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Side effects of Shelcal, Evion, Ad free flex forte?

Dear Doctor Hope every thing is good at your end. I really appreciate for your services online. I would like to request for answer of my query, I have been prescribed shelcal 500, Evion 400, ad free flex forte by my doctor for minor aethrotc problem so I would like to know if there are any side effects that can take place in future. Please provide information and your concern will be highly appreciated. Regards Yasir
Asked On : Thu, 8 Nov 2012
Answers:  2 Views:  651
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General & Family Physician 's  Response
Thanks for your query.

First lets see what these medicines contain---
Shellcal contains calcium carbonate + vit D3
Evion contains vitamin E
Freeflex forte contains glucosamine sulphate + chondroitin sulphate

All of these are supplements to help you with your joint problems and in normal dose they are not known to cause any adverse effects.

At high dose calcium can cause side effects like renal stones, bone pain, muscle weakness, nausea, vomiting, abdominal pain , insomnia, fatigue, anorexia, arrhythmia.
In severe hypercalcemia oliguria or anuria and even coma can occur.

Vit E is rarely toxic even in high doses . Blotchy skin, Increased bleeding, Increased triglycerides, Decreased production of thyroid hormones, Decreased activity of vitamin K, Increased hemorrhaging from aspirin or anti-coagulant medications may occur in toxic doses of vit E.

Vit D toxicity causes Dehydration,Vomiting,Decreased appetite,Irritability,Constipation,Fatigue,Muscle weakness etc.

Glucosamine and Chondroitin are safe and relatively free of side effects when used at the recommended daily dose.Toxic dose can cause heart burn, epigastric pain/tenderness, diarhea, nausea, dyspepsia, constipation, abdominal pain, palpitations, drowsiness, skin reaction, headache, indigestion etc. You should avoid it if you have allergy to shellfish.

Don't worry too much. Follow advice of your treating physician and stay in touch with him.

Update here how you stay.

Take care.

Disclaimer: The Expert’s advice is provided for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, as a complete assessment of an individual has not taken place.Please consult your nearest physician before acting on it. The advice is not valid for medico-legal purposes also.

Answered: Sun, 11 Nov 2012
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General & Family Physician Dr. Debraj Jash's  Response
All the tablets you mentioned were dietary supplemants which help to replenish the reduced store of calcium present in the body.Shellcal is a dietary supplement that contains Calcium, thus the only reported known side effect of it is constipation. Evion contains Vit E which at it's usual dose is rarely toxic.High doses however can cause nausea, diarrhea, stomach cramps, fatigue, weakness, headache, blurred vision, rash, and bruising and bleeding. Freeflex Forte is actually not a drug, it is a supplement that contains Glucosamine and Chondroitin, which are substances that are naturally present in our joints. It is commonly believed that a lack of them, due to aging or injury can cause joint problems and pain, and that replacing them can help with those conditions. Since it is a supplement, not a drug, the side effect profile has not been studied and I can't really answer your question. Please take all the drugs prescribed your doctor without worrying about the side effects.Hope,I satisfied your queries.
Answered: Fri, 9 Nov 2012
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