D SIS 60K Chewable tablet 4's

Introduction About D SIS 60K CHEWABLE TABLET

D SIS 60K CHEWABLE TABLET contains Cholecalciferol which belongs to the group of
medicines called Vitamin D analogs. It is a form of vitamin D used in the
management of vitamin D deficiency conditions and for certain bone conditions
such as thinning of the bone (osteoporosis) which will be given to you with
other medicines.

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).

Along with this management, your doctor might advise you to eat and drink foods
that are rich in calcium. Your doctor might want to take certain blood tests
prior to the management to understand the existing condition.

D SIS 60K CHEWABLE TABLET is not recommended for use if you have high levels of
calcium in your blood (hypercalcaemia) or urine (hypercalciuria), are suffering
from liver problems, kidney failure, kidney stones or have a tendency to form
kidney stones, high levels of vitamin D in blood (hypervitaminosis).

Before taking D SIS 60K CHEWABLE TABLET, inform your doctor if you have any kind
of heart disease or narrowing of the arteries, sarcoidosis (a multisystem
chronic inflammatory condition which can affect your lungs, heart and kidneys)
or if you are taking any medicines or food containing vitamin D.

D SIS 60K CHEWABLE TABLET should be used with caution among women who are
pregnant and breastfeeding because too much vitamin D may harm your baby. D SIS
60K CHEWABLE TABLET can only be given to children and adolescents aged 12 and
above.Consult your doctor if you experience any unusual side effects during
management with this medicine.

Uses Of D SIS 60K CHEWABLE TABLET

• Corrects vitamin D deficiency
• Manages osteoporosis (thinning of the bone) and other related bone conditions

How D SIS 60K CHEWABLE TABLET Works

D SIS 60K CHEWABLE TABLET contains vitamin D which gets absorbed in the
intestine and converted in the liver and kidneys to its active form. This active
form helps the body absorb calcium and phosphate from the intestine, retain
calcium in the kidneys, and release calcium from bones. It also supports the
immune system by affecting immune cells and reducing inflammation.

How to use D SIS 60K CHEWABLE TABLET

Take D SIS 60K CHEWABLE TABLET as advised by your physician. Your doctor will
decide the correct dose and duration for you depending upon your age, body
weight and disease condition.

For Tablets, Capsules and softgels: Swallow D SIS 60K CHEWABLE TABLET with a
glass of water. Do not crush or chew the medicine.

For Orally Disintegrating tablet/strips and chewable tablet: Place the
medicine beneath the tongue and allow it to dissolve on its own.

Side Effects Of D SIS 60K CHEWABLE TABLET

Uncommon

• increased calcium in the blood (hypercalcaemia) (signs include nausea or vomiting, loss of appetite, constipation, stomachache, feel very thirsty, muscle weakness, drowsiness or confusion)
• increased calcium in the urine (hypercalciuria)

Rare

• skin rash
• itching

Stop taking D SIS 60K CHEWABLE TABLET and contact your doctor immediately if you
experience any of the following side effects:

• swollen face, lips, tongue or throat
• difficult to swallow and breathe
• raised itchy rash (hives)

How To Manage Side Effects

!### Skin rash Or Itching

Do not scratch the affected area. Wear protective clothing while going outdoors.
Regularly moisturize your skin. Consult your doctor if the symptoms worsen.

Warning & Precautions

!### Pregnancy

Use with CautionD SIS 60K CHEWABLE TABLET should be used with caution in pregnant women or women
planning to have a baby. Consult your doctor before taking it. If you require
extra vitamin D do not take it without medical supervision because too much
vitamin D may harm your baby.

!### Breastfeeding

Use with CautionD SIS 60K CHEWABLE TABLET should be used with caution in breastfeeding women.
Consult your doctor before taking it. If you require extra vitamin D do not take
it without medical supervision because too much vitamin D may harm your baby.

!### Driving and Using Machines

Use with CautionD SIS 60K CHEWABLE TABLET does not affect your ability to drive or use machines.
Consult your doctor before taking it

!### Kidney

ContraindicatedD SIS 60K CHEWABLE TABLET is not recommended for use in patients with kidney
failure, kidney stones (renal calculi) or have a tendency to form kidney stones.
Consult your doctor before taking D SIS 60K CHEWABLE TABLET.

!### Liver

Use with CautionD SIS 60K CHEWABLE TABLET should be used with caution in patients with liver
disease. Dose will be adjusted by your doctor. Consult your doctor before taking
D SIS 60K CHEWABLE TABLET.

!### Allergy

ContraindicatedD SIS 60K CHEWABLE TABLET is not recommended for use if you are allergic to
Cholecalciferol or any other ingredients of this medicine.

!### Heart Disease

Use with CautionD SIS 60K CHEWABLE TABLET should be used with caution in patients with heart
disease or narrowing of the arteries. Consult your doctor before taking D SIS
60K CHEWABLE TABLET.

