Journal of Pharmacology and Pharmacotherapeutics

CASE REPORT
Year
: 2014  |  Volume : 5  |  Issue : 4  |  Page : 256--257

Oyster shell calcium induced parotid swelling


Muthiah Palaniappan, Sandhiya Selvarajan, Sureshkumar Srinivasamurthy, Adithan Chandrasekaran 
 Adverse Drug Reaction Monitoring Centre, Department of Clinical Pharmacology, JIPMER, Gorimedu, Puducherry, India

Correspondence Address:
Muthiah Palaniappan
Department of Clinical Pharmacology, Adverse Drug Reaction Monitoring Centre, JIPMER, Gorimedu, Puducherry - 605 006
India

A 59 year old female consumer was started on therapy with oyster shell calcium in combination with vitamin D3 and she presented with swelling below the ear, after two doses. She stopped the drug by herself and the swelling disappeared in one day. She started the drug one day after recovery and again she developed the swelling. She was advised to stop the drug with a suggestion to take lemon to enhance parotid secretion and the swelling subsided. Calcium plays major role in salivary secretion and studies have shown reduced parotid secretion in rats, deficient of vitamin D. But in humans involvement of calcium and vitamin D3 in parotid secretion is unknown. However, the patient had no history of reaction though she had previously taken vitamin D3 with calcium carbonate which was not from oyster shell. Hence, we ruled out vitamin D3 in this reaction and suspecting oyster shell calcium as a culprit. This adverse drug reaction (ADR) was assessed using World Health Organization (WHO) causality assessment, Naranjo«SQ»s and Hartwig severity scales. As per WHO causality assessment scale, the ADR was classified as «DQ»certain«DQ». This reaction was analyzed as per Naranjo«SQ»s algorithm and was classified as probable. According to Hartwig«SQ»s severity scale the reaction was rated as mild. Our case is an example of a mild but rare adverse effect of oyster shell calcium carbonate which is widely used.


How to cite this article:
Palaniappan M, Selvarajan S, Srinivasamurthy S, Chandrasekaran A. Oyster shell calcium induced parotid swelling .J Pharmacol Pharmacother 2014;5:256-257


How to cite this URL:
Palaniappan M, Selvarajan S, Srinivasamurthy S, Chandrasekaran A. Oyster shell calcium induced parotid swelling . J Pharmacol Pharmacother [serial online] 2014 [cited 2019 Sep 19 ];5:256-257
Available from: http://www.jpharmacol.com/article.asp?issn=0976-500X;year=2014;volume=5;issue=4;spage=256;epage=257;aulast=Palaniappan;type=0