Calcium Chloratum Teva

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Calcium Chloratum Teva

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Overview of Calcium Chloratum Teva

Property Description
Active ingredient Calcium Chloride
Form Solution for Injection (parenteral)
Pharmacological class Electrolyte Replenisher / Calcium Preparation
General purpose Rapidly restoring essential electrolyte balance
Origin Synthetic Compound (Inorganic Salt)

Calcium Chloratum Teva is a prescription-only medicinal product whose active component is the essential inorganic salt, Calcium Chloride. It belongs to the pharmacological class of Electrolyte Replenishers and is specifically categorized as a Calcium Preparation, designed for therapeutic use in critical care settings. As a product under the Teva brand, it is a recognized manufactured pharmaceutical offering of this specific chemical entity.


What Type of Medicine is Calcium Chloratum Teva?

This medicine is fundamentally a Calcium Preparation used for the rapid correction of electrolyte imbalances involving the crucial calcium ion (Ca^2+). As an Electrolyte Replenisher, its primary function is to directly increase the concentration of calcium in the bloodstream. Calcium is vital for proper muscle, nerve, and cell function, reinforcing the critical nature of its replacement in the body. This means the medicine helps sustain the body's essential functions by immediately supplying a critical mineral, a necessity often observed during acute medical events. It is a single-ingredient product, containing only Calcium Chloride as the active substance.


Composition, Form, and Origin

The active ingredient is Calcium Chloride, a synthetic compound manufactured to provide a reliable source of bioavailable calcium. Calcium Chloratum Teva is supplied as a sterile Solution for Injection, typically packaged in ampoules. This specific formulation dictates a specialized method of delivery via the parenteral route, most commonly through intravenous administration, which ensures the active component bypasses the digestive system for immediate systemic availability. This formulation is distinctive, being primarily used in institutional settings rather than for routine patient self-administration.


What is the General Purpose of This Calcium Preparation?

The general purpose of this medicine is to maintain and restore the body's essential electrolyte balance by correcting acute, severe deficiencies of the calcium ion (hypocalcemia). Providing the necessary calcium ion supports several fundamental physiological processes, including the proper transmission of nerve impulses, the initiation of muscle contractions (including the heart muscle), and critical steps in the blood clotting cascade. Its main benefit lies in rapidly stabilizing these functions during critical shortages. It is typically employed in situations requiring prompt and robust delivery of calcium to quickly counteract the effects of severe deficiencies.

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What side effects are possible with Calcium Chloratum Teva?

Possible Side Effects and Safety Information

The safety profile for Calcium Chloratum Teva, a Calcium Chloride Solution for Injection, is defined by adverse reactions classified across several system-organ classes, with many systemic effects typically listed with an unknown frequency in regulatory documents due to the nature of acute use.

Adverse reactions that have been officially documented often involve the Vascular system (e.g., decreased blood pressure and peripheral vasodilation), the Cardiac system (such as bradycardia and cardiac arrhythmia), and general systemic effects including hot flushes, sweating, and nausea or vomiting.


Serious Reactions and Key Safety Constraints

The most significant risks documented in regulatory safety data relate to two areas. Systemically, there is the risk of inducing Hypercalcemia (excessive calcium in the blood), which can lead to severe complications, including cardiac arrest. Locally, leakage outside the vein (extravasation) poses a documented risk of severe local injury, including tissue necrosis and calcification.

Official labels detail high-level restrictions and considerations:

  • Contraindications: The preparation is formally restricted for use in patients with existing Hypercalcemia, certain forms of cardiac arrhythmia, and those concurrently receiving cardiac glycosides (digitalis preparations), due to the critical risk of severe cardiac events.
  • Administration Safety: Regulatory documents explicitly state that systemic adverse reactions, including drops in blood pressure and bradycardia, are associated with too rapid intravenous administration, highlighting the rate of exposure as a key safety determinant.
  • Population Notes: Special caution is documented for use in the Pediatric Population regarding both systemic cardiac risks and the potential for severe local tissue injury from extravasation, as well as for patients with Renal Impairment.

The official safety information thus structures the risk profile around cardiovascular stability, the prevention of hypercalcemia, and careful administration technique.

