It is used for the management of hypocalcemia in patients undergoing chronic hemodialysis for renal failure.
藥理
Calcitriol, an active form of vitamin D(3) or cholecalciferol, stimulates calcium transport in the intestines, its resorption in bones and tubular reabsorption in the kidney. It also suppresses the parathyroid hormone (PTH) secretion and synthesis.
藥動學
Duration of action: 3-5 days; Elimination Half Life: 5 h to 8 h; pediatrics: 27.4 h (mean); hemodialysis patients: 21.9 h. Calcitriol and its metabolites are excreted primarily via the bile, with some renal elimination.
禁忌症
Hypercalcemia or evidence of vitamin D toxicity.
懷孕分類
C by manufacturer but ranked as A by Briggs or D if used in dose above recommended daily allowances
哺乳分類
Infant risk cannot be ruled out.
副作用
Hypercalcemia; oral form may cause hypersensitivity reactions (pruritus, rash, urticaria, erythema multiforme); Injectable form may cause injection site reactions.
劑量和給藥方法
in chronic renal failure: IV: 0.5-3 μg 3 times/week.