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Rocaltrol contains the active ingredient calcitriol, the active form of vitamin D. It is a prescription medication used to help manage problems with calcium balance and parathyroid hormone levels, especially in people with kidney disease or certain parathyroid disorders.
Rocaltrol may be used to help manage low calcium levels (hypocalcemia) in people with chronic kidney disease who are receiving dialysis.
Healthy kidneys normally help convert vitamin D into its active form. When kidney function is severely reduced, the body may not produce enough active vitamin D.
This can reduce calcium absorption from food and contribute to low calcium levels, weakened bones, and abnormal parathyroid hormone levels.
Rocaltrol provides the active form of vitamin D directly, helping the body absorb more calcium from the digestive tract.
Rocaltrol is also used to help manage secondary hyperparathyroidism in certain people with chronic kidney disease.
Secondary hyperparathyroidism occurs when the parathyroid glands produce too much parathyroid hormone, often because the kidneys cannot properly balance calcium, phosphorus, and vitamin D.
High parathyroid hormone levels can cause calcium to be removed from the bones over time, which may weaken the bones and contribute to other mineral and bone problems.
Rocaltrol can help lower parathyroid hormone levels by improving calcium balance and providing active vitamin D.
Rocaltrol may also be used to treat hypoparathyroidism, a condition in which the parathyroid glands do not produce enough parathyroid hormone.
Low parathyroid hormone levels can cause calcium levels in the blood to fall.
Rocaltrol may be used in people with hypoparathyroidism caused by:
By increasing calcium absorption, Rocaltrol can help raise and maintain calcium levels in the blood.
Rocaltrol belongs to a class of medications known as vitamin D analogs.
Calcitriol is the biologically active form of vitamin D. It helps regulate calcium and phosphorus levels by:
Calcium, phosphorus, vitamin D, and parathyroid hormone all work together to support healthy bones and normal body functions.
When this balance is disrupted by kidney disease or parathyroid disorders, bones may become weak and calcium levels may become abnormal.
Rocaltrol helps restore part of this balance by providing active vitamin D directly.
Rocaltrol can raise calcium levels too much if the dose is too high.
Your healthcare provider may regularly monitor:
Your dose may be adjusted based on these test results and your response to treatment.
Do not change your dose or take additional vitamin D or calcium supplements unless your healthcare provider recommends them.
Rocaltrol is taken by mouth and is available as 0.25 mcg and 0.5 mcg capsules. The exact dose depends on the condition being treated, your calcium and phosphorus levels, kidney function, and response to treatment.
Take Rocaltrol exactly as prescribed by your healthcare provider. Do not increase or decrease your dose on your own.
For patients receiving chronic dialysis, the usual starting dose is 0.25 mcg once daily.
If blood test results and symptoms do not improve enough, the dose may be increased by 0.25 mcg per day every 4 to 8 weeks.
Some patients with normal or only slightly low calcium levels may respond to 0.25 mcg every other day. Most patients receiving hemodialysis respond to doses between 0.5 and 1 mcg per day.
For hypoparathyroidism, the usual starting dose is 0.25 mcg once daily in the morning.
If needed, the dose may be increased every 2 to 4 weeks based on blood test results and symptoms.
Most adults and children 6 years of age and older respond to doses between 0.5 and 2 mcg per day. Children 1 to 5 years of age have generally received 0.25 to 0.75 mcg per day.
For adults and children 3 years of age and older with chronic kidney disease who are not yet receiving dialysis, the usual starting dose is 0.25 mcg once daily.
The dose may be increased to 0.5 mcg once daily if needed.
For children younger than 3 years of age, the recommended starting dose is 10 to 15 nanograms per kilogram of body weight per day.
Take Rocaltrol at about the same time each day.
Consistent use is important because Rocaltrol helps regulate calcium, phosphorus, and parathyroid hormone levels over time.
Do not take additional vitamin D products or calcium supplements unless your healthcare provider recommends them. Taking too much calcium or vitamin D can cause dangerously high calcium levels.
Your healthcare provider may recommend a specific amount of calcium from food or supplements while you are taking Rocaltrol.
Adequate calcium intake is important for Rocaltrol to work properly, but too much calcium can cause hypercalcemia, or high calcium levels in the blood.
