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This medication may be available under multiple brand names and/or in several different formsAny specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed hereAs wellsome forms of this medication may not be used for all of the conditions discussed here.

Rocaltrolcalcitriolis the most potent metabolite of vitamin D availableThe administration of Rocaltrolcalcitriolto patients in excess of their daily requirements can cause hypercalcemiahypercalciuriaand hyperphosphatemiaThereforepharmacologic doses of vitamin D and its derivatives should be withheld during Rocaltrolcalcitrioltreatment to avoid possible additive effects and hypercalcemiaIf treatment is switched from ergocalciferolvitamin D 2to calcitriolit may take several months for the ergocalciferol level in the blood to return to the baseline valuesee OVERDOSAGE

In patients with normal renal functionchronic hypercalcemia may be associated with an increase in serum creatinineWhile this is usually reversibleit is important in such patients to pay careful attention to those factors which may lead to hypercalcemiaRocaltrolcalcitrioltherapy should always be started at the lowest possible dose and should not be increased without careful monitoring of the serum calciumAn estimate of daily dietary calcium intake should be made and the intake adjusted when indicated.

Check with your doctor as soon as possible if any of the following side effects occur:

Symptoms of an allergic reactione.gitchinessrashrednesssymptoms of high blood calcium bone pain decreased appetite drowsiness dry mouth fatigue fever frequent urination headache itchiness metallic taste in the mouth muscle pain stomach ache or cramps thirst trouble sleeping weakness weight loss symptoms of irregular heartbeate.gshