Vitamin D3 (calcitriol) Treatment Report

Category: Prescription Drugs

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Generic Name: Vitamin D3 (calcitriol)

What is Vitamin D3 (calcitriol)?

An example of Vitamin D3 (calcitriol)

Vitamin D3 (calcitriol) is a Vitamin D analog used to manage hypocalcemia in renal dialysis patients; secondary hyperparathyroidism in chronic renal disease; to manage hypocalcemia in hypoparathyroidism. Off label it is used to decrease severity of psoriasis and for Vitamin D dependent rickets.

Reported Purpose & Perceived Effectiveness

Reasons and Perceived effectiveness
Perceived Effectiveness
Purpose # of patients # of patients with evaluations
Major
Moderate
Slight
None
Can’t tell
22 5 Efficacy_major Efficacy_moderate Efficacy_cant_tell
10 3 Efficacy_major Efficacy_moderate Efficacy_cant_tell
8 3 Efficacy_slight Efficacy_cant_tell
8 1 Efficacy_major
8 0
6 0

See all 138 patients currently taking Vitamin D3 (calcitriol)

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Reported Side Effects

Side effects as an overall problem

Severe
0
Moderate
0
Mild
0
None
20

Commonly reported side effects, conditions, and hospitalizations associated with Vitamin D3 (calcitriol)

1

Reported Dosages

Frequently reported dosages based on patients currently taking Vitamin D3 (calcitriol). See all 49 dosages

  0.25 mcg daily 0.5 mcg daily 1 mcg daily 1 cap(s) daily 1 tab(s) daily 2 cap(s) daily 1,000 intl units daily 2,000 intl units daily 5,000 intl units daily 10,000 intl units daily
  22 Number of Patients: 22 15 Number of Patients: 15 7 Number of Patients: 7 5 Number of Patients: 5 4 Number of Patients: 4 4 Number of Patients: 4 15 Number of Patients: 15 7 Number of Patients: 7 6 Number of Patients: 6 4 Number of Patients: 4  

Reported Stop Reasons

Why Patients Stopped Taking Vitamin D3 (calcitriol) (multiple reasons could be selected)
Reason # Patients Percentage of patients
Doctor's advice 3   Doctor's advice: 43%
Expense 2   Expense: 29%
Side effects too severe 1   Side effects too severe: 14%
Other 1   Other: 14%

See all 6 patients who’ve stopped taking Vitamin D3 (calcitriol)

Currently Taking Vitamin D3 (calcitriol)

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more
0

Stopped Taking Vitamin D3 (calcitriol)

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more
0
0

Reported Adherence, Burden & Cost See details from patient evaluations

Adherence

Taking treatment as prescribed

Adherence of Vitamin D3 (calcitriol)

Always
15 75%
Usually
4 20%
Sometimes
1 5%
Never
0 0%

Burden

Difficulty being on treatment

Burden of Vitamin D3 (calcitriol)

Very
0 0%
Somewhat
0 0%
A little
0 0%
Not at all
20 100%

Cost

Paid out of pocket

Cost of Vitamin D3 (calcitriol)

$200+
0 0%
$100-199
0 0%
$50-99
0 0%
$25-49
2 17%
< $25
10 83%

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2 patient evaluations for Vitamin D3 (calcitriol)

Purpose: MS (Multiple Sclerosis) (Started Jan 04, 2011)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Jun 08, 2011 1 mL Monthly ?Can't tell NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
  • Icon_thumb_off 0 helpful marks
Purpose: Increase effect of another treatment (Started Feb 04, 2009)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Aug 04, 2010 1 cap(s) Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major NoneNoneNoneNoneNone SometimesSometimesSometimesSometimesSometimes Not at allNot at allNot at allNot at allNot at all
Date
Aug 04, 2010
Advice & Tips
too expensive
Cost
$25-49 monthly
  • Icon_thumb_off 0 helpful marks

18 additional evaluations for Vitamin D3 (calcitriol) are not currently shared publicly.

What is calcitriol?

Calcitriol is vitamin D3. Vitamin D is important for the absorption of calcium from the stomach and for the functioning of calcium in the body.

Calcitriol is used to treat calcium deficiency with hypoparathyroidism (decreased functioning of the parathyroid glands) and metabolic bone disease in people with chronic kidney failure.

Calcitriol may also be used for other purposes not listed in this medication guide.


Precautions

Do not use this medication if you have ever had an allergic reaction to vitamin D, or if you have:

  • high levels of calcium in your blood (hypercalcemia); or
  • high levels of vitamin D in your body (hypervitaminosis D).

Before taking calcitriol, tell your doctor about all of your medical conditions. You may not be able to take calcitriol, or you may need a dose adjustment or special tests to safely take this medication.

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

Calcitriol can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Do not take other vitamin or mineral supplements unless your doctor has told you to.

Avoid using antacids without your doctor’s advice. Use only the specific type of antacid your doctor recommends. Antacids contain different minerals and some types can cause serious side effects if you take them together with calcitriol.

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Instructions

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include increased thirst or urination, uneven heart rate, weakness, behavior changes, bone pain, nausea, weight loss, decreased appetite, constipation, or a metallic taste in the mouth.

Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.

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Side Effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop taking calcitriol and call your doctor at once if you have any of these serious side effects:

  • increased thirst,
  • urinating more than usual;
  • pain in your lower back;
  • fast, slow, or uneven heart rate;
  • weakness, drowsiness, changes in behavior;
  • bone pain, muscle weakness, loss of height;
  • nausea, constipation, loss of appetite, weight loss;
  • slow growth (in a child taking calcitriol); or
  • dry mouth or a metallic taste.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

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Interactions

Before taking calcitriol, tell your doctor if you are taking any of the following medicines:

  • digoxin (digitalis, Lanoxin, Lanoxicaps);
  • cholestyramine (Questran, Prevalite);
  • sevelamer (Renagel);
  • ketoconazole (Nizoral);
  • lanthanum (Fosrenol);
  • seizure medication such as phenytoin (Dilantin) or phenobarbital (Solfoton);
  • steroids such as prednisone, fluticasone (Advair), mometasone (Asmanex, Nasonex), dexamethasone (Decadron, Hexadrol) and others; or
  • a (water pill) diuretic such as hydrochlorothiazide (HCTZ, Esidrix, Hydrodiuril, Microzide,Oretic), chlorothiazide (Diuril), chlorthalidone (Hygroton, Thalitone), indapamide (Lozol), metolazone (Mykrox, Zaroxolyn), and others.

This list is not complete and there may be other drugs that can interact with calcitriol. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

Other Names

Calcijex, Rocaltrol, calcitriol, and vitamin D3(1,25[OH]2)

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Disclaimer

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2004 Cerner Multum, Inc. Version 2.05. Revision date 8/23/04

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