Calcibronat

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Calcibronat

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Medically reviewed

Rosario Oropesa

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Calcibronat

Calcibronat is a pharmaceutical preparation distinguished by its single active ingredient, Calcium Bromolactobionate, and its specific presentation as an effervescent tablet for the preparation of an oral solution. It is primarily classified as a sedative agent with anxiolytic properties.

Property Description
Active Ingredient Calcium Bromolactobionate
Form Effervescent Tablets (for oral solution)
Pharmacological Class Sedative Agent, Anxiolytic Agent
General Purpose Relieves nervousness and mild sleep disturbances
Origin Synthetic/Derived Double Salt

Composition and Classification

The product's active principle is Calcium Bromolactobionate, which is a synthetic/derived double salt combining calcium, bromide, and lactobionic acid. This chemical structure delivers the calming bromide component in a stable, easily absorbed form. This medication is officially classified as a hypnotic and sedative within the ATC system. This high-level classification confirms the medicine's core purpose is to moderate the central nervous system and support restfulness.

Primary Action and General Benefit

As a medicine, Calcibronat's general therapeutic purpose is the management of symptoms associated with nervous excitability, such as elevated irritability or mild sleep disturbances. The sedative action is primarily driven by the bromide component of the active ingredient, which works systemically to help moderate nervous system activity. The specific formulation as an effervescent tablet designed for quick dissolution is intended to facilitate the efficient delivery of the active substance, supporting a patient's capacity to achieve natural rest and cope with symptoms of nervous tension.

What side effects are possible with Calcibronat?

Possible side effects and safety information

The safety profile of Calcibronat is characterized by effects associated with its sedative and calcium components, with specific restrictions documented in the product labeling derived from government regulatory sources.

Officially Documented Adverse Reactions

Adverse reactions listed in official documents are grouped by physiological system, although standardized frequency classifications (e.g., 'common,' 'rare') are not consistently provided in the available official documentation.

System-Organ Class Examples of Documented Effects
Nervous/Psychiatric Disorders Daytime drowsiness, irritability, disorientation, confusion, hallucinations.
Gastrointestinal Disorders Loss of appetite, constipation.
Skin and Subcutaneous Tissue Skin irritation or itchiness (pruritus).

Safety Constraints and Restrictions

Use of the medicine is contraindicated in several specific circumstances. These restrictions are primarily related to the calcium component and include conditions such as hypercalcemia (excessive blood calcium), hypercalciuria (excessive urine calcium), calcium lithiasis (calcium stones), and chronic glomerular nephropathy (a form of kidney disease).

Specific population restrictions are also defined. The medicine is contraindicated in children under 30 months of age, in the elderly who are malnourished and/or dehydrated, and in patients with juvenile acne. Use is generally not recommended during pregnancy or breast-feeding.

Furthermore, official product information advises against the consumption of alcohol during treatment due to the potential for enhanced sedative effects, and notes that the medicine may interfere with the laboratory determination of chlorides in the blood.

Overdose and Emergency Response

Overdose with Calcibronat (Calcium Bromolactobionate) is linked to Bromide toxicity (Bromism), which affects the central nervous system (CNS), circulatory, and respiratory systems. Documented overdose presentations range from neurological signs like confusion, restlessness, ataxia, and memory impairment to severe manifestations such as stupor, acute psychosis, and coma. Dermatological signs, including an acneiform rash (Bromoderma), may also occur.

Regulatory guidance states that immediate medical attention must be sought if overdose is suspected, especially upon the onset of severe symptoms like seizures, coma, or profound neurological disturbance. Such situations require the patient to go to the emergency department.

The official management of overdose is symptomatic and supportive, as no specific antidote is known. Procedures to hasten elimination, such as forced chloruresis (saline diuresis), are described. Hemodialysis is indicated for severe cases of intoxication. Monitoring of serum bromide levels and continuous observation of respiratory and circulatory status are required. Overdose risk is heightened in patients with renal insufficiency, a population-specific consideration due to the elimination pathway.

Therapeutic Uses of Calcibronat

What Calcibronat Treats: Main Uses and Benefits

Calcibronat is relevant within therapeutic domains, classified as a sedative and anxiolytic agent, that involve symptomatic support during episodes of heightened nervous or emotional tension. Its application is generally considered relevant for symptom management across areas where increased discomfort may interfere with daily functioning. The application is appropriate for short-term symptomatic assistance during mild manifestations.


Symptom Management and Relief

The preparation may be part of symptomatic management to help address symptoms of nervous tension, emotional irritability, and mild sleep disturbances. These disturbances include difficulties with sleep onset and maintaining continuous rest that are secondary to underlying over-excitation. This supportive relief offers symptomatic relief that helps patients cope more steadily with difficult episodes and supports patients during episodes of heightened discomfort. Relief is focused on symptom clusters, such as nervous tension and sleep disruption, that often appear suddenly and create noticeable functional strain.


