9.5.1 Calcium and magnesium

9.5.1.1 Calcium supplements

For calcium plus vitamin D 3 products see section 9.6 Vitamins

Adcal®
  • Tablets (chewable) calcium carbonate 1.5g (£4.87 = two daily)
Calcichew®
  • Tablets (chewable) calcium carbonate 1.25g (£5.22 = two daily)
Sandocal® 1000
  • Tablets (effervescent) calcium 1g (£8.98 = one daily)
Calcium gluconate
  • Injection
Calcium chloride
  • Injection 10% syringe (MiniJet®)
  • Injection 13.4% amp

9.5.1.2 Hypercalcaemia and hypercalciuria

Cinacalcet
  • Tablets 30mg, 60mg, 90mg (£231.97 = 60mg daily)

Notes

  1. NICE TA117- Cinacalcet for the treatment of secondary hyperparathyroidism in patients with end-stage renal disease on maintenance dialysis therapy (January 2007)
  2. Cinacalcet is commissioned by NHS England for complex primary hyperparathyroidism in adults and secondary hyperparathyroidism in patients with end-stage renal disease on maintenance dialysis therapy. All new patients should receive treatment from secondary care Please refer to the primary hypoparathyroidism policy.
Etelcalcetide
  • 5mg/ml solution for injection 0.5ml, 1ml, 2ml vial

Notes

  1. NICE TA448: Etelcalcetide for treating secondary hyperparathyroidism (June 2017)

9.5.1.3 Magnesium

Magnaspartate®
  • Granules magnesium aspartate dihydrate equivalent to 243mg (10mmol) magnesium (£8.95 = 10 sachets)

Indication

  • Treatment and prevention of magnesium deficiency

Notes

  1. Renal patients: contraindicated in patients with severe renal impairment; no dose adjustment necessary in mild to moderate renal impairment
  2. Please be aware of the high sugar content
Neomag®
  • Tablets (chewable) magnesium glycerophosphate equivalent to 97mg (4mmol) magnesium (£22.77 = 50)

Indication

  • Treatment of chronic magnesium loss or hypomagnesaemia

Notes

  1. Renal patients: contraindicated in patients with severe renal impairment; no dose adjustment necessary in mild to moderate renal impairment
  2. Tablets may be broken into quarters and chewed or swallowed with water
  3. Neomag® is not recommended for use in children under 4 years of age
Magnesium sulfate
  • Injection 50% (2 mmol/ml)

 

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