D-balanceTM

Cholecalciferol EP (Vitamin D3)
Vitamin D and analogues (Plain Vitamin)

Indication:
For the prevention & treatment of Vitamin D3 & associated diseases like Osteomalacia, Rickets, Fractures, Preeclampsia, Eclampsia, during pregnancy & for the management of Cardiovascular & Diabetic profile.

Dosage & Administration:
Dosage guideline for D-balance Oral Solution:

As per ‘The Royal Children's Hospital Melbourne’ dosage guideline for Treatment and Prevention of vitamin D deficiency:

Age
Treatment of vitamin D deficiency
Prevention (maintenance dose) of vitamin D deficiency
Preterm 200 IU-800 IU /day (3 drops - 11 drops)

200 IU-400 IU/day
(3drops-6 drops)

<3 months (term)

400 – 1,000 IU/day, 3 months
(6 drops- 14 drops/0.5 ml)

400 IU/day
(6 drops)

3–12 months

1,000-2,000 units/day, 3 months
(14 drops/0.5 ml- 1 ml)

400 – 1,000 IU daily
(6 drops- 14 drops/0.5 ml)



Treatment guideline for 200,000 IU Oral/IM injectable solution:
Curative measures:

Disease
Dosages (up to normalization of vitamin D level)
Rickets 1 ampoule every 2 weeks for one month then 1 ampoule for every 4 months
Osteoporosis 1 ampoule every 2 weeks for 3 months
Osteomalacia 1 ampoule every 2 weeks for 3 months
Vitamin D deficiency 1 ampoule can be repeated 1 to 6 months later
Preventive measures:

Disease
Dosages (up to normalization of vitamin D level)
Pregnacy 1/2 ampoule at 6th or 7th month
During Breast feeding 1/2 ampoule for every 6 months
Children up to 5 years 1 ampoule for every 6 months
Adolescent 1 ampoule for every 6 months
Elderly 1/2 ampoule for every 3 months
Treatment guideline for Capsule:

2000 IU Licap
Once/day (when vitamin D level is sufficient : ≥30 ng/ml or ≥ 75 nmol/L)
20000 IU Licap Once/week for 6-10 weeks  for vitamin D insufficient patients
(when serum vitamin D level is 20-30 ng/mL or 50-75 nmol/L )
40000 IU Licap Once/week for 6-10 weeks  for vitamin D deficient patients
(when serum vitamin D level is 12-19 ng/mL or 25-50 nmol/L )
50000 IU Licap Once/week for 6-10 weeks  for severe vitamin D deficient patients
(when serum vitamin D level is <12 ng/mL or <25 nmol/L)












Dosing of capsule for Vitamin D deficiency in Children:

Vitamin D deficiency (12-18 years)
20000 IU, once every 2 weeks for 6 weeks
Prevention of Vitamin D deficiency (12-18 years) 20000 IU, once every 6 weeks

Preparation:
D-balanceTM 2000 Licap: Each Box containing 30 Licap in 30’s Alu-Alu blister pack.
D-balanceTM 20000 Licap: Each Box containing 10 Licap in 10’s Alu-Alu blister pack.
D-balanceTM 40000 Licap: Each Box containing 10 Licap in 10's Alu-Alu blister pack.
D-balanceTM 50000 Licap: Each Box containing 10 Licap in 10's Alu-Alu blister pack.
D-balanceTM 200,000 IU Oral/IM Injectable Solution : Each box contains 1 ampoule in blister pack.



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