Your healthcare provider will monitor your calcium level closely while your dose is being adjusted.
During dose changes, calcium levels may be checked at least twice weekly. Once a stable dose has been established, testing may be performed less frequently.
Other tests may include phosphorus, magnesium, parathyroid hormone, alkaline phosphatase, and urinary calcium.
If you miss a dose of Rocaltrol, take it when you remember unless it is almost time for your next scheduled dose.
If your next dose is due soon, skip the missed dose and continue with your regular schedule.
Do not take two doses at the same time or take extra Rocaltrol to make up for a missed dose.
Rocaltrol has a narrow dosing range, and taking too much can cause high calcium levels.
Your healthcare provider may adjust your dose based on blood test results. Contact your healthcare provider if you develop unusual weakness, nausea, vomiting, constipation, increased thirst, frequent urination, confusion, or other symptoms that may suggest high calcium levels.
Rocaltrol (Calcitriol) is available in the following forms and strength:
Rocaltrol can cause hypercalcemia, which means too much calcium in the blood.
This is one of the most important risks of treatment. High calcium levels can cause nausea, vomiting, constipation, weakness, confusion, increased thirst, frequent urination, or abnormal heart rhythms.
Your healthcare provider will monitor your calcium levels closely, especially when treatment begins or the dose is changed.
Rocaltrol can also increase phosphorus levels.
When calcium and phosphorus levels become too high, calcium deposits may form in blood vessels, kidneys, or other soft tissues.
People with kidney disease require careful monitoring of both calcium and phosphorus during treatment.
Do not take additional vitamin D supplements or other vitamin D products unless your healthcare provider specifically recommends them.
Because Rocaltrol is already an active and potent form of vitamin D, combining it with other vitamin D products can increase the risk of dangerously high calcium levels.
Do not increase your calcium intake or start calcium supplements without speaking with your healthcare provider.
A sudden increase in calcium from supplements or diet may cause hypercalcemia while taking Rocaltrol.
Your healthcare provider may recommend a specific amount of calcium based on your blood test results and medical condition.
Rocaltrol is commonly used in people with kidney disease, but calcium and phosphorus levels must be monitored carefully.
High calcium and phosphorus levels can increase the risk of calcium deposits in the kidneys and other tissues.
People receiving dialysis may also need dietary phosphorus restriction or phosphate-binding medication.
People receiving chronic kidney dialysis should avoid magnesium-containing antacids or supplements while taking Rocaltrol unless their healthcare provider specifically recommends them.
Combining these products may cause dangerously high magnesium levels in the blood.
Use Rocaltrol cautiously if you take digitalis medications, such as digoxin.
High calcium levels can increase the risk of abnormal heart rhythms in people taking these medications.
Tell your healthcare provider about any heart condition or heart medication before starting Rocaltrol.
Thiazide diuretics can reduce the amount of calcium removed through urine.
Taking a thiazide together with Rocaltrol may increase the risk of hypercalcemia. Your healthcare provider may monitor your calcium levels more closely if these medications are used together.
Rocaltrol can interact with several medications.
Important interactions may occur with:
Tell your healthcare provider about all prescription medications, over-the-counter products, vitamins, minerals, supplements, and herbal products you use.
Tell your healthcare provider if you are pregnant, think you may be pregnant, or plan to become pregnant.
Rocaltrol should be used during pregnancy only when your healthcare provider determines that the potential benefit justifies the potential risk.
Careful monitoring of calcium levels may be needed during treatment.
Calcitriol can pass into human breast milk.
The current Rocaltrol prescribing information recommends against breastfeeding during treatment because of the potential for serious effects in a nursing infant.
Do not take Rocaltrol if you are allergic to calcitriol, similar vitamin D compounds, or any ingredient in the medication.
Rocaltrol should also not be used if you already have high calcium levels or signs of vitamin D toxicity.
Regular laboratory monitoring is essential while taking Rocaltrol.
Your healthcare provider may monitor:
During dose adjustments, calcium levels may need to be checked frequently so that high calcium levels can be detected early.
Rocaltrol is a potent form of vitamin D, and even relatively small increases above the required dose can disturb calcium balance.
Do not increase your dose on your own. Taking too much Rocaltrol can cause severe hypercalcemia and may require urgent medical treatment.