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Overdose and Emergency Response

An overdose of Calcium Chloride Injection is officially documented to arise from two circumstances: excessive calcium administration or an excessively rapid injection rate. The administration of high quantities can lead to hypercalcemia (elevated plasma calcium levels), a condition expected to be non-persistent due to rapid physiological excretion. However, regulatory sources note that the risk of hypercalcemia is greater in patients with renal failure. Documented presentations of hypercalcemia include systemic signs such as muscle weakness and fatigue, gastrointestinal effects like nausea and constipation, and neurological symptoms like mental disturbances.

Acute, life-threatening effects are associated with too rapid administration, including a lowering of blood pressure (hypotension) and cardiac syncope. Severe hypercalcemia can progress to critical outcomes such as cardiac arrhythmias and coma. Immediate medical help must be sought for any suspected overdose event.

The regulatory mandate requires the drug to be discontinued promptly, followed by patient re-evaluation by medical personnel. Appropriate countermeasures are then required, which, for severe cases, may involve specific supportive measures such as intravenous rehydration with sodium chloride or, in very serious circumstances, dialysis. No specific chemical antidote is explicitly documented in the official labeling.

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Therapeutic Uses of Calcium Chloratum Teva

Managing Conditions Linked to Acute Electrolyte Strain

Calcium Chloratum Teva is relevant in contexts involving heightened systemic burden to help address symptoms related to systemic imbalance. Its use is commonly associated with acute conditions marked by increased physiological stress and severe symptomatic hypocalcemia, characterized by critically low levels of calcium in the blood.

The medication is primarily applied in clinical settings involving acute symptom patterns, such as symptomatic calcium deficiency, tetany, hyperkalaemia, hypermagnesemia, and certain drug overdoses that affect the heart. Its therapeutic use involves supporting the easing of symptoms associated with increased neurological or muscular activity, such as painful, involuntary muscle spasms and paresthesias. This support is helpful when symptoms become temporarily overwhelming, assisting with the maintenance of functional stability.

It is also relevant in specialized clinical scenarios, including supportive management during certain prolonged intravenous feeding regimens and following large blood transfusions. The medication is used where additional symptomatic support is needed by antagonizing the cardiotoxicity caused by high levels of competing electrolytes, offering symptomatic relief that helps patients cope more steadily during acute episodes.


Quick Fact: Relief for Neuromuscular Spasms This preparation is commonly used to rapidly address severe symptoms like tetany (muscle spasms) that arise from acute calcium deficiency, assisting with patient comfort during these critical episodes.

Regulatory References

  1. US National Library of Medicine DailyMed information
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Eligibility and Restrictions for Use

Who Can and Cannot Use Calcium Chloratum Teva?

The population eligibility for Calcium Chloratum Teva (Calcium Chloride Solution for Injection) is strictly governed by regulatory documentation, which outlines absolute prohibitions and conditions for cautious use.

Contraindicated Populations (Must Not Use)

Population/Condition Regulatory Rule
Hypercalcaemia Contraindicated due to pre-existing high blood calcium levels.
Digitalis Toxicity Contraindicated due to the risk of exacerbating cardiac effects.
Newborns (Up to 28 days) Contraindicated if they require IV ceftriaxone due to risk of fatal precipitation.
Ventricular Fibrillation Contraindicated for cardiac resuscitation in this setting.

Restricted or Conditional Use

Age-Related Eligibility: Use in older adults requires cautious dosing due to the increased frequency of impaired renal or cardiac function. Use in children is permissible for appropriate indications, but requires careful titration and monitoring of plasma calcium levels.

Condition-Based Eligibility: Patients with any degree of renal impairment must be treated with caution due to the risk of impaired calcium clearance and aluminum accumulation with prolonged use. Use is also restricted in patients with cardiac disease or conditions like sarcoidosis, which predispose the patient to hypercalcaemia.

Pregnancy and Lactation: The medicine is given to a pregnant woman or a breastfeeding mother only if the clinical need is judged to be clear and the anticipated benefit outweighs the potential hazard, reflecting an official regulatory constraint on use.

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What should I know about interactions with other medicines?

Interactions with other medicines and products

Official regulatory documents detail several clinically significant interactions with Calcium Chloratum Teva, predominantly classified by the resulting constraint or required action. These constraints stem from the risk of physical precipitation, reduced absorption, or amplified pharmacological effects.