Quick Fact: Relief for Nervous Excitability

Calcibronat may assist with improving day-to-day comfort by easing distress during episodes of mild, temporary emotional agitation.

Regulatory References

  1. CALCIBRONAT (bromo-galactogluconate de calcium) - Haute Autorité de Santé

Eligibility and Restrictions for Use

Calcibronat eligibility is defined by a set of official contraindications and age-related restrictions as outlined in regulatory product information.

Populations Allowed

  • Adults
  • Children weighing over 30 kg (approximately 7 years of age and older)

Groups Who Must Not Use Calcibronat (Contraindications)

Use of this medicine is formally prohibited in individuals with the following conditions or characteristics:

  • Juvenile acne.
  • Hypercalcemia (excessive blood calcium levels).
  • Hypercalciuria (excessive urine calcium levels) or calcium lithiasis (calcium stones).
  • Children under 30 months of age.
  • Older adults who are malnourished or dehydrated.

Eligibility Restrictions

Official labeling specifies limitations on the duration of use:

  • Treatment must not exceed 3 weeks.
  • A mandatory interval of 3 to 4 weeks must be observed between treatment periods.

Information regarding safety and eligibility during pregnancy and lactation is often considered insufficient, and use is generally not recommended unless otherwise advised by a healthcare professional.

What should I know about interactions with other medicines?

Interactions with other medicines and products

Official regulatory documents define the interaction profile of Calcibronat (Calcium Bromolactobionate) primarily through the properties of its active components, Calcium and Bromine. These interactions are categorized based on their mechanism and clinical significance.

Pharmacokinetic and Absorption Interactions

The calcium component can bind to or chelate several other medicinal products in the digestive tract, which results in a reduction in their absorption and therapeutic efficacy. These include:

  • Antibiotics: Specifically Tetracyclines (e.g., Doxycycline) and Quinolones/Fluoroquinolones (e.g., Ciprofloxacin).
  • Thyroid Hormones: Levothyroxine.
  • Bisphosphonates and Iron Preparations.

To mitigate this reduction in absorption, regulatory guidance necessitates a time separation between the administration of Calcibronat and these interacting medications, typically requiring administration several hours apart.

Pharmacodynamic and Additive Effects

Interacting Product Category Mechanism of Interaction
Digitalis Glycosides (e.g., Digoxin) Increased risk of cardiac toxicity and arrhythmias due to additive effects on the heart's conduction system, especially if blood calcium levels are elevated.
Thiazide Diuretics Increased risk of hypercalcemia (elevated calcium levels) due to reduced renal excretion of calcium.
Alcohol / CNS Depressants Potential for enhanced sedation or drowsiness due to the Central Nervous System depressant properties of the bromine component.

Population-Specific Notes

Patients with pre-existing conditions that affect calcium balance, such as renal impairment or a history of calcium lithiasis, require careful consideration regarding the potential for enhanced adverse effects from interactions that increase calcium load.

Mechanism of Action

Modulation of Central Nervous System Inhibitory Signaling

The mechanism is driven by the bromide ion ( Br^-), which crosses the blood-brain barrier to act as an allosteric modulator of GABA-A receptors, the primary inhibitory targets in the brain. This action strengthens the brain's natural inhibitory pathways, initiating a molecular cascade that decreases generalized neuronal signaling and lowers the threshold for action potential firing in the central nervous system.


Regulation of Neuromuscular Excitability

The calcium ion ( Ca^2+) component works complementarily by influencing cell membrane stability in both the central and peripheral nervous systems. By increasing the threshold required for nerve impulses to fire, the calcium component acts to reduce the overall excitability of neuromuscular tissue. This parallel mechanistic domain contributes to decreased peripheral nerve and muscle excitability, influencing the overall physiological state by lowering systemic responsiveness.

Dosage and Administration Information

How to Use Calcibronat: Administration Guidelines

This section outlines the procedures for administering Calcibronat. This guidance focuses exclusively on dosing, preparation, and course limits, and does not address therapeutic use, safety, or side effects.

Dosing and Administration Method

Parameter Standard Instruction
Route of Administration Oral (after dissolution).
Dosage Form Effervescent tablet (2 g strength).
Standard Daily Dosing Adults: 1 to 2 effervescent tablets per day. Children over 30 kg: 1 effervescent tablet per day.
Preparation The tablet must be fully dissolved in half a glass of water before being ingested.

Procedural Constraints

The use of Calcibronat is subject to strict, time-limited conditions:

  • Treatment Duration: The course of treatment must not exceed 3 weeks.
  • Cycle Break: A mandatory minimum delay of 3 to 4 weeks must be observed between any two successive courses of treatment.
  • Age Restriction: This medicine is reserved for adults and children weighing over 30 kg and is contraindicated in children under 30 months of age.
  • Dietary Note: Each tablet contains sodium and sucrose, which must be taken into account for patients on controlled sodium or low-sugar diets.

