How often should you increase the dose of calcitriol?
The recommended initial oral dose for treating low calcium due to kidney dialysis is 0.25 mcg daily. The dose may be increased by 0.25 mcg daily every 4 to 8 weeks. Most patients respond to 0.5 to 1 mcg daily.
How many calcitriol capsules should a 3 year old take?
Malabsorption is occasionally noted in patients with hypoparathyroidism; hence, larger doses of calcitriol capsules may be needed. Predialysis Patients The recommended initial dosage of calcitriol capsules is 0.25 mcg/day in adults and pediatric patients 3 years of age and older.
What are the side effects of taking calcitriol?
Calcitriol may increase plasma phosphate levels; while this effect is desirable in hypophosphatemic osteomalacia, it may cause ectopic calcification, especially in patients with renal failure; plasma phosphate levels should be kept normal in such patients by the oral administration of phosphate binding agents
Is it safe to take calcitriol with high vitamin D levels?
You should not use this medication if you have high levels of calcium or vitamin D in your blood, or if you have ever had an allergic reaction to calcitriol or other forms of vitamin D. To make sure you can safely take calcitriol, tell your doctor about all of your medical conditions.
How often should you take calcitriol in the morning?
Initial dose: 0.25 mcg, orally, once a day (in the morning) Maintenance dose: 0.5 mcg to 2 mcg, orally, once a day (in the morning) Comments: -Obtain serum calcium at least twice weekly during dose titration.
When to change the dosage of calcitriol for CKD?
For DOSAGE TITRATION, recommendations are as follows: IF iPTH DECREASES TO VALUES BELOW THE TARGET RANGE FOR THE CKD STAGE: Hold calcitriol until iPTH increases to above the target range, then resume treatment at half the previous dose. If the dose is below a 0.25 mcg capsule or 0.05 mcg dose as liquid, alternate-day dosing should be used.
How much calcitriol should I take to prevent bone loss?
Adults. Calcitriol 0.5 to 1 mcg/day PO was beneficial in preventing bone loss in patients receiving corticosteroid therapy for 2 years, although benefit was seen only in lumbar spine. In this study, the mean daily dose of prednisone was 13.5 mg/day.
Calcitriol may increase plasma phosphate levels; while this effect is desirable in hypophosphatemic osteomalacia, it may cause ectopic calcification, especially in patients with renal failure; plasma phosphate levels should be kept normal in such patients by the oral administration of phosphate binding agents