!### Use In Pediatrics

Consult your doctorD SIS 60K CHEWABLE TABLET is recommended for children and adolescents aged 12
and above. Dose will be adjusted by your child’s doctor. Consult your
child’s doctor before taking D SIS 60K CHEWABLE TABLET.

Others

D SIS 60K CHEWABLE TABLET is not recommended for use if you:

• have high levels of calcium in the blood (hypercalcaemia) or urine (hypercalciuria)
• have high levels of vitamin D in the blood (hypervitaminosis D)

Before taking D SIS 60K CHEWABLE TABLET, inform your doctor if you:

• have sarcoidosis (a multisystem chronic inflammatory condition which can affect your lungs, heart and kidneys)
• are taking medicines containing vitamin D or eating foods or drinking milk enriched with vitamin D

Interactions

A. Drug-Drug Interactions:

Before taking D SIS 60K CHEWABLE TABLET, inform your doctor, if you are taking
any of the following medicines:

• medicines used to manage epilepsy (Ex. carbamazepine, phenobarbital, phenytoin, primidone)
• other vitamin D containing medicines including multi-vitamins
• medicines to control the rate of your heartbeat (Ex. digoxin, digitoxin)
• diuretics (water tablets) (Ex. Bendroflumethiazide)
• calcium supplements
• medicines used to manage tuberculosis (Ex. rifampicin, isoniazid)
• medicines leading to fat malabsor
• medicines used to manage fungal infections (Ex. ketoconazole, itraconazole)
• actinomycin (medicine used to manage some forms of cancer)
• glucocorticosteroids Ex. hydrocortisone or prednisolone (used to manage inflammatory conditions)

Overdosage:

If you or anyone else accidentally takes too much of D SIS 60K CHEWABLE TABLET,
consult your doctor immediately or visit the nearby hospital. Signs of overdose
include loss of appetite, thirst, nausea, vomiting, constipation, abdominal
pain, muscle weakness, tiredness, confusion, having to pass more urine than
usual, bone pain, kidney problems and in severe cases it may cause irregular
heartbeat, coma or even death.

Synopsis

Drug	:	Cholecalciferol (Vitamin D3)
Pharmacological Category	:	Vitamin D analogs
Therapeutic Indication	:	Osteoporosis, Vitamin D deficiency
Dosage Forms	:	Tablet, Chewable tablet, Disintegrating tablet, Disintegrating strip, Capsule, Softgel capsule, Injection, Oral solution, Syrup, Suspension, powder, Sachet, Oral drops, Nano drops, Oral Spray, Granules

More Information

Storage

• Keep the medicine out of reach of children
• Store D SIS 60K CHEWABLE TABLET at room temperature

FAQs About D SIS 60K CHEWABLE TABLET

Q: What is D SIS 60K CHEWABLE TABLET used for?

A: D SIS 60K CHEWABLE TABLET is used to manage osteoporosis (is a bone condition
in which there is thinning of the bone) along with other medicines and to manage
or manage vitamin D deficiency (which may occur when your diet or lifestyle does
not provide you enough vitamin D or when your body requires more vitamin D
during pregnancy).

Q: What happens if you take more D SIS 60K CHEWABLE TABLET than your required dose?

A: If you or anyone else accidentally takes too much of D SIS 60K CHEWABLE
TABLET, consult your doctor immediately or visit the nearby hospital. Symptoms
of overdose are loss of appetite, thirst, nausea, vomiting, constipation,
abdominal pain, muscle weakness, tiredness, confusion, having to pass more urine
than usual, bone pain, kidney problems, and in severe cases it may cause
irregular heartbeat, coma or even death.

Q: How does D SIS 60K CHEWABLE TABLET work?

A: D SIS 60K CHEWABLE TABLET helps the body to absorb calcium and phosphorus and
is a fat-soluble vitamin. It is produced naturally by your skin after exposure
to the sun and is also found in some foods. D SIS 60K CHEWABLE TABLET is
prescribed as a dietary supplement when there is a deficiency of Vitamin D or
during increased requirement.

Q: Can D SIS 60K CHEWABLE TABLET be used in patients with kidney problems?

A: D SIS 60K CHEWABLE TABLET is not recommended for use in patients with kidney
failure, kidney stones (renal calculi) or have a tendency to form kidney stones.
Consult your doctor for advice before taking D SIS 60K CHEWABLE TABLET.

Q: Can D SIS 60K CHEWABLE TABLET be used in pregnant women?

A: D SIS 60K CHEWABLE TABLET should be used with caution in pregnant women or
women planning to have a baby. Consult your doctor before taking it. If you
require extra vitamin D do not take it without medical supervision because too
much vitamin D may harm your baby.

Useful Diagnostic Tests

• Vitamin D3 test
• Kidney function test