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藥品參考

Calcifediol

Calcifediol is a medicine in the class musculoskeletal. It is used for hyperparathyroidism.

最後更新 來源: US FDA label

僅供醫療專業人員參考。本頁為簡要摘要,並非醫療建議,亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。

本頁的臨床內容僅提供英文版。

重點資訊

藥物類別
Musculoskeletal
常見劑型
膠囊
常見規格
30 mcg
已知交互作用
44 (中度: 32 · 輕微: 12)
商品名
1
國家與市場
1

劑型、規格與商品名稱會因國家而異。請核對您手上的產品。

用途

作用方式

Calcifediol is a prohormone converted mainly in the kidney by CYP27B1 to calcitriol, which binds the vitamin D receptor, increasing intestinal calcium and phosphorus absorption and reducing parathyroid hormone synthesis.

成人常用劑量(仿單摘要)

Secondary hyperparathyroidism in CKD stage 3 or 4 with 25-hydroxyvitamin D below 30 ng/mL: initial 30 mcg orally once daily at bedtime; serum calcium must be below 9.8 mg/dL before starting

僅摘錄仿單中第一行劑量說明;完整的劑量內容請見 App。

懷孕與哺乳

懷孕
Unknown No human data. Rabbits given doses at least 8 times the human 60 mcg/day dose had increased skeletal and soft tissue malformations; none in rats.
哺乳
Unknown No information on presence in human milk. Monitor exposed infants for hypercalcemia signs (seizures, vomiting, constipation, weight loss); weigh breastfeeding benefits against maternal need.

已通報的副作用

  • Anemia
  • Nasopharyngitis
  • Increased blood creatinine
  • Dyspnea
  • Cough
  • Congestive heart failure

禁忌症

  • None

哪些人需要特別留意

  • Hypercalcemia and hypercalciuria can occur; acute hypercalcemia may increase risk of cardiac arrhythmias and seizures; chronic hypercalcemia can cause vascular and soft-tissue calcification.
  • Hypercalcemia increases the risk of digitalis toxicity; monitor calcium and signs of toxicity more often when starting or adjusting the dose.
  • Adynamic bone disease with increased fracture risk may develop if PTH is oversuppressed; monitor intact PTH and adjust dose.

請告知藥師或醫師您是否懷孕或哺乳、是否患有腎臟或肝臟疾病、是否有過敏,以及您正在使用的所有其他藥物或保健品。

重要交互作用 (44)

All 44 interactions, with severity and what to do

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  • Dosing by age, kidney and liver function, and further dose lines
  • Renal and hepatic dose adjustments
  • How to give it
  • Pharmacokinetics
  • Patient counselling points
  • Food interactions

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同類別的其他藥品

常見問題

What is Calcifediol used for?

Calcifediol is a medicine in the class musculoskeletal. It is used for Hyperparathyroidism.

What side effects have been reported with Calcifediol?

Anemia, Nasopharyngitis, Increased blood creatinine, Dyspnea, Cough, Congestive heart failure.

Can Calcifediol be taken in pregnancy or while breastfeeding?

Pregnancy: Unknown. No human data. Rabbits given doses at least 8 times the human 60 mcg/day dose had increased skeletal and soft tissue malformations; none in rats. Breastfeeding: Unknown. No information on presence in human milk. Monitor exposed infants for hypercalcemia signs (seizures, vomiting, constipation, weight loss); weigh breastfeeding benefits against maternal need.

What does Calcifediol interact with?

MediHelp lists 44 known interactions for Calcifediol. Moderate: 32 · Minor: 12. The most serious include Amlodipine-hydrochlorothiazide-valsartan, Amlodipine-olmesartan-hydrochlorothiazide, Amobarbital.

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