CALCIUM GLUCONATE INJECTION B.P. 10%W/V

Active substance: CALCIUM GLUCONATE

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Patient Information Leaflet
Calcium Gluconate Injection BP 10% w/v
This leaflet will provide you with important information about your medicine. Please read it
carefully before your medicine is
administered. The leaflet contains a summary but not all of the information about Calcium
Gluconate Injection BP. If you require any
further information or you are unsure about anything, ask your doctor or pharmacist.
WHAT’S IN YOUR MEDICINE
Each clear glass ampoule contains 10mI of clear, colourless solution. Each 10ml of sterile
solution for injection contains 1,000mg of
calcium gluconate, the active ingredient (equivalent to 2.25 millimoles or 4.5mEq of
calcium).
Inactive ingredients: Calcium-d-saccharate and water for injections.
Pack Size: Cartons of 10 x 10mI ampoules.
Product Licence Holder: Mercury Pharma International Ltd 4045, Kingswood Road, City
West Business Park, Co Dublin, Ireland. PL 2848/5914R.
Manufacturer: Mercury Pharma International Ltd 4045, Kingswood Road, City West
Business Park, Co Dublin, Ireland,/Hameln Pharmaceutical GmbH, Langesfeld 13, 31789
Hameln, Germany.
Type of Medicine: Calcium Gluconate Injection BP 10% w/v belongs to a group of medicines
called electrolyte replacement solutions.
USES
Calcium Gluconate Injection BP 10% w/v is a concentrated solution of calcium. It may be
given by injection in situations where the action
of a high concentration of calcium is required, as for example
• when there is a severe reduction in the normal blood levels of calcium
• in restoring the heart beat if it has stopped (cardiac resuscitation)
• in some cases of tetany in the newborn infant.
Injections of calcium into a vein have been used
• in the treatment of the acute colic of lead poisoning
• as part of the treatment of acute fluoride poisoning
• to prevent the blood calcium level becoming too low during exchange blood transfusions.
BEFORE RECEIVING THIS MEDICINE
You should not be given Calcium gluconate Injection if :
• You have hyperparathyroidism (overactivity of the parathyroid gland)
• You have excessive levels of vitamin D
• You are suffering from a tumour involving decalcification of bone
• You have excessive levels of calcium in the urine
• You are taking any other medicines, including digoxin or other cardiac glycosides
Calcium gluconate injection should not be given with ceftriaxone in pre term and in new born
upto age of 28 days.

• you have severe kidney disease
• you have kidney disease and require repeated or prolonged treatment
• you are a child (less than 18 years of age) and require repeated or prolonged treatment
Take special care and please tell your doctor or nurse before being given this injection
if:
• you have a kidney disorder, or a stone in the kidney or bladder
• you have a heart problem
• you have not been taking a proper diet
• you are pregnant or if you are breast-feeding
• you are taking water tablets (diuretic such as thiazide)
Infusion site must be monitored to ensure that there is no injury during the administration of
Calcium gluconate Injection.
HOW THIS MEDICINE IS ADMINISTERED
This medicine is for administration by slow injection into a vein or by deep injection into a
muscle.
The normal level of calcium in the blood is between 2.25 - 2.75 millimoles (4.5 - 5.5 mEq)
per litre. Treatment should be aimed at restoring or maintaining this level. During treatment,
your doctor will take blood samples to check on the level of calcium in your blood.
Dosage
Severe reduction in the normal blood levels of calcium: 10 - 20mI (2.25 - 4.5 millimoles).
Fluoride or lead poisoning: 0.3ml/kg body weight (0.0675 millimoles/kg).
Tetany in the newborn: 0.3ml/kg body weight (0.0675 millimoles/kg).
Cardiac resuscitation: 7 to 15ml (1.575 to 3.375 millimoles).
Injections into a vein should be administered very slowly (3 minutes for 10ml). Injections
into a muscle should be given deep into a
muscle in the buttock using a long needle. Injections into a muscle are not recommended for
children. If you are elderly, your doctor
may decide to reduce the dosage if you have a problem such as a kidney disorder or a poor
diet.
What to do in case of a missed dose or an overdose:
If you think that you may have missed a dose, or that you have been given too much of this
medicine, tell your doctor immediately.
WHILST RECEIVING THIS MEDICINE
As well as having beneficial effects, a medicine may sometimes cause unwanted effects in
some patients. If calcium gluconate injection
is given too rapidly, it could have serious or even life-threatening consequences. The signs of
too rapid injection include hot flushes,
nausea, vomiting, sweating and feeling weak or faint. If you notice any of these effects, make
sure to tell your doctor immediately.
Co administration of calcium gluconate injection with ceftriaxone can cause the severe or
fatal reactions in pre term and new born having
age less than 28 days.
If a calcium solution escapes from a vein into the tissues, these tissues may become hardened
by the deposit of calcium salts. Injection

of calcium salts into a muscle can cause local irritation.
If you notice any of these effects, or any other unwanted effects that are not mentioned here,
tell your doctor.
STORING THIS MEDICINE
Do not use after the expiry date printed on the ampoule and carton.
The ampoules should be protected from light and stored below 25°C.
If only part of an ampoule is used, the remaining solution should be discarded.
Keep out of reach of children.
Marketing authorization holder
Mercury Pharma International Ltd., 4045, Kingswood Road, City West Business Park, Co
Dublin, Ireland.
Date of last revision: March 2012

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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