Calcium Gluconate

Generic Name: calcium gluconate (KAL see um GLUE koe nate)
Brand Names:

What is calcium gluconate?

Calcium is a mineral that is found naturally in foods. Calcium is necessary for many normal functions of your body, especially bone formation and maintenance. Calcium can also bind to other minerals (such as phosphate) and aid in their removal from the body.

Calcium gluconate is used to prevent and to treat calcium deficiencies.

Calcium gluconate may also be used for other purposes not listed in this medication guide.

Important information

Do not take calcium gluconate or antacids that contain calcium without first asking your doctor if you also take other medicines. Calcium can make it harder for your body to absorb certain medicines. Calcium gluconate works best if you take it with food.

Before taking this medicine

Ask a doctor or pharmacist if it is safe for you to take calcium gluconate if you have:

  • a history of kidney stones; or

  • a parathyroid gland disorder.

Talk to your doctor before taking calcium gluconate if you are pregnant. Your dose needs may be different during pregnancy. Talk to your doctor before taking calcium gluconate if you are breast-feeding a baby. Your dose needs may be different while you are nursing.

How should I take calcium gluconate?

Use calcium gluconate exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

Calcium gluconate works best if you take it with food. Take calcium gluconate with a full glass of water. Store at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include nausea, vomiting, decreased appetite, constipation, confusion, and loss of consciousness.

What should I avoid?

Follow your healthcare provider's instructions about any restrictions on food, beverages, or activity.

Calcium gluconate side effects

Get emergency medical help if you have any of these signs of an allergic reaction to calcium gluconate: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Less serious calcium gluconate side effects may include:

  • nausea or vomiting;

  • decreased appetite;

  • constipation;

  • dry mouth or increased thirst; or

  • increased urination.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Calcium gluconate dosing information

Usual Adult Dose for Hypocalcemia:

Intravenous:

500 to 2000 mg (5 to 20 mL) IV one time at a rate not to exceed 0.5 to 2 mL/min. The dose may be increased as needed. The usual daily dosage ranges from 1000 to 15,000 mg (10 to 150 mL) in divided doses or as a continuous infusion. Doses may be repeated every 1 to 3 days as needed and tolerated to normalize the serum calcium level.

Oral:

500 to 2000 mg orally 2 to 4 times a day.

Usual Adult Dose for Hypermagnesemia:

1000 to 2000 mg (10 to 20 mL) IV one time at a rate not to exceed 0.5 to 2 mL/min. This dose may be repeated as necessary in severe cases of hypermagnesemia (where discontinuation of exogenous magnesium is inadequate) to temporarily reverse many of the toxic effects of magnesium in the central nervous system.

Usual Adult Dose for Hyperkalemia:

500 to 3000 mg (5 to 30 mL) IV one time at a rate not to exceed 0.5 to 2 mL/min. This dose may be repeated as necessary in cases of extreme hyperkalemia cardiotoxicity when P waves are absent, the QRS complexes are widened, and when continuous ECG monitoring is available. The use of calcium does not reduce the serum potassium level, but counteracts the effects of hyperkalemia on cardiac excitability.

Usual Adult Dose for Exchange Transfusion:

300 mg (3 mL) IV one time with each 100 mL of citrated blood at a rate not to exceed 0.5 to 2 mL/min.

Usual Adult Dose for Osteoporosis:

1000 to 1500 mg/day orally in divided doses.

Usual Pediatric Dose for Hypocalcemia:

IV:
< 1 month: 200 to 800 mg/kg/day as a continuous infusion or in divided doses every 6 hours.
>= 1 month: 200 to 500 mg/kg/day as a continuous infusion or in divided doses every 6 hours.

Oral:
>= 1 year: 200 to 500 mg/kg/day in 4 divided doses.

What other drugs will affect calcium gluconate?

Calcium gluconate can make it harder for your body to absorb other medications you take by mouth. Tell your doctor if you are taking:

  • digoxin (Lanoxin, Lanoxicaps);

  • antacids or other calcium supplements;

  • calcitriol (Rocaltrol) or vitamin D supplements; or

  • doxycycline (Doryx, Oracea, Periostat, Vibramycin), minocycline (Dynacin, Minocin, Solodyn), or tetracycline (Ala-Tet, Brodspec, Panmycin, Sumycin, Tetracap).

This list is not complete and other drugs may interact with calcium gluconate. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

Where can I get more information?

  • Your doctor or pharmacist can provide more information about calcium gluconate.
  • Disclaimer: Every effort has been made to ensure that the information provided is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects.

Copyright 1996-2014 Cerner Multum, Inc. Version: 4.01. Revision Date: 2012-07-05, 9:58:20 AM.

Hide
(web5)