Major Interaction Constraints

Interacting Agent/Class Mechanism & Constraint Classification
Ceftriaxone Forms precipitates; Contraindicated in neonates (28 days or younger). In older patients, intravenous administration must be sequential with thorough flushing. Contraindicated/Avoid
Cardiac Glycosides (e.g., Digoxin) Increases arrhythmogenicity. Avoid use; if unavoidable, rigorous ECG and calcium level monitoring is required. Major Potential Hazard
Calcium Channel Blockers Reduces therapeutic efficacy. Avoid concomitant use or monitor blood pressure closely. Major Potential Hazard

Reduced Absorption and Hypercalcemia Risk

Calcium can reduce the oral absorption and efficacy of several medications through chelation, including Tetracyclines, Fluoroquinolones, Bisphosphonates, Iron Salts, and Thyroid Hormones. Spacing of administration times is necessary to mitigate this effect.

Concomitant use with Thiazide Diuretics or Vitamin D analogs may decrease the renal excretion of calcium, significantly increasing the risk of hypercalcemia. Monitoring of serum calcium concentrations is required during co-administration.

Note: Do not mix this injection with other solutions containing divalent cations or with inorganic phosphate solutions due to the risk of precipitate formation.

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Mechanism of Action

How Calcium Chloratum Teva Works

Calcium Chloratum Teva functions by the rapid systemic delivery of ionized calcium (Ca^2+), the primary mechanism being the immediate augmentation of plasma calcium concentration. This introduction of Ca^2+ modulates key signaling pathways associated with cellular activity, contributing to the establishment of regulated ionic states essential for numerous biological processes.

Within the nervous and muscular systems, Ca^2+ engages mechanisms that regulate excitability. By altering calcium flux across cell membranes and influencing the resting membrane potential, it initiates signaling sequences critical for the precise control of muscle contraction and nerve impulse transmission.

Furthermore, Ca^2+ acts as an essential co-factor in critical enzymatic and signaling cascades governing cardiac function and hemostasis. Its delivery modifies early molecular steps within the coagulation cascade, participating directly in the formation of fibrin clots. In cardiac tissue, it modulates electrical conductance, which leads to predictable physiological adjustments in impulse generation and propagation.

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Dosage and Administration Information

How to Use Calcium Chloratum Teva

Calcium Chloratum Teva is a 10% (100 mg/mL) solution strictly formulated for parenteral administration in supervised clinical settings to correct acute electrolyte imbalances. Its usage involves precise procedural and dosing constraints which emphasize controlled delivery and short-term application.


Clinical Administration Guidelines

Administration Scope Standard Administration
Route of administration Must be given as a slow Intravenous (IV) Injection. Intracardiac injection is reserved for specific acute scenarios. The solution is not to be administered intramuscularly (IM) or subcutaneously (SC).
Dosing schedule Adult Dose: The range is typically 200 mg to 1,000 mg. Pediatric Dose: Administration is based on weight, ranging from 2.7 mg/kg to 5.0 mg/kg of calcium chloride.
Frequency pattern Used intermittently for acute episodes, with the possibility of repeat injections at intervals of 1 to 3 days, due to the drug's rapid systemic excretion.

Procedural and Population Rules

Administration requires adherence to specific technical parameters. The injection must be given slowly, ensuring the infusion rate does not exceed 1 mL/minute (100 mg/minute). The site of injection should preferably be a central or deep vein. The injection must not be given as a rapid bolus.

Dosing adjustments are specified for vulnerable populations. For older adults, dose selection is cautious, generally starting at the low end of the prescribed dose range. For adults with renal impairment, an initial dose of 200 mg is recommended. The medicine is designated primarily for acute use, as long-term safety and effectiveness have not been established.


These detailed instructions define the standardized methodology for the administration of the solution, ensuring its controlled delivery according to clinical protocols.

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Recent Clinical Evidence

Research Evidence / Overview of Studies for Calcium Chloratum Teva

Evidence for Acute Symptomatic Calcium Deficiency

The use of intravenous Calcium Chloride to address acute hypocalcemia (low calcium levels) is supported by long-standing clinical acceptance documented in the regulatory record. The research supporting this use relies mainly on bibliographic data and studies that monitored the immediate physical effects of the medicine, rather than new, large-scale comparative trials. Researchers conducted Pharmacokinetic (PK) studies to explore how quickly the calcium ion is absorbed and distributed following administration.

Studies focused on measuring outcomes related to systemic or functional imbalance, particularly documenting the rate and magnitude of change in serum ionized calcium concentration. Reports from clinical observation described patterns showing the modification of acute physical signs associated with neuromuscular irritability, such as muscle spasms or tetany, in the minutes following administration. The evidence base is aligned with the accepted physiological role of calcium replacement, which is reported in official documents. Long-term functional outcomes following repeated administration are not well characterized, as studies explored short-term changes during the acute phase.

