Forti-D Special Precautions

Soft gelatin cap: 1,000 IU/Syr: 1,000 IU: Check the level of vitamin D in the blood after 6 (six) months of use or more.
Consult to the doctor for use in pregnant and nursing mothers.
Stop use if allergy symptoms occur.
Calcium consumption according to the Recommended Dietary Allowance (RDA) to avoid hypercalcemia.
Soft gelatin cap: 2,000 IU: Check level of vitamin D serum in the blood after 3 (three) months of use.
For patients with pregnancy, breastfeeding, kidney disease, kidney stones, liver disease, heart disease, lung disease, epilepsy and parathyroid hormone disorders consult to doctor before taking vitamin D.
Do not take vitamin D if allergic reaction occurs.
Calcium consumption should not exceed the Recommended Dietary Allowance (RDA).
5,000 IU: Cholecalciferol should be used with caution in patients with impairment of renal function and the calcium and phosphate levels should be monitored. The risk of soft tissue calcification should be considered. In patients with severe renal insufficiency, vitamin D in the form of Cholecalciferol is not metabolized normally and other forms of vitamin D should be used.
Cholecalciferol cannot be used by patients with a tendency to renal calculi containing calcium.
Caution is required in patients receiving treatment for cardiovascular disease, such as cardiac glycosides (see "INTERACTIONS"). There is a risk of hypocalcemia in patients with digitalis toxicity.
High dose of Cholecalciferol should be prescribed with caution to patients suffering from sarcoidosis because of the risk of increased metabolism of vitamin D to its active form. These patients should be monitored with regards to the calcium content in serum and urine.
The need of additional calcium supplementation should be considered for individual patients. Calcium supplements should only be given under medical supervision. Medical supervision is required whilst on treatment to prevent hypercalcemia.
The use of vitamin D in the treatment of hyperparathyroidism associated with cardiovascular disease is not recommended since it can cause renal failure.
Effects on ability to drive and operate machines: There have been no studies on the effect on driving or operating the machine. Cholecalciferol has no known side effects that might affect its ability to drive or operate the machine.