Q: I am 62 years old. Four years back I diagnosed with Osteoporosis and Cervico lumbar Spondylosis. Since then I am taking - Risophos 35, Myelin, CitroMacalvit and going for physiotherapy too. This time the doctor replaced Myelin and prescribed Salmoncal-100 for 10 weeks. Do I really need so much of calcium tablets/injections and that too for so many years continuously? Is there any adverse effect of so much of calcium?

A:We generally prefer that Bone Mineral Density (BMD) is measured before putting patients on long term therapy. However in your case Risofos 35 mg once a week (make sure it is taken while in upright position with a glass of plain water at least 30 minutes before the first food or drink of the day; do not lie down for at least 30 minutes) along with Citro Macalvit is more than adequate. Too much calcium can do more harm than good. I do not know why Myelin (mecobalamin) was given in the first place. It has no role to play in your case.