Rule out Diabetes, calcium deficiency, salt deficiency.

Inj. Calcium gluconate 10cc slow I.V. x daily x 3 days or

Inj.Macalvit 3cc IM x daily x 5 days.

Tab. Sandocal 500mg 1 daily x 20-30 days.

Tab. SurbexT 1 bd x 30 days (Bcomplex)

Cap. Proxyvon 1 S.O.S. If pain.

If no relied, add.

Tab. Evion 400mg bd x 3 to 6 months (Vit E)

Tab. CALMPOSE 5mg. HS x if nocturnal cramps.

Inj. Neurobion 2cc IM x daily x 5-10 Injections

Tab. QUININE 300mg. at bedtime x if nocturnal cramps c to continue for several days after cramps are controlled.

Most of the cramps in the legs or hands are due to calcium deficiency. In chronic or recurrent cases, give Vit E-long term therapy.

Cramphs should be differentiated for claudications which are exercise related.

Inj. Calcium gluconate

Inj.Macalvit

Tab. Sandocal

Tab. SurbexT

Cap. Proxyvon

Tab. Evion

Inj. Neurobion