calcium-vitamin D
Drug Name | Form | Strength | Infusion Center Available | Restricted | Non-formulary | Ambulatory Available | Interchange | REMS |
---|---|---|---|---|---|---|---|---|
Citrus Calcium with Vitamin D | TABLET, ORAL | 200 mg-250 intl units | ||||||
Oysco D | TABLET, ORAL | 250 mg-125 units | ||||||
Oyster Shell Calcium with Vitamin D | TABLET, ORAL | 500 mg-200 intl units | ||||||
Calcium 600+D | TABLET, ORAL | 600 mg-200 units |
Therapeutic Interchange:
Calcium Supplements:
Ochsner Health System (OHS) carries multiple products, strengths and formulations of calcium supplements on system formulary, including calcium
carbonate (tablet, chewable tablet, suspension), calcium carbonate-vitamin D3, calcium citrate, calcium citrate-vitamin D3, and calcium glubionate.
The calcium supplements were reviewed to evaluate opportunities for formulary standardization and cost savings through therapeutic interchanges
Among calcium supplements on formulary, calcium carbonate chewable tablet has highest utilization, more elemental calcium per tablet, is wellabsorbed with food and less expensive. Calcium citrate has some advantages, having less dependence on stomach acid for absorption and less
constipation. However, it has less elemental calcium which requires more tablets per dose and is more expensive. Generally, calcium supplements
can decrease the absorption of other medications, such as bisphosphonates, tetracyclines, levothyroxine, quinolones, iron preparations, iron
containing multivitamins, mycophenolate, and riociguat. Doses of calcium supplements should be separate from these medications.