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  3. Marshel-Plus Softgel Capsule 15's

Marshel-Plus Softgel Capsule 15's, Pack of 15 CAPSULES
Marshel-Plus Softgel Capsule 15's, Pack of 15 CAPSULES
Marshel-Plus Softgel Capsule 15's, Pack of 15 CAPSULES
Marshel-Plus Softgel Capsule 15's, Pack of 15 CAPSULES

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Therapeutic Class

MULTIMINERALS

Drug-Drug Interactions Checker List

  • ESTRAMUSTINE
  • CHOLESTYRAMINE
  • DIGITALIS
  • CIPROFLOXACIN
  • LEVOFLOXACIN
  • GATIFLOXACIN
  • SPARFLOXACIN
  • OFLOXACIN
  • KETOCONAZOLE

Drug-Drug Interactions

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CalcitriolDihydrotachysterol
Severe
CalcitriolDoxercalciferol
Severe

Drug-Drug Interactions

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CalcitriolDihydrotachysterol
Severe
How does the drug interact with Marshel-Plus Softgel Capsule:
Co-administration of Marshel-Plus Softgel Capsule with Dihydrotachysterol can increase the risk of adverse effects.

How to manage the interaction:
Co-administration of Dihydrotachysterol with Marshel-Plus Softgel Capsule can possibly result in an interaction, but it can be taken if your doctor has advised it. If you notice any of these symptoms - irregular heartbeat, seizures, weakness, tiredness, headache, dizziness, ringing in the ears, loss of appetite, feeling sick, throwing up, constipation, dry mouth, strange taste in your mouth, muscle or bone pain, trouble coordinating movements, weak muscles, peeing a lot, feeling very thirsty, losing weight, eye infection, sensitivity to light, itching, or a higher body temperature - make sure to call a doctor right away. Do not discontinue any medications without consulting a doctor.
CalcitriolDoxercalciferol
Severe
How does the drug interact with Marshel-Plus Softgel Capsule:
Co-administration of Doxercalciferol and Marshel-Plus Softgel Capsule are forms of vitamin D, and taking too much vitamin D may lead to toxic effects related to increased calcium levels in the blood and urine.

How to manage the interaction:
Taking Doxercalciferol with Marshel-Plus Softgel Capsule can lead to an interaction, it can be taken if advised by a doctor. Consult the prescriber if you experience symptoms of vitamin D intoxication such as weakness, fatigue, headache, vertigo, drowsiness, ringing in the ears, loss of appetite, nausea, vomiting, constipation, dry mouth, metallic taste, muscle pain, bone pain, muscle incoordination, and low muscle tone. Do not discontinue the medication without consulting a doctor.
CalcitriolErgocalciferol
Severe
How does the drug interact with Marshel-Plus Softgel Capsule:
Co-administration of Ergocalciferol and Marshel-Plus Softgel Capsule are forms of vitamin D, and taking too much vitamin D may lead to toxic effects related to increased calcium levels in the blood and urine.

How to manage the interaction:
Co-administration of Ergocalciferol with Marshel-Plus Softgel Capsule can lead to an interaction, it can be taken if advised by a doctor. Consult the prescriber if you experience symptoms of vitamin D intoxication such as weakness, fatigue, headache, vertigo, drowsiness, ringing in the ears, loss of appetite, nausea, vomiting, constipation, dry mouth, metallic taste, muscle pain, bone pain, muscle incoordination, and low muscle tone. Do not discontinue the medication without consulting a doctor.
CalcitriolCalcifediol
Severe
How does the drug interact with Marshel-Plus Softgel Capsule:
Co-administration of Calcifediol and Marshel-Plus Softgel Capsule are forms of vitamin D, and taking too much vitamin D may lead to toxic effects related to increased calcium levels in the blood and urine.

