医薬品リファレンス
Paricalcitol
Paricalcitol is a medicine in the class musculoskeletal. It is used for hyperparathyroidism.
- 薬効分類: Musculoskeletal
- 効能・効果: hyperparathyroidism
最終更新日 出典: US FDA label
医療従事者向け・参照専用。このページは簡潔な要約であり、医学的助言ではなく、公式の添付文書や臨床判断に代わるものではありません。処方・調剤の前に必ず確認してください。
このページの臨床コンテンツは英語でのみ提供されています。
要点
- 薬効分類
- Musculoskeletal
- 一般的な剤形
- カプセル剤, 注射剤
- 既知の相互作用
- 17 (中等度: 6 · 軽度: 11)
- 商品名
- 1
- 国・市場
- 1
何に使われるか
作用のしくみ
Synthetic vitamin D2 analog that binds the vitamin D receptor (VDR), selectively activating vitamin D responsive pathways; reduces PTH levels by inhibiting PTH synthesis and secretion.
成人の通常用量(添付文書の要約)
Secondary hyperparathyroidism in CKD on dialysis: initial 0.04 mcg/kg to 0.1 mcg/kg (2.8 mcg to 7 mcg) IV bolus, no more frequently than every other day, any time during dialysis
妊娠と授乳
- 妊娠
- Unknown Limited human data are insufficient to inform risk; animal studies showed slightly increased embryofetal loss at maternally toxic doses.
- 授乳
- Unknown No human milk data; present in rat milk. Monitor breastfed infants for hypercalcemia and weigh benefits of breastfeeding against maternal need.
報告されている副作用
- Nausea
- Vomiting
- Edema
- Gastrointestinal hemorrhage
- Chills
- Pyrexia
禁忌
- Hypercalcemia
- Vitamin D toxicity
- Known hypersensitivity to paricalcitol or any inactive ingredient (angioedema and urticaria reported)
注意が必要な方
- Hypercalcemia can cause cardiac arrhythmias and seizures; risk increased with high-dose calcium, thiazides or vitamin D compounds. Monitor serum calcium; reduce dose or discontinue if it occurs.
- Digitalis toxicity risk increases with hypercalcemia; monitor calcium and patients on digitalis.
- Adynamic bone disease with increased fracture risk may develop if intact PTH is oversuppressed; monitor PTH.
妊娠中または授乳中であること、腎臓や肝臓の病気、アレルギー、ほかに使用しているすべての薬やサプリメントについて、薬剤師または医師にお伝えください。
主な相互作用 (17)
- Carbamazepine + Paricalcitol Moderate
- Cholestyramine + Paricalcitol Moderate
- Clarithromycin + Paricalcitol Moderate
- Digoxin + Paricalcitol Moderate
- Ketoconazole + Paricalcitol Moderate
- Paricalcitol + Posaconazole Moderate
- Apalutamide + Paricalcitol Minor
- Bosentan + Paricalcitol Minor
- Chloramphenicol + Paricalcitol Minor
- Colesevelam + Paricalcitol Minor
Pro+会員向け
ページ全体を見る
アカウントを作成してPro+トライアルを始めると、Paricalcitolの完全なモノグラフ(用量、妊娠・授乳、副作用、警告、すべての相互作用)を表示できます。
- Dosing by age, kidney and liver function, and further dose lines
- Renal and hepatic dose adjustments
- Paediatric dosing
- Dosing in older adults
- How to give it
- Pharmacokinetics
- Patient counselling points
- Food interactions
WebでPro+を14日間無料でお試し。カード登録不要。
同じ分類のほかの薬剤
よくある質問
What is Paricalcitol used for?
Paricalcitol is a medicine in the class musculoskeletal. It is used for Hyperparathyroidism.
What side effects have been reported with Paricalcitol?
Nausea, Vomiting, Edema, Gastrointestinal hemorrhage, Chills, Pyrexia.
Can Paricalcitol be taken in pregnancy or while breastfeeding?
Pregnancy: Unknown. Limited human data are insufficient to inform risk; animal studies showed slightly increased embryofetal loss at maternally toxic doses. Breastfeeding: Unknown. No human milk data; present in rat milk. Monitor breastfed infants for hypercalcemia and weigh benefits of breastfeeding against maternal need.
What does Paricalcitol interact with?
MediHelp lists 17 known interactions for Paricalcitol. Moderate: 6 · Minor: 11. The most serious include Carbamazepine, Cholestyramine, Clarithromycin.
完全なモノグラフ、用量、相互作用チェッカーはMediHelpアプリで
MediHelpアプリで、完全なリファレンスを開き、複数薬剤の相互作用をチェックし、用量ツールを利用できます。