Osteo-D IM Injection

Indications of Osteo-D-IM Injection

Colecalciferol (Vitamin D3) is used to treat and prevent vitamin D3 insufficiency. It is also recommended as an adjuvant to specialized osteoporosis therapy in individuals with vitamin D3 insufficiency.

Pharmacology of Osteo-D-IM Injection

Colecalciferol (Vitamin D3) aids in calcium and phosphorus absorption and reabsorption. Vitamin D3 is required for proper bone development and bone density maintenance. It also lessens the severity of bacterial infections, improves lung function, lowers the risk of cancer (breast, colorectal), and aids in the maintenance of normal insulin levels in type 2 diabetic patients.

Dosage & Administration of Osteo-D-IM Injection

For capsule: Adults:

Treatment of Vitamin D3 deficiency: 40000 IU once weekly for 7 weeks. Doses for maintenance therapy is 1400-2000 IU/day. To confirm the target level of 25 hydroxyvitamin D, measurement of it should be determined 3-4 months after initiating the maintenance therapy.

Prevention of Vitamin D3 deficiency: 20000 IU every 4 weeks. Higher doses may be required in certain situations.

Addition to specific therapy for osteoporosis: 20000 IU once a month.

For capsule: Children (12-18 years):

Treatment of Vitamin D3 deficiency: 20000 IU once every 2 weeks for 6 weeks.

Prevention of Vitamin D3 deficiency: 20000 IU every 6 weeks.

For film-coated tablet: 1000 IU (1-2 tablets) daily, or as directed by physician. Take the medicine with food or within 1 hour after a meal.

For oroflash or chewable tablets: 1000 IU to 2000 IU daily, or as directed by physician. Take the medicine with food or within 1 hour after a meal. Place the tablet in mouth swallow after chewing.

For Syrup:

For patients with risk of Cholecalciferol deficiency:

yr: 400 IU/ day (2 ml)

>1 Yr: 600 lU/ day (3 ml)

For Cholecalciferol deficient patients:

yr: 2000 IU/ day (+50000 IU/week ) for 6 weeks

-18 yrs: 2000 IU/ day for 6 weeks.

Injection: Prevention:

Infants receiving Vitamin D enriched milk: 1/2 ampoule (0.5ml) i.e. 1,00000 I.U. every 6 months.

Nursed infants or infants not receiving Vitamin D enriched milk or young children up to 5 years of age: 1 ampoule (1ml) i.e. 2,00000 I.U. every 6 months.

Adolescents: 1 ampoule (1ml) i.e. 2,00000 I.U. every 6 months during winter.

Pregnancy: 1/2 ampoule (0.5ml) i.e. 1,00000 I.U. from the 6th or 7th month of pregnancy.

Elderly: 1/2 ampoule (0.5ml) i.e. 1,00000 I.U. every 3 months. Digestive disorders, concomitant treatment with antiepileptics & other particular condition not described above; 1/2 ampoule (0.5ml) i.e. 1,00000 I.U. or 1 ampoule (1ml) i.e. 2,00000 I.U. every 3 or 6 months.

Injection: Vitamin D deficiency:

1 ampoule (1ml) i.e. 2,00000 I.U. which can be repeated 1 to 6 months later. Or, as directed by the registered physician.

Interaction of Osteo-D-IM Injection

It has a negative interaction with phenytoin, barbiturates, glucocorticoids, some laxatives (such as liquid paraffin), actinomycin, and imidazole antifungal drugs.

Contraindications

It is not recommended for people who have a known intolerance to Vitamin D3.

Side Effects of Osteo-D-IM Injection

Hypercalcaemia, hypercalciuria, skin rash, pruritus, urticaria, nausea, and stomach discomfort are the most common adverse effects.

Pregnancy & Lactation

Pregnancy dosages of up to 4000 IU have been demonstrated in studies to be safe. The recommended daily dosage for pregnant women is 400 IU; however, a larger dose may be necessary for women who are deemed Vitamin D3 deficient. During pregnancy, women should listen to their doctor’s recommendations because their needs may change based on the severity of their condition and their response to therapy.

Breast milk contains vitamin D3 and its metabolites. Overdoes in nursing mothers’ infants have not been reported; nevertheless, when giving more vitamin D3 to a breastfed kid, the practitioner should take the dose of any additional vitamin D3 given to the mother into account.

Precautions & Warnings

In individuals with poor renal function, it should be taken with care.

Storage Conditions

Maintain a temperature of less than 30o C and keep it away from light and moisture. Keep out of children’s reach.