How to manage the interaction:
Taking Calcifediol with Marshel-Plus Softgel Capsule can lead to an interaction, it can be taken if advised by a doctor. Consult the prescriber if you experience symptoms of vitamin D intoxication such as weakness, headache, fatigue, drowsiness, vertigo, ringing in the ears, loss of appetite, nausea, vomiting, constipation, dry mouth, metallic taste, muscle pain, bone pain, muscle incoordination, and low muscle tone. Do not discontinue the medication without consulting a doctor.
CalcitriolIsoniazid
Severe
How does the drug interact with Marshel-Plus Softgel Capsule:
Co-administration of Isoniazid with Marshel-Plus Softgel Capsule may decrease the effects of Marshel-Plus Softgel Capsule.

How to manage the interaction:
Although there is an interaction, Marshel-Plus Softgel Capsule can be taken with isoniazid if prescribed by the doctor. Do not stop using any medications without talking to a doctor. Do not discontinue the medication without consulting a doctor.
CalcitriolOrlistat
Severe
How does the drug interact with Marshel-Plus Softgel Capsule:
Co-administration of Orlistat with Marshel-Plus Softgel Capsule may reduce the levels of Marshel-Plus Softgel Capsule which can lead to low treatment outcomes.

How to manage the interaction:
Although there is an interaction, Marshel-Plus Softgel Capsule can be taken with Orlistat when prescribed by the doctor. Do not discontinue any medications without consulting a doctor.
CalcitriolAmobarbital
Severe
How does the drug interact with Marshel-Plus Softgel Capsule:
Co-administration of Amobarbital and Marshel-Plus Softgel Capsule may decrease the effects of Marshel-Plus Softgel Capsule.

How to manage the interaction:
Co-administration of Marshel-Plus Softgel Capsule with Amobarbital can possibly result in an interaction, but it can be taken if a doctor has advised it. If you notice any of these symptoms, it's important to contact a doctor right away. Do not stop using any medications without talking to a doctor.
CalcitriolBurosumab
Severe
How does the drug interact with Marshel-Plus Softgel Capsule:
Co-administration of Marshel-Plus Softgel Capsule and Burosumab may cause increases in phosphorus and vitamin D levels in the blood, which may lead to an increased risk of kidney stones.

How to manage the interaction:
There may be a possibility of interaction between Marshel-Plus Softgel Capsule and Burosumab, but it can be taken if prescribed by a doctor. If you have any of these symptoms like kidney stones, it's important to contact a doctor right away. Do not stop using any medications without a doctor's advice. Do not discontinue the medication without consulting a doctor.
CalcitriolCarbamazepine
Severe
How does the drug interact with Marshel-Plus Softgel Capsule:
Co-administration of Marshel-Plus Softgel Capsule with Carbamazepine may decrease the effects of Marshel-Plus Softgel Capsule.

How to manage the interaction:
Although there is an interaction, Marshel-Plus Softgel Capsule can be taken with Carbamazepine if prescribed by the doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
CalcitriolParicalcitol
Severe
How does the drug interact with Marshel-Plus Softgel Capsule:
Co-administration of Paricalcitol and Marshel-Plus Softgel Capsule are forms of vitamin D, and taking too much vitamin D may lead to toxic effects related to excessive calcium levels in the blood and urine.

How to manage the interaction:
Concomitant use of Paricalcitol with Marshel-Plus Softgel Capsule can lead to an interaction, it can be taken if advised by a doctor. Consult the prescriber if you experience symptoms of vitamin D intoxication such as weakness, fatigue, headache, vertigo, drowsiness, ringing in the ears, loss of appetite, nausea, vomiting, constipation, dry mouth, metallic taste, muscle pain, bone pain, muscle incoordination, and low muscle tone. Do not discontinue the medication without consulting a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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Drug Warnings

