum serum concentrations of the primary storage form are reached after approximately 7 days. 25(OH)D 3 is then slowly eliminated with an apparent half-life in serum of about 50 days. Colecalciferol and its metabolites are excreted mainly in the bile and faeces.

Valupak Vitamin D 3 is suitable for vegetarians but is not suitable for vegans since D 3 contains lanolin. Who Should Get Medical Advice Before Using Valupak Vitamin D 3? Deficiency of vitamin D may occur when your diet or lifestyle does not provide you with enough vitamin D or when your body requires more vitamin D (for instance when you are pregnant). Although most other medications are safe to take with Valupak Vitamin D 3, it is always best to seek advice from your doctor before beginning to take this supplement. If you take any kind of steroid medication you should avoid Valupak Vitamin D 3 as it can interfere with the processes. Side effects Grey / Non-Formulary (undergoing assessment): Work is ongoing and will be reviewed at a future APC meeting. Never share your medicine or health supplements with anybody else, even if they are experiencing the same symptoms as you or have diagnosed with the same condition as you.

The pharmacokinetics of Colecalciferol have been widely studied and are well-known. Colecalciferol from nutritional sources is almost completely absorbed from within the gastro-intestinal tract in the presence of dietary lipids and bile acids. Colecalciferol is stored in fat cells and its biological half-life is approximately 50 days. Tablets disperse in water if needed. See here for general advice on dispersing tablets. Liquid can be made specially if required - SFH: send patients to KMH pharmacy for supplies

May be used orally for reversal of excessive anticoagulation. See SFH warfarin guidelines or NUH guideline on the management of excessive coumarin anticogulation in adults Tablets disperse in water if needed. Liquid can be made specially if required. See here for general advice on dispersing tablets.The cytotoxic agent actinomycin and imidazole antifungal agents interfere with vitamin D activity by inhibiting the conversion of 25-hydroxyvitamin D to 1,25-dihydroxyvitamin D by the kidney enzyme, 25-hydroxyvitamin D-1-hydroxylase.

For use in alcohol dependence see Notts APC Alcohol Dependence Guidelines. Note that use in alcohol dependence is not well supported by evidence, see RMOC info here and NHS England info here. actinomycin (a medicine used to treat some forms of cancer) as it may interfere with the metabolism of vitamin D Vitamin D otherwise known as the sunshine vitamin helps to support normal immune system function, which can help lower the risk of contracting a cold or flu. It also plays a vital role in the process of cell division. If Colecalciferol is combined with metabolites or analogues of vitamin D careful monitoring of serum calcium levels is recommended.The need for additional calcium supplementation should be considered for individual patients. Calcium supplements should be given under close medical supervision. If you have difficulty swallowing tablets, speak to a pharmacist about alternative preparations of vitamin D. You can get vitamin D as chewable tablets, liquid and oral sprays. Intramuscular (IM) Injection = as per Notts APC Alcohol Dependence Guidelines. May be administered in primary care by appropriately trained professionals using the correct administration technique. Prevention of vitamin D deficiency or treatment of vitamin D insufficiency: 1-2 capsules (1 000- 2 000 IU) daily. Higher doses may be required in certain populations, see below: Medicines suitable to be prescribed in primary care / general practice after specialist* recommendation or initiation.