Summary of Use Protocol

The protocol mandates that the correct dose must be prepared as an oral solution by dissolving the effervescent tablet in water. This is a daily regimen with a strict maximum duration of three weeks, followed by a mandatory break. It is essential not to exceed the daily dose or the three-week treatment limit to ensure use aligns with established standards.

Recent Clinical Evidence

Research Evidence / Overview of Studies for Calcibronat

Evidence for Symptomatic Support in Nervous Excitability

The evidence base for Calcibronat (Calcium Bromolactobionate) primarily consists of historical clinical data and studies that are non-comparative in nature. Research has explored how symptoms may change over time in individuals experiencing mild nervous excitation, irritability, and related sleep disturbances. These studies monitored patient-reported outcomes describing perceived discomfort related to these conditions, which are characterized by fluctuating or episodic manifestations. Reported findings in the older literature describe patterns observed in the studies over short time frames. However, official regulatory findings from national health agencies have indicated that the available data provides limited insight into definitive therapeutic value, reflecting a regulatory classification of Insufficient Medical Benefit based on the available data.


Source of Evidence and Study Quality

The quality of evidence for this medication is characterized as low by regulatory bodies. The research base is lacking in modern, high-quality, placebo-controlled Randomized Controlled Trials (RCTs), which are the gold standard for establishing a drug's effectiveness in trials. The evidence quality varies across studies, with much of the current authorization relying on older documentation. Comparative evidence is lacking to evaluate how the medication was studied in comparison to placebo or other common treatments.


Duration of Study and Long-Term Information

The studies for Calcibronat were evaluated during periods of increased symptom activity, and research examined short-term symptom changes over defined time intervals that supported only short-term symptomatic administration. Typical follow-up durations were limited, reflecting the intended temporary use of the medication. Consequently, there is limited information for long-term outcomes or the durability of any observed symptomatic changes. Long-term effects are not well characterized by the existing research, and they are not fully established over months or years.


Research in Specific Populations

Research was evaluated in general populations of adults experiencing the target symptoms. Additionally, studies monitored children in a specific weight range experiencing nervous symptoms. Data for certain groups remain insufficient, and findings related to these populations are often documented within the primary study reports. The results apply only to the populations studied and do not provide sufficient evidence to draw conclusions about other groups.


Key Evidence Gaps and Uncertainties

A critical uncertainty in the evidence landscape is the absence of comparative studies. The low rating of medical benefit by authoritative bodies underscores the fact that the current data are still emerging and certainty remains low regarding its defined context of use. Subgroup findings are uncertain, meaning research does not determine whether an individual will respond similarly to the group patterns observed. The evidence highlights what is known—and what is still uncertain—about the medication's evidence profile based on regulatory science.

Key Studies & References

  1. CALCIBRONAT (bromo-galactogluconate de calcium) - Haute Autorité de Santé (HAS) Transparency Commission Review
  2. WHO Collaborating Centre for Drug Statistics Methodology: ATC Classification N05CM Other hypnotics and sedatives

Frequently Asked Questions (FAQ)

Common questions about Calcibronat (FAQ)


Q: What is the maximum daily dose for an adult?

Official regulatory documents indicate that the maximum authorized dose for adults is two tablets per day. The official product information specifies that exceeding this dose is not consistent with the regulatory conditions for use.


Q: Can I take Calcibronat if I am pregnant?

According to the official product information, the use of this medicine is generally not recommended if a person is pregnant or breastfeeding. This statement is based on limited data regarding safety in these populations. A healthcare professional should be consulted regarding use during pregnancy or lactation.


Q: What side effects should I watch out for?

Official information lists several documented effects, including nervous system issues like daytime drowsiness, confusion, and irritability. Gastrointestinal effects like loss of appetite and constipation have also been reported. Serious effects, such as disorders related to mental health (e.g., hallucinations) or skin rashes, have been documented in the regulatory profile.


Q: What should I do if I miss a dose?

The official instructions for use state that if a dose is missed, resuming the regimen at the usual scheduled time is consistent with the instructions. Regulatory documents specify that the dose should never be doubled to compensate for a missed dose.

How should Calcibronat be stored and disposed of?

How to Store and Dispose of Calcibronat

Official Storage Requirements

Official regulatory information specifies that Calcibronat must be stored at room temperature, typically below 30 C. It is mandatory to protect the product from moisture to maintain its stability and effectiveness. Ensure the medicine is always kept out of the reach of children and pets to prevent accidental ingestion.

Handling and Disposal

Do not use the product after the expiration date printed on the package. When disposing of unused or expired medicine, the regulatory documents strictly prohibit pouring it down the drain or toilet or placing it in household trash. You must consult a pharmacist or local waste authority for instructions on using an official take-back program or collection point to ensure safe and environmentally sound disposal.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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