If you are known to be allergic to Marshel-Plus Softgel Capsule or any other medicines, please tell your doctor. If you are pregnant or planning to become pregnant, it is advised to inform your doctor before using Marshel-Plus Softgel Capsule . Higher doses of Vitamin D than the recommended daily dose should be used in pregnant women only when advised by the doctor. Calcitriol in higher doses may harm the fetus. Marshel-Plus Softgel Capsule may pass into the breast milk; hence consult your doctor before taking Marshel-Plus Softgel Capsule if you are a breastfeeding mother. Marshel-Plus Softgel Capsule should be used with caution in children and only if recommended by a doctor. Calcitriol in Marshel-Plus Softgel Capsule can affect growth in children. Inform your doctor if your child is not growing at a normal rate while using Marshel-Plus Softgel Capsule . Marshel-Plus Softgel Capsule is not recommended if you have hypercalcemia (high calcium levels), metastatic calcification (extra deposits of calcium in the body), hypervitaminosis D (high vitamin D levels), and malabsorption syndrome (difficulty absorbing nutrition from food). Inform your doctor before taking Marshel-Plus Softgel Capsule if you have any heart/kidney/liver/blood vessel diseases, kidney stones, sarcoidosis (growth of inflammatory cells in different parts of the body), Crohn's disease (inflammatory bowel disease), Whipple's disease (bacterial infection affecting joints and digestive system), achlorhydria (little or no stomach acid), low levels of bile, and phosphate imbalance. Marshel-Plus Softgel Capsule contains sugar or sorbitol; hence caution should be taken to have an intolerance to sugars, diabetes, and phenylketonuria (increased levels of an amino acid called phenylalanine).

Side Effects of Marshel-Plus Softgel Capsule

  • Nausea
  • Vomiting
  • Headache
  • Stomach pain
  • Constipation
  • Mood changes
  • Tiredness/ weakness
  • Fast or pounding heartbeat

Directions for Use

Tablet/Capsule: Swallow it as a whole with a glass of water. Do not crush, chew, or break it. Liquid: Shake the bottle well before use. Take the recommended dose by mouth using the measuring cup/dosing syringe/dropper provided by the pack.

Medicinal Benefits Mweb

Medicinal Benefits

Marshel-Plus Softgel Capsule is a combination of three drugs, namely; Calcium carbonate (mineral), Calcitriol (Vitamin D3) and Zinc (mineral) used to treat low blood calcium levels and various associated conditions caused by low calcium levels in the body, such as osteoporosis (weak and brittle bones), osteomalacia/rickets (weak bones), hypoparathyroidism (low levels of parathyroid hormone), and tetany (a muscle disease with low blood calcium levels). Calcium carbonate is a mineral and prevents or treats calcium deficiency. It helps to maintain bone and teeth health. Calcitriol, a synthetic form of Vitamin D3, treats calcium deficiency with hypoparathyroidism (the parathyroid glands' decreased activity) and metabolic bone diseases in people with chronic kidney failure. Zinc is an important mineral in the normal growth and development of the skeletal system. It helps maintain bone density by increasing protein synthetase, which helps protect bone health.

Uses of Marshel-Plus Softgel Capsule

Osteoporosis, Postmenopausal osteoporosis Osteomalacia, Rickets, Calcium deficiency and Tetany 

About Marshel-Plus Softgel Capsule

Marshel-Plus Softgel Capsule belongs to the class of ‘Multi-minerals’ primarily used to treat low blood calcium levels. Marshel-Plus Softgel Capsule effectively treats various conditions caused by low calcium levels in the body, such as osteoporosis (weak and brittle bones), osteomalacia/rickets (weak bones), hypoparathyroidism (low levels of parathyroid hormone), and latent tetany (a muscle disease with low blood calcium levels). Marshel-Plus Softgel Capsule can also be given to pregnant, nursing, and postmenopausal women to ensure that they are getting enough calcium. Additionally, Marshel-Plus Softgel Capsule is used to treat hyperparathyroidism (overactive parathyroid glands) and metabolic bone disease in people with chronic kidney disease, surgery, or other conditions.