Evidence for Use in Cardioprotection during Severe Hyperkalemia

Research has examined the use of Calcium Chloride in the setting of hyperkalemia (high potassium levels) to address physiological changes related to heart function. The evidence base for this application is structured differently than for calcium deficiency itself, with greater reliance on case reports and case series documenting outcomes in critical situations. Research examined physiological outcomes, such as changes in ECG disturbances (electrical activity of the heart), as a measure of cardiac membrane stability.

Reports described patterns showing immediate, short-lived changes in ECG patterns following administration in some patients. The certainty is generally characterized as less established in this indication, with a limited number of human Randomized Controlled Trials (RCTs). The available data are still emerging, and the research available does not fully characterize repeat dosing strategies in this indication.

Key Studies & References

  1. Label: CALCIUM CHLORIDE injection, solution - DailyMed (FDA Label)
  2. Hypocalcemia - StatPearls - NCBI Bookshelf (Clinical Review on Management)
  3. Calcium Chloride 10% (INJECTION) - NEW ZEALAND DATA SHEET (National Regulatory Monograph)
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Frequently Asked Questions (FAQ)

Common questions about Calcium Chloratum Teva (FAQ)


Q: Is Calcium Chloratum Teva the same as calcium supplements I can buy over the counter?

A: No, they are different products used for different purposes. Official product information describes Calcium Chloratum Teva as a sterile solution for injection intended for intravenous administration in a supervised setting. Over-the-counter calcium supplements are typically oral products (like tablets) with different formulations and routes of use, designed for different therapeutic goals.


Q: What is the difference between Calcium Chloride and Calcium Chloratum Teva?

A: Calcium Chloride is the active ingredient, which is the chemical compound that makes the medicine work by providing calcium ions. Calcium Chloratum Teva is the trade name or branded pharmaceutical product containing this active ingredient in a 10% solution specifically formulated for injection.


Q: What does 'calcium imbalance' mean in simple terms?

A: A calcium imbalance happens when the level of calcium in your blood is either too high (hypercalcemia) or too low (hypocalcemia). This medicine is used to treat acute hypocalcemia (too low), which is a crucial imbalance of an electrolyte necessary for nerve, muscle, and cell function.


Q: Are there any long-term side effects associated with this medication?

A: The medicine is primarily intended for acute use. Regulatory documents explicitly state that the safety and effectiveness of Calcium Chloratum Teva for long-term use has not been established. The established therapeutic utility is for short-term, acute conditions.


Q: What are some typical signs that my body is responding to the treatment?

A: When administered, the calcium ion is intended to modulate and support normal function. Official documentation describes that healthcare providers observe for the modification of acute physical signs related to neuromuscular irritability (such as spasms or twitching) and changes in cardiac function.


Q: Why is Calcium Chloratum Teva sometimes given as an injection instead of a tablet?

A: The injection is given directly into a vein to achieve 100% immediate availability of the calcium in the bloodstream. This rapid, direct delivery bypasses the digestive system and is required to achieve the prompt increase in plasma calcium levels needed during acute, critical medical conditions.


Q: Is there a known risk of developing 'too much calcium' (hypercalcemia) from this drug?

A: Yes, hypercalcemia (too much calcium in the blood) is a documented serious risk when using this medication. Regulatory documents caution that this can lead to severe complications, including cardiac arrest, especially if the medicine is administered too rapidly or is used in contraindicated patient groups.


Q: Are there different strengths or formulations of Calcium Chloratum Teva?

A: According to the official product information, this product is supplied as a single strength: a 10% (100 mg/mL) Solution for Injection. Different forms, such as oral tablets or liquids, are not listed for this specific brand in regulatory documents.


Q: What are the ingredients in Calcium Chloratum Teva besides the main active component?

A: The active component is Calcium Chloride. The solution also contains Water for Injection as the solvent. Furthermore, small amounts of hydrochloric acid or sodium hydroxide may be added to ensure the solution’s proper pH balance.


Q: What is the role of chloride in this specific calcium medicine?

A: In the body, the medicine separates into both the therapeutic calcium ion ( Ca^2+) and the chloride ion ( Cl^-). While the calcium ion is responsible for the medicinal effect, the chloride ion is a normal constituent of body fluids that helps maintain the body's overall ionic balance.


Q: How do regulatory bodies classify the safety of Calcium Chloratum Teva?

A: This is classified as a prescription-only drug and an Electrolyte Replenisher. Regulatory authorities emphasize safety by listing specific contraindications (conditions where it must not be used) and warnings related to the rate of administration due to the risk of severe cardiac effects.


Q: Is the evidence for Calcium Chloratum Teva based on many or few clinical studies?

A: Official information notes that the evidence supporting its primary use in acute calcium deficiency relies on long-standing clinical acceptance and existing data. For other specific applications, such as cardioprotection, the evidence base currently includes case reports and a limited number of human trials.


Q: How quickly should I expect to feel an effect after taking Calcium Chloratum Teva?

A: Because it is administered directly into a vein, the product provides a rapid, prompt increase in plasma calcium levels, which is required for acute treatment. The product is indicated for conditions that require a prompt increase in plasma calcium levels to support essential body functions.


Q: Do I need a prescription from a doctor to get Calcium Chloratum Teva?

A: Yes. According to official labeling, Calcium Chloratum Teva is designated as a prescription-only drug. It is supplied as a solution for injection and requires administration by a qualified healthcare professional.


Q: Is it normal for a healthcare provider to suggest checking blood levels while using this drug?

A: Yes. Regulatory documents advise that the dose should be adjusted based on the patient's serum ionized calcium level. Frequent monitoring of calcium concentrations is generally required, particularly in people with conditions like renal impairment, to ensure proper management.


Q: Can people with a history of kidney stones be prescribed Calcium Chloratum Teva?

A: Official guidance indicates the medicine is contraindicated (must not be used) in patients with conditions that result in high calcium levels in the urine (hypercalciuria) or those with current or a history of calcium renal calculi (kidney stones).


Q: How long is a typical course of treatment with Calcium Chloratum Teva?

A: The product is for acute use only, and long-term use has not been established. Treatment often consists of a single injection or repeated injections at intervals of 1 to 3 days. Administration is governed by the rapid excretion of calcium from the body and is generally limited to acute need.


Q: Is there a specific mechanism of action beyond simple calcium replacement that is described?

A: Yes. Regulatory information describes that beyond simply replacing calcium, the calcium ion plays an active role in the functional integrity of the nervous and muscular systems, normal cardiac function (heart), and the mechanisms involved in blood clotting.


Q: What is meant by the phrase 'correction of electrolyte disturbances'?

A: This refers to restoring the correct balance of crucial body minerals, or electrolytes, such as calcium, sodium, and potassium, which are essential for proper bodily function. This medicine specifically addresses severe deficits of the calcium ion, which is a key electrolyte.


Q: Can this medication affect mood or sleep?

A: Regulatory literature mentions mental disturbances (confusion or irritability) as documented adverse events. These effects are sometimes observed in connection with hypercalcemia (too much calcium), which is a serious risk documented for the medication.


Q: What type of medical professional typically manages treatment with Calcium Chloratum Teva?

A: Because the product must be administered as a slow intravenous infusion and is used for acute conditions, treatment is typically managed by medical professionals in a supervised clinical or institutional setting, such as a hospital or critical care unit.


Q: Are there any warnings about overdose mentioned in the regulatory documents?

A: Yes. Official documents warn that giving the injection too rapidly can cause cardiac effects and a drop in blood pressure. Signs of overdose can include loss of appetite, vomiting, mental disturbances, and, in severe cases, unconsciousness and serious heart abnormalities.

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How should Calcium Chloratum Teva be stored and disposed of?

Storage and Disposal of Calcium Chloratum Teva

Calcium Chloratum Teva (Calcium Chloride Injection, USP) must be stored under specific regulatory conditions to maintain its quality.


Official Storage Requirements

Classification Required Condition
Temperature Store at Controlled Room Temperature (20 C to 25 C / 68 F to 77 F).
Prohibited Conditions Must be protected from freezing and excessive heat.
Container Rule Solution must be clear and container seal intact; visually inspect for discoloration or particulate matter before use.
Child Safety Must be kept out of the reach and sight of children.

Disposal and Handling

This medicine is supplied in a single-dose container; any unused portion must be discarded immediately after use. The container and contents must be disposed of in a waste disposal facility in accordance with all local, regional, and national regulations.

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

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