Product image of Icalziss (Calcium Chloride Dihydrate) supplied by GNH India

Icalziss

Active Ingredient:
Calcium Chloride Dihydrate
Origin:
EU

Icalziss (Calcium Chloride Dihydrate)

Calcium chloride dihydrate, the active ingredient in Icalziss, is a calcium supplement presented as an intravenous solution for extracorporeal use. It supplies calcium ions to restore plasma calcium levels and supports physiological functions such as cardiac contractility and neuromuscular transmission in patients requiring electrolyte replenishment.

GNH India supplies Icalziss as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide. The company adheres to EU GMP standards and provides reliable logistics for clinical and acute care settings. Clients benefit from consistent quality, regulatory compliance, and responsive technical support.

Manufacturer / TM Owner

Vantive Belgium

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Indications & Clinical Uses

Icalziss is used to correct calcium deficits and support cardiac and neuromuscular function in various clinical settings.

  • Hypocalcemia: restores low plasma calcium concentrations to normal levels.
  • Cardiac surgery: provides calcium to maintain myocardial contractility and stabilize rhythm during peri‑operative management.
  • Massive transfusion: replenishes calcium bound by citrate in stored blood products, preventing hypocalcemia.
  • Hyperkalemia adjunct therapy: transiently protects cardiac cells while other measures lower serum potassium.

How It Works

  • Calcium chloride dihydrate dissociates in plasma to release calcium ions (Ca2+). The increased extracellular calcium raises ionized calcium concentration, which directly enhances myocardial contractility, stabilizes cardiac cell membranes, and facilitates neuromuscular transmission by acting on voltage‑gated calcium channels and calcium‑dependent enzymes. The rapid availability of Ca2+ also counteracts the calcium‑binding effects of citrate present in transfused blood products, thereby supporting overall electrolyte balance.

Side Effects

Calcium chloride IV may be associated with several adverse reactions, ranging from mild to serious.

Common Side Effects

  • Irritation at the infusion site
  • Transient hypotension
  • Nausea or vomiting
  • Headache

Serious or Rare Side Effects

  • Cardiac arrhythmias, including ventricular tachycardia
  • Severe hypercalcemia leading to renal impairment
  • Tissue necrosis if the solution extravasates
  • Anaphylactic or severe allergic reactions
  • Seizures

Precautions & Warnings

When using Icalziss, clinicians should observe several precautionary measures to ensure safe administration.

  • Baseline assessment: measure serum calcium and electrolytes before infusion.
  • Renal function: adjust or monitor dosing in patients with renal impairment.
  • Cardiac monitoring: observe rhythm and blood pressure during and after infusion.
  • Infusion rate: avoid rapid administration; deliver over the recommended time.
  • Hypercalcemia risk: discontinue or reduce dose if serum calcium rises above therapeutic range.
  • Store at ambient temperature: keep in original container, protect from moisture and direct sunlight.

Avoid Interactions

Calcium chloride can affect the activity of several medicines; awareness of key interactions helps prevent complications.

Major Interactions (Avoid)

  • Digoxin: increased risk of arrhythmias due to altered calcium levels.
  • Calcium channel blockers: additive hypotensive effect.
  • Barium sulfate contrast agents: calcium may precipitate, reducing imaging quality.

Moderate Interactions (Monitor Closely)

  • Loop diuretics: may increase calcium loss, requiring closer monitoring.
  • ACE inhibitors or ARBs: monitor blood pressure and renal function.
  • Magnesium supplements: combined hypercalcemia risk.

Frequently Asked Questions

Icalziss is an intravenous calcium chloride dihydrate solution employed to rapidly replenish calcium in patients with low plasma calcium (hypocalcemia), during cardiac surgery to support myocardial contractility, in massive transfusion protocols to counteract citrate‑bound calcium, and as an adjunct in hyperkalemia management to protect cardiac cells.

When administered intravenously, calcium chloride dihydrate dissociates into calcium ions (Ca2+), raising the ionized calcium concentration in the blood. The increased calcium enhances myocardial contractility, stabilizes cardiac cell membranes, and facilitates neuromuscular transmission by acting on calcium‑dependent channels and enzymes, while also neutralizing citrate‑bound calcium from transfused blood products.

The prescribed dose of Icalziss is individualized by the treating clinician based on the patient’s serum calcium level, body weight, underlying condition, rate of calcium loss, and renal function. No fixed regimen is provided; the prescriber sets the infusion volume and rate according to clinical judgment and laboratory monitoring.

Safety data for calcium chloride dihydrate in pregnancy and lactation are limited. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and the decision should be made in consultation with an obstetrician or qualified healthcare professional.

To order Icalziss, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements), and assistance with import documentation.

Icalziss (calcium chloride) provides calcium in a highly soluble, rapidly bioavailable form, delivering a higher elemental calcium per millilitre than calcium gluconate. This makes it useful for urgent correction of severe hypocalcemia. However, the higher calcium load can increase the risk of hypercalcemia, so careful monitoring is essential compared with more dilute preparations.

Icalziss should be stored at ambient temperature, preferably below 25 °C, in its original sealed container. Protect the solution from moisture, direct sunlight, and extreme temperature fluctuations. Inspect the vial for particulate matter or discoloration before use, and discard any product that appears compromised.

Icalziss is administered intravenously by slow infusion, typically through a peripheral or central line. The exact infusion rate and volume are determined by the prescribing clinician, who will consider the patient’s calcium status and clinical condition. Infusion should be performed under cardiac and blood‑pressure monitoring to detect any acute reactions.

Serious adverse events include cardiac arrhythmias (especially ventricular tachycardia), severe hypercalcemia that can impair renal function, tissue necrosis if the solution extravasates, anaphylactic reactions, and seizures. Prompt recognition and immediate medical intervention are required if any of these events occur.

Icalziss should be avoided in patients with known hypersensitivity to calcium chloride, uncontrolled hypercalcemia, severe renal impairment without appropriate monitoring, and in situations where rapid calcium infusion could exacerbate existing cardiac arrhythmias. Contraindications must be confirmed by the treating physician before administration.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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