DRUG | SUPPLIED | DOSE | COMMENTS |
---|---|---|---|
CALCIUM (ORAL) (Paeds) (Calcium Lactogluconate, Calcium Acetate [Phoslo], Calcium Sandoz Forte), Calcium carbonate [Tums, Oscal, Apo-cal]) Mechanism of action: Electrolyte Ref: 1, 23, 32, 489 Last update: 2022-06-15 |
Ca++ = elemental calcium Suspension (for renal patients as phosphate binder only (BCCH; Ca Carbonate): 80 mg Ca++/mL Tablets: Chewable (Tums 500 mg Ca carbonate): 200 mg Ca++ Chewable (Tums Extra Strength 750 mg Ca carbonate): 300 mg Ca++ Tablet ( Apo-cal 1250 mg Ca carbonate): 500 mg Ca++ Tablet (Phoslo 667 mg Ca acetate): 169 mg Ca++ |
Ca++ = elemental calcium 11-16 mg Ca++/kg/dose PO QID Hyperphosphatemia in CKD: Children: 330 mg Ca++/m2/dose PO TID with meals; titrate dose based on serum phosphate levels |
For calcium supplementation in patients who cannot swallow/chew tablets, usecalcium lactogluconate 20 mg/mL syrup (BCCH CaCO3 suspension is a phosphate binder for renal patients; it is difficult to make, difficult to re-suspend and is not a Pharmacare benefit). If used as a phosphate binder, give at beginning of meals. If used as a calcium supplement, give with plenty of fluids and ideally between meals. Monitor serum calcium and phosphate levels during therapy. 1 mEq Ca++ = 20 mg elemental calcium. Standard Prescription: calcium lactogluconate __mg (__mg elemental Ca2+) PO Q__H calcium carbonate __mg (__mg elemental Ca2+) PO Q__H calcium acetate __mg (__mg elemental Ca2+) PO Q__Hcalcium Sandoz Forte __mg (__mg elemental Ca2+) PO Q__H |