Calcium Gluconate

Generic Name: calcium gluconate

Over-the-Counter (OTC)

Brand Names:

Calcium Gluconate

Sterile, preservative-free, nonpyrogenic, supersaturated solution of calcium gluconate for intravenous use after dilution. Indicated for pediatric and adult patients for treatment of acute symptomatic hypocalcemia.

Overview

Sterile, preservative-free, nonpyrogenic, supersaturated solution of calcium gluconate for intravenous use after dilution. Indicated for pediatric and adult patients for treatment of acute symptomatic hypocalcemia.

Uses

Indicated for pediatric and adult patients for treatment of acute symptomatic hypocalcemia. Safety for long-term use not established.

Dosage

Administer intravenously via secure IV line. Neonate: 100-200 mg/kg bolus or infusion every 6 hours. Pediatric: 29-60 mg/kg bolus or every 6 hours. Adult: 1000-2000 mg bolus or every 6 hours. Do not exceed 200 mg/min (adults) or 100 mg/min (pediatric).

Side Effects

Common: local soft tissue inflammation, necrosis, calcinosis cutis. Cardiovascular: vasodilation, decreased blood pressure, bradycardia, arrhythmia, syncope, cardiac arrest.

Interactions

Cardiac glycosides increase arrhythmia risk. Calcium channel blockers response may be reduced. Vitamin D, vitamin A, thiazide diuretics, estrogen may cause hypercalcemia.

Warnings

Risk of arrhythmias with cardiac glycosides. Contraindicated with ceftriaxone in neonates 28 days or younger due to fatal precipitate risk. Risk of tissue necrosis and calcinosis cutis. Rapid administration may cause hypotension, bradycardia, arrhythmias. Contains aluminum up to 25 mcg/L. Contraindicated in hypercalcemia.

Pregnancy

Limited data insufficient to inform risk. Maternal hypocalcemia increases spontaneous abortion and preeclampsia risk. Fetal/neonatal hyperparathyroidism possible.

Storage

Store 20-25 degrees C (68-77 degrees F). Do not freeze. Protect from light. Discard unused portion within 4 hours of puncture.

Frequently Asked Questions

What is Calcium Gluconate used for?

Indicated for pediatric and adult patients for treatment of acute symptomatic hypocalcemia. Safety for long-term use not established.

What are the side effects of Calcium Gluconate?

Common: local soft tissue inflammation, necrosis, calcinosis cutis. Cardiovascular: vasodilation, decreased blood pressure, bradycardia, arrhythmia, syncope, cardiac arrest.

Can I take Calcium Gluconate during pregnancy?

Limited data insufficient to inform risk. Maternal hypocalcemia increases spontaneous abortion and preeclampsia risk. Fetal/neonatal hyperparathyroidism possible.

What are the important warnings for Calcium Gluconate?

Risk of arrhythmias with cardiac glycosides. Contraindicated with ceftriaxone in neonates 28 days or younger due to fatal precipitate risk. Risk of tissue necrosis and calcinosis cutis. Rapid administration may cause hypotension, bradycardia, arrhythmias. Contains aluminum up to 25 mcg/L. Contraindicated in hypercalcemia.

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Medical Disclaimer

This drug information is for educational purposes only and should not replace professional medical advice. Drug information is sourced from the FDA National Drug Code Directory and Structured Product Labeling. Always consult with a healthcare provider before starting, stopping, or changing any medication.