Calcitriol
Generic: CALCITRIOL
Basic Information
Manufacturer
Gland Pharma Limited
Product Type
HUMAN PRESCRIPTION DRUG
Route of Administration
INTRAVENOUS
FDA Set ID
d9ba544c-6ca8-410d-a306-51482a8c6848
Indications & Usage
INDICATIONS AND USAGE Calcitriol injection is indicated in the management of hypocalcemia in patients undergoing chronic renal dialysis.
It has been shown to significantly reduce elevated parathyroid hormone levels.
Reduction of PTH has been shown to result in an improvement in renal osteodystrophy.
It has been shown to significantly reduce elevated parathyroid hormone levels.
Reduction of PTH has been shown to result in an improvement in renal osteodystrophy.
Warnings
WARNINGS Since calcitriol is the most potent metabolite of vitamin D available, prescription-based doses of vitamin D and its derivatives should be withheld or used with caution during treatment to avoid the risk of hypercalcemia.
A non-aluminum phosphate-binding compound should be used to control serum phosphorous levels in patients undergoing dialysis.
Overdosage of any form of vitamin D is dangerous (see also OVERDOSAGE ).
Progressive hypercalcemia due to overdosage of vitamin D and its metabolites may be so severe as to require emergency attention.
Chronic hypercalcemia can lead to generalized vascular calcification, nephrocalcinosis and other soft tissue calcification.
The serum calcium times phosphate (Ca x P) product should not be allowed to exceed 70 mg 2 /dL 2 .
Radiographic evaluation of suspect anatomical regions may be useful in the early detection of this condition.
A non-aluminum phosphate-binding compound should be used to control serum phosphorous levels in patients undergoing dialysis.
Overdosage of any form of vitamin D is dangerous (see also OVERDOSAGE ).
Progressive hypercalcemia due to overdosage of vitamin D and its metabolites may be so severe as to require emergency attention.
Chronic hypercalcemia can lead to generalized vascular calcification, nephrocalcinosis and other soft tissue calcification.
The serum calcium times phosphate (Ca x P) product should not be allowed to exceed 70 mg 2 /dL 2 .
Radiographic evaluation of suspect anatomical regions may be useful in the early detection of this condition.
Adverse Reactions
ADVERSE REACTIONS Adverse effects of calcitriol injection are, in general, similar to those encountered with excessive vitamin D intake.
The early and late signs and symptoms of vitamin D intoxication associated with hypercalcemia include: Early Weakness, headache, somnolence, nausea, vomiting, dry mouth, constipation, muscle pain, bone pain, metallic taste, anorexia, abdominal pain and epigastric discomfort.
Late Polyuria, polydipsia, anorexia, weight loss, nocturia, conjunctivitis (calcific) pancreatitis, photophobia, rhinorrhea, pruritus, hyperthermia, decreased libido, elevated BUN, albuminuria, hypercholesterolemia, elevated SGOT and SGPT, ectopic calcification, hypertension, cardiac arrhythmias, nephrocalcinosis, sensory disturbance, dehydration, apathy, and, rarely, overt psychosis.
Occasional mild pain on injection has been observed.
Post-Marketing Experience Rare cases of hypersensitivity reactions have been reported, including anaphylaxis.
The early and late signs and symptoms of vitamin D intoxication associated with hypercalcemia include: Early Weakness, headache, somnolence, nausea, vomiting, dry mouth, constipation, muscle pain, bone pain, metallic taste, anorexia, abdominal pain and epigastric discomfort.
Late Polyuria, polydipsia, anorexia, weight loss, nocturia, conjunctivitis (calcific) pancreatitis, photophobia, rhinorrhea, pruritus, hyperthermia, decreased libido, elevated BUN, albuminuria, hypercholesterolemia, elevated SGOT and SGPT, ectopic calcification, hypertension, cardiac arrhythmias, nephrocalcinosis, sensory disturbance, dehydration, apathy, and, rarely, overt psychosis.
Occasional mild pain on injection has been observed.
Post-Marketing Experience Rare cases of hypersensitivity reactions have been reported, including anaphylaxis.