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At a glance

Active Vitamin D3 analogue indicated for the management of hypocalcemia, secondary hyperparathyroidism, and osteodystrophy in chronic renal failure.

Indications

Indicated in adult patients with chronic renal failure for the management of hypocalcemia, secondary hyperparathyroidism, and renal osteodystrophy.

Pharmacology

Alfacalcidol stimulates intestinal calcium and phosphorus absorption, bone calcium reabsorption, and renal calcium conservation. It reduces elevated plasma PTH levels and relieves bone pain in chronic kidney disease.

Dosage

Initial Dose: 0.25 mcg/day for first 2 months. Can be titrated by 0.25 mcg/day every 2 months. Maintenance Dose: 0.5 mcg to 1 mcg/day. Reduce dose by 50% if hypercalcemia develops.

Side effects

Hypercalcemia, elevated BUN, dry mouth, metallic taste, nausea, vomiting, constipation, headache, anorexia, pruritus, bone pain, and hypertension.

Use in pregnancy

Avoid during pregnancy unless clearly needed. Hypercalcemia during pregnancy can cause congenital disorders.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings

Regular monthly monitoring of serum calcium and phosphate levels is required. Caution in patients with history of renal calculi.

Overdose effects

Discontinue drug and all calcium supplements immediately upon signs of hypercalcemia. Rehydrate patient as needed.

Storage conditions

Store below 30°C, away from light and moisture. Keep out of reach of children.

Alfacalcidol — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.