Calcitriol
Hyperparathyroidism, Vitamin E Deficiency ... show more
DRUG STATUS
Approvals
US(FDA), UK(BNF)
Essential Medicine
YES
Teratogenicity
Unlisted
Pharmaceutical Class
Vitamin D3 Analog
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Calcitriol
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Click HereSummary
Calcitriol is used to manage conditions caused by low levels of calcium or vitamin D in the body such as chronic kidney disease, hypoparathyroidism, and bone softening due to vitamin D deficiency like rickets or osteomalacia.
Calcitriol is a synthetic active form of vitamin D3. It helps regulate calcium absorption and its use in the body. It enhances calcium absorption from the intestines, promotes phosphate absorption essential for bone formation, and regulates bone resorption.
The amount of Calcitriol you take depends on your age and why you're taking it. Adults and older children usually take between 0.5 and 2 mcg a day. It is usually taken once daily with or without food.
This medicine can sometimes cause high levels of calcium and phosphate in the blood, leading to weakness, headache, nausea, or vomiting. These serious side effects are rare.
Calcitriol should be avoided by those with high calcium levels, vitamin D toxicity, severe kidney disease, history of kidney stones, and high phosphate levels. It can cause dangerously high calcium levels in your blood, which needs immediate medical help.
Indications and Purpose
What is Calcitriol used for?
Calcitriol is used to treat and manage conditions caused by low levels of calcium or vitamin D in the body. It is commonly prescribed for:
- Chronic kidney disease: To manage calcium and bone disorders.
- Hypoparathyroidism: To address calcium imbalances due to underactive parathyroid glands.
- Rickets or osteomalacia: To treat bone softening caused by vitamin D deficiency.
It helps regulate calcium and phosphate levels, supporting healthy bones and other bodily functions.
How does Calcitriol work?
Calcitriol works by increasing calcium and phosphate levels in the body to support bone health and other vital functions. It is the active form of vitamin D and acts by:
- Enhancing calcium absorption: It increases calcium uptake from the intestines.
- Promoting phosphate absorption: It aids in the absorption of phosphate, essential for bone formation.
- Regulating bone resorption: It helps balance calcium by stimulating the release of calcium from bones when needed.
This ensures proper calcium and phosphate levels, critical for strong bones, teeth, and muscle function.
Is Calcitriol effective?
Yes, Calcitriol is effective when used for its approved purposes, such as managing conditions like hypocalcemia (low calcium levels), vitamin D deficiency, and certain bone disorders like osteoporosis and renal osteodystrophy. Its effectiveness depends on proper usage and adherence to medical advice. Regular monitoring of calcium and phosphate levels is essential to ensure it is working safely and effectively.
How does one know if Calcitriol is working?
You may know Calcitriol is working if you observe improvements in symptoms related to your condition, such as reduced muscle cramps, improved bone strength, or normalized blood calcium levels. Regular blood tests, as advised by your doctor, will confirm that calcium and vitamin D levels are within the desired range, indicating the medication's effectiveness. Always consult your healthcare provider to assess your progress.
Directions for Use
What is the usual dose of Calcitriol?
Calcitriol is a medicine. The amount you take depends on your age and why you need it. Adults and older children usually take between 0.5 and 2 mcg a day. Younger children (1-5) with a specific condition (hypoparathyroidism) take less. For some adults with kidney problems, they start with a small dose and may take more later. Very young children (under 3) need a different measurement. The doctor will figure out the right amount for you based on how you're doing and your blood tests.
How do I take Calcitriol?
Take Calcitriol exactly as prescribed by your doctor. Usually, it is taken once daily with or without food. Swallow the capsule whole with water and avoid crushing or chewing it. Stick to the same time each day to maintain consistent blood levels. Follow any dietary guidelines provided, as certain foods or supplements may interact with Calcitriol.
For how long do I take Calcitriol?
Duration varies based on the condition being treated. Regular monitoring ensures appropriate treatment length and adjustments.
How long does it take for Calcitriol to start working?
Calcitriol begins to act on calcium levels within 3 to 6 hours after a dose, with steady-state levels reached in about 7 days.
How should I store Calcitriol?
Store at room temperature (20°-25°C or 68°-77°F) and protect from light. Do not freeze or expose to excessive heat.
Warnings and Precautions
Who should avoid taking Calcitriol?
People who should avoid taking Calcitriol include those with:
- High calcium levels (hypercalcemia)
- Vitamin D toxicity
- Severe kidney disease or renal failure
- History of kidney stones
- Hyperphosphatemia (high phosphate levels)
Always consult a doctor before use.
Can I take Calcitriol with other prescription drugs?
Yes, Calcitriol can interact with certain medications. Inform your doctor about all the drugs you're taking, especially thiazide diuretics, anticonvulsants, and corticosteroids, as they may affect its effectiveness or cause side effects.
Can I take Calcitriol with vitamins or supplements?
Yes, you can take Calcitriol with vitamins or supplements, but be cautious with calcium and vitamin D supplements. Taking too much calcium or vitamin D alongside Calcitriol can lead to excessive calcium levels (hypercalcemia). Always follow your doctor's recommendations and avoid taking additional calcium or vitamin D unless advised.
Can Calcitriol be taken safely while pregnant?
Calcitriol is a medicine, and using it during pregnancy is risky for the baby. Doctors only use calcitriol during pregnancy if it's absolutely necessary and the potential benefits to the mother outweigh the possible harm to the baby.
Can Calcitriol be taken safely while breastfeeding?
Calcitriol can be taken while breastfeeding, but it should be done under the guidance of a healthcare provider. It is excreted in breast milk in small amounts, and the risks to the infant are considered minimal. Always consult a doctor before using it during breastfeeding.
Is Calcitriol safe for the elderly?
Older adults need to start taking calcitriol medicine very slowly, using the smallest amount possible. This is because older people are more likely to have problems with their liver, kidneys, or heart, or be taking other medicines that could interact badly with calcitriol. Starting low helps prevent serious side effects.
Is it safe to exercise while taking Calcitriol?
Yes, exercise is generally safe. If you experience symptoms of hypercalcemia, such as fatigue or muscle weakness, consult your doctor.
Is it safe to drink alcohol while taking Calcitriol?
Alcohol Interaction is not specifically mentioned, but excessive drinking may affect calcium metabolism.