D-Cap 20,000

Vitamin D3 for:

• Prevention and treatment of vitamin D deficiency (low sun exposure, dark skin, elderly, obesity, malabsorption)
• Rickets and osteomalacia
• Support for bone health and osteoporosis treatment (with calcium)
• Some cases of low calcium due to parathyroid problems (specialist use)

Prevention: adults 400–1,000 IU daily (up to 2,000 IU in at-risk adults); infants 400 IU daily; children 400–600 IU daily.

Treatment of deficiency (adults): e.g. 50,000 IU once weekly for 6–8 weeks, or 4,000 IU daily, then maintenance — as prescribed according to blood level.

Children (deficiency): dose by age and level, as prescribed.

• Take with a meal containing some fat for better absorption.
• High-dose weekly/monthly capsules should be taken only as prescribed.

• High blood calcium or vitamin D toxicity
• Calcium kidney stones with high urine calcium
• Allergy to the product

At correct doses side effects are uncommon.

With too much vitamin D (hypercalcaemia): nausea, vomiting, loss of appetite, constipation, thirst, frequent urination, weakness, confusion, kidney stones, heart rhythm problems.

• Do not combine several vitamin D products without advice.
• Kidney disease, sarcoidosis, history of kidney stones: monitor calcium.
• Long-term high doses: check blood calcium and vitamin D levels.

Recommended doses are safe and often advised in pregnancy and breastfeeding. Avoid high doses unless prescribed.

• Thiazide diuretics (high calcium)
• Digoxin (high calcium raises toxicity)
• Phenytoin, phenobarbital, rifampicin, steroids (reduce vitamin D effect)
• Orlistat, cholestyramine, mineral oil (reduce absorption)

Vitamin D toxicity causes high calcium — see side effects. Stop and seek medical care.

Store below 30°C, protected from light and moisture.