Marshel-Plus Softgel Capsule consists of three medicines, namely: Calcium carbonate (mineral), Calcitriol (Vitamin D3), and  Zinc (mineral). Calcium is a mineral that is used to prevent or treat a calcium deficiency. It provides essential nutrients to maintain bone formation and maintenance. Calcitriol is a synthetic version of Vitamin D3 and treats calcium deficiency with hypoparathyroidism (the parathyroid glands' decreased activity) and metabolic bone diseases in people with chronic kidney failure. It raises Vitamin D levels and thereby increases calcium levels in the blood. This helps in improving the absorption rate of calcium from the intestine. Zinc is a mineral that has an essential role in bone health. Zinc helps to stimulate osteoblastic bone formation and mineralization.

Take Marshel-Plus Softgel Capsule as instructed by your doctor. In some cases, Marshel-Plus Softgel Capsule can cause side effects like constipation or stomach upset, nausea, vomiting, loss of appetite, mood changes, weakness, tiredness, fast or pounding heartbeat, bone/muscle pain, and headache. Most of these side effects of Marshel-Plus Softgel Capsule do not require medical attention and gradually resolve over time. However, if these side effects persist longer, please consult your doctor.

If you are known to be allergic to Marshel-Plus Softgel Capsule or its inactive components, please inform your doctor. Pregnant or breastfeeding women should consult their doctor before taking Marshel-Plus Softgel Capsule . Higher doses of Vitamin D than the recommended daily dose should be used in pregnant women only when advised by the doctor. Marshel-Plus Softgel Capsule may pass into the breast milk. Hence breastfeeding mothers need to seek medical advice before starting Marshel-Plus Softgel Capsule . Marshel-Plus Softgel Capsule may contain sugar or sorbitol; hence caution should be taken to have sugar intolerance, diabetes, and phenylketonuria (increased levels of an amino acid called phenylalanine).

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Therapeutic Class

MULTIMINERALS

Marshel-Plus Softgel Capsule Substitute

Substitutes safety advice
Side effects of Marshel-Plus Softgel Capsule
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
Here are the steps to cope with constipation as a side effect of medication:
  • Inform your doctor about your constipation symptoms. They may adjust your medication or advise alternative treatments.
  • Stay hydrated by drinking sufficient of water (at least 8-10 glasses a day) to help soften stool and promote bowel movements.
  • Increase fibre intake by eating foods high in fibre, such as fruits, whole grains, vegetables and legumes, to help bulk up the stool.
  • Establish a bowel routine by trying to go to the bathroom at the same time each day to train your bowels.
  • Engaging in regular exercise, like walking or yoga, can support in bowel movement stimulation.
  • Consult your doctor if constipation persists, and discuss alternative treatments or adjustments to your medication.
Here are the step-by-step strategies to manage the side effects of "indigestion" caused by medication usage:
  • Take medications with food (if recommended): It can help prevent stomach distress and indigestion.
  • Eat smaller, more frequent meals: Divide daily food intake into smaller, more frequent meals to ease digestion.
  • Avoid trigger foods: Identify and avoid foods that trigger indigestion, such as spicy, fatty, or acidic foods.
  • Stay upright after eating: Sit or stand upright for at least 1-2 hours after eating to prevent stomach acid from flowing into the oesophagus.
  • Avoid carbonated drinks: Avoid drinking carbonated beverages, such as soda or beer, which can worsen indigestion.
  • Manage stress: To alleviate indigestion, engage in stress-reducing activities like deep breathing exercises or meditation.
  • Consult a doctor if needed: If indigestion worsens or persists, consult a healthcare professional to adjust the medication regimen or explore alternative treatments.
  • Rest well; get enough sleep.
  • Eat a balanced diet and drink enough water.
  • Manage stress with yoga and meditation.
  • Limit alcohol and caffeine.
  • Physical activities like walking or jogging might help boost energy and make you feel less tired.

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Side Effects

Common Side Effects
  • Nausea
  • Headache
  • Constipation
  • Indigestion
  • Fatigue
  • Mood Changes

Consult you doctor in case you face the following side effects
  • Fast Or Irregular Heartbeat

If any of the above side effects continue or intensify, seek medical advice. Professional guidance may be necessary for appropriate care and treatment adjustments.

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