Merycet 30 Tablet

Merycet 30 Tablet is used to treat primary hyperparathyroidism, secondary hyperparathyroidism, and parathyroid-carcinoma. Primary hyperparathyroidism is a condition in which one or more parathyroid glands make too much parathyroid hormone (PTH). Secondary hyperparathyroidism is the medical condition of excessive secretion of parathyroid hormone (PTH) by the parathyroid glands in response to hypocalcemia (low blood calcium levels), with resultant hyperplasia (increase in the number of cells) of these glands. Parathyroid cancer is a rare disease in which malignant (cancer) cells form in a parathyroid gland's tissues.

Merycet 30 Tablet contains 'cinacalcet', which works by signalling the body to produce a less parathyroid hormone to decrease the amount of calcium in the blood.

In some cases, Merycet 30 Tablet may cause common side effects like vomiting, nausea, rash, headache, muscle pain, and diarrhoea. Most of these side effects do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, consult a doctor.

Do not take Merycet 30 Tablet if you are allergic to ‘cinacalcet’ or other ingredients. Inform your doctor if you are taking any other medicines other than Merycet 30 Tablet. Before taking Merycet 30 Tablet, inform your doctor if you have chronic kidney disease, gastrointestinal bleeding, heart failure, liver diseases, or cardiac arrhythmia. Merycet 30 Tablet is not recommended in hypotension and hypocalcemia. Consult your doctor if you are pregnant or breastfeeding.

Merycet 30 Tablet contains 'cinacalcet', which belongs to the class of medications called 'calcimimetics' used in the treatment of primary hyperparathyroidism, secondary hyperparathyroidism, and parathyroid-carcinoma. It works by signalling the body to produce a less parathyroid hormone to decrease the amount of calcium in the blood.

• Fever or chills

• Vomiting

• Nausea

• Rash

• Blurred vision

• Chest pain

• Headache

• Lower back or side pain

• Nervousness

• Difficult or painful urination

• Diarrhoea

Do not take Merycet 30 Tablet if you are allergic to any of its ingredients. Inform your doctor if you are taking medicines other than Merycet 30 Tablet. Before taking Merycet 30 Tablet, inform your doctor if you have chronic kidney disease, gastrointestinal bleeding, heart failure, liver diseases, adynamic bone disease, or cardiac arrhythmia. Consult your doctor if you are pregnant or breastfeeding. Before taking Merycet 30 Tablet, inform your doctor if you have rare hereditary problems of galactose intolerance.

Drug-Drug Interactions: Merycet 30 Tablet may interact with antifungal drugs (ketoconazole and itraconazole), antacids (Balofloxacin), anti-depressant  (amitryptiline, amoxapine, pimozide, thioridazine, fluvoxamine, imipramine), a protease inhibitor (indinavir, ritonavir), antibiotics (clarithromycin, erythromycin), hormonal drugs (tamoxifen), antiarrhythmics (flecainide, carvedilol, verapamil),  anti-cancer (vinblastine), anti-TB (rifampicin).

Drug-Food Interactions: Do not take grapefruit or grapefruit juice while using Merycet 30 Tablet.

Drug-Disease Interactions: Merycet 30 Tablet should be used with caution in patients with chronic kidney disease, gastrointestinal bleeding, heart failure, liver diseases, adynamic bone disease, cardiac arrhythmia, hypotension, hypocalcemia, or galactose intolerance.

• KETOCONAZOLE
• ITRACONAZOLE
• BALOFLOXACIN
• AMITRIPTYLINE
• AMOXAPINE
• PIMOZIDE
• THIORIDAZINE
• FLUVOXAMINE
• IMIPRAMINE
• INDINAVIR
• RITONAVIR
• CLARITHROMYCIN
• ERYTHROMYCIN
• TAMOXIFEN
• FLECAINIDE
• CARVEDILOL
• VERAMAPIL
• VINBLASTINE
• RIFAMPICIN

• Avoid refined foods, such as white bread, pasta, and sugar.

• Use healthy cooking oils, such as olive oil or coconut oil.

• Drink plenty of fluids.

• Exercise regularly. 

• Don't smoke.

• Monitor your calcium levels regularly during treatment with Merycet 30 Tablet. Inform your doctor if you notice signs of low calcium levels, such as numbness or tingling around the mouth or muscle aches.

Hyperparathyroidism: Hyperparathyroidism is a condition in which one or more of your parathyroid glands become overactive and release (secrete) too much parathyroid hormone (PTH). This causes the levels of calcium in your blood to rise, a condition known as hypercalcemia. There are two types of hyperparathyroidism: primary and secondary.

Primary hyperparathyroidism: Primary hyperparathyroidism is a condition in which one or more parathyroid glands make too much parathyroid hormone (PTH). This can lead to the loss of bone tissue. Symptoms include constipation, frequent urination, increased thirst, joint pain, kidney pain (due to kidney stones), loss of appetite, and muscle weakness.

Secondary hyperparathyroidism: Secondary hyperparathyroidism is the medical condition of excessive secretion of parathyroid hormone (PTH) by the parathyroid glands in response to hypocalcemia (low blood calcium levels), with resultant hyperplasia (increase in the number of cells) of these glands. This disorder is primarily seen in patients with chronic kidney failure. Symptoms include muscle pain and weakness.

Parathyroid cancer: Parathyroid cancer is a rare disease in which malignant (cancer) cells form in a parathyroid gland's tissues. Symptoms include weakness, tiredness, nausea, vomiting, loss of appetite, weight loss for no known reason, being much more thirsty than usual, urinating much more than usual, and constipation.