Post menopausal osteoporosis; renal osteodystrophy in patients w/ chronic renal failure; post surgical hypoparathyroidism; idiopathic hypoparathyroidism; pseudohypoparathyroidism; vit D-dependent rickets.
AdultPostmenopausal osteoporosis 0.25 mcg bid. Renal osteodistrophy in dialysis patient Initially 0.25 mcg, may be increased by 0.25 mcg daily at 2-4 wk intervals. Childn 1-5 yr (w/ hypoparathyroidism) 0.25-0.75 mcg/day. Hypoparathyroidism & rickets 0.25 mcg daily in the morning, may be increased at 2-4 wk intervals.
High dose may cause hypercalcemia & hypercalciuria. Monitor Ca serum level twice wkly. Dialysis patients. Hypercalcemia in restricted patients (eg, after surgery). Ectopic calcification in renal impairment. Continue oral phosphate therapy in vit D-resistant rickets (familial hypophosphatemia). Do not take other vit D prep to prevent hypervitaminosis. Avoid dehydration. Pregnancy & lactation. Childn (in dialysis).
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