Rocaltrol begins affecting calcium balance after treatment starts, but the full effect may take time. Your healthcare provider will use blood tests to check how well the medication is working and whether your dose needs to be adjusted. Do not increase your dose on your own if you do not notice an immediate change.
Yes. Rocaltrol can generally be taken with or without food. Try to take it at about the same time each day and follow your healthcare provider’s instructions.
Only take calcium supplements if your healthcare provider recommends them. Rocaltrol increases calcium absorption, so taking too much calcium can raise your blood calcium level too high. Your healthcare provider may recommend a specific amount of calcium based on your diet, blood tests, and medical condition.
Do not take extra vitamin D or other vitamin D-containing products unless your healthcare provider tells you to. Rocaltrol is already an active form of vitamin D. Taking additional vitamin D may increase the risk of high calcium levels and vitamin D toxicity.
If you miss a dose, take it when you remember unless it is almost time for your next scheduled dose. If your next dose is due soon, skip the missed dose and continue with your regular schedule. Do not take two doses at the same time or take extra Rocaltrol to make up for a missed dose.
The length of treatment depends on why you are taking Rocaltrol and how your calcium, phosphorus, and parathyroid hormone levels respond. Some patients may need long-term treatment. Continue taking Rocaltrol for as long as your healthcare provider recommends. Do not stop or change your dose without speaking with your healthcare provider.
Symptoms of high calcium levels may include nausea or vomiting, constipation, loss of appetite, unusual weakness, increased thirst, frequent urination, confusion, and headache. Contact your healthcare provider if you develop any of these symptoms, especially if they are persistent, severe, or getting worse.
Rocaltrol can raise calcium levels, and prolonged high calcium levels may contribute to kidney stones, calcium deposits in the kidneys, or worsening kidney function. Regular blood tests are important to help reduce this risk.
Rocaltrol may be used during pregnancy when a healthcare provider determines that the potential benefits outweigh the possible risks. Tell your healthcare provider if you are pregnant, think you may be pregnant, or plan to become pregnant.
Calcitriol can pass into breast milk. Because of the potential for serious effects in a nursing infant, your healthcare provider will help determine whether breastfeeding or Rocaltrol treatment is appropriate.
Yes. Your healthcare provider may regularly check calcium, phosphorus, magnesium, parathyroid hormone, kidney function, and other laboratory values. Blood tests may be needed more often when treatment begins or when your dose is changed.
No. Rocaltrol contains calcitriol, which is the active form of vitamin D. Regular vitamin D supplements must first be converted by the body before they become active. Because Rocaltrol is already active, it has a stronger and more direct effect on calcium levels and must be used carefully.
| Generic name: | Calcitriol |
|---|---|
| Formulation: | Capsule |
| Strength(s): | 0.5mcg, 0.25mcg, 0.50mcg |
| Quantities Available: | 100 |
Our online Canadian Pharmacy is known for high standards of quality, safety, and efficiency when it comes to medications.
Our pharmacy offers lower prices on prescription drugs compared to traditional pharmacies.
When ordering Rocaltrol (calcitriol) from a Canadian pharmacy, you can typically purchase up to a 90-day supply at one time, which is common for prescription medications to ensure adequate management of chronic conditions without frequent refills.
Here’s what you need to know:
Dosage and Quantity: Rocaltrol is commonly prescribed in dosages of 0.25 mcg or 0.5 mcg, depending on the condition being treated. For a 90-day supply, if prescribed a common maintenance dose of 0.5 mcg per day, you would order approximately 90 capsules (90 days x 1 capsule per day).
Yes, we sell calcitriol on our website. You can enjoy low prices when you order through us. To purchase calcitriol, you will need a valid prescription from your healthcare provider. We require this prescription to dispense the medication safely and appropriately. You have the option to submit your prescription by mailing it to us, faxing it, or uploading it through your online account.
Yes, we ship Rocaltrol (calcitriol) to both the United States and Puerto Rico.
Online Pharmacies Canada has provided information from third parties intended to increase awareness and does not contain all the information about Rocaltrol (Calcitriol). Talk to your doctor or other qualified medical practitioners for medical attention or advice, or if you have any concerns about Rocaltrol (Calcitriol).
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