Europe — EMA
Holekalciferol Krka (Colecalciferol)
Holekalciferol Krka is an OTC oral colecalciferol supplement for vitamin D deficiency, bone health support, and rickets prevention.
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What is Colecalciferol?
Holekalciferol Krka is an oral vitamin D3 supplement whose active ingredient is colecalciferol. It is marketed in the European Union as an over‑the‑counter product; the specific strength and dosage form are not disclosed in the available information. The preparation is intended to provide vitamin D for individuals with low dietary intake or limited sun exposure. Regular supplementation may help maintain normal calcium metabolism and support skeletal health.
What is Colecalciferol used for?
Holekalciferol Krka is used primarily to address insufficient vitamin D levels and related conditions.
- Treatment of vitamin D deficiency identified by laboratory testing. - Prevention of rickets in children with limited sun exposure. - Support of bone mineralization in adults at risk of osteomalacia. - Adjunct to calcium therapy for osteoporosis management. - Seasonal supplementation during winter months in northern latitudes.
What are the side effects of Colecalciferol?
Adverse reactions to oral colecalciferol are generally uncommon, but they can occur.
Common: - Mild gastrointestinal discomfort such as nausea or abdominal bloating. - Transient headache or dizziness. - Slight increase in serum calcium without clinical symptoms. - Fatigue or a general feeling of malaise.
Serious: - Hypercalcemia presenting with polyuria, polydipsia, or muscle weakness. - Kidney stones due to calcium precipitation. - Severe allergic reactions including rash, itching, or swelling of the face. - Cardiac arrhythmias related to elevated calcium levels. - Soft‑tissue or vascular calcification in extreme cases.
What precautions apply to Colecalciferol?
When considering Holekalciferol Krka, several precautionary measures should be observed to ensure safe use.
- Verify vitamin D status with laboratory testing before initiating supplementation. - Avoid use in individuals with known hypercalcemia or hyperparathyroidism. - Monitor calcium and phosphate levels periodically during long‑term therapy. - Use with caution in patients with renal impairment or granulomatous diseases. - Pregnant or breastfeeding women should consult a healthcare professional before use. - Do not exceed the recommended daily allowance unless directed by a clinician.
What does Colecalciferol interact with?
Colecalciferol may interact with certain medications, affecting calcium balance or vitamin D metabolism.
Avoid: - Thiazide diuretics combined with high doses of vitamin D, which can precipitate hypercalcemia. - Vitamin D analogues or high‑dose calcitriol preparations, increasing risk of calcium excess.
Use with caution: - Calcium supplements, as combined intake may raise serum calcium levels. - Anticonvulsants such as phenytoin or phenobarbital that accelerate vitamin D catabolism. - Glucocorticoids, which can reduce vitamin D effectiveness. - Weight‑loss drugs that affect fat absorption, potentially altering vitamin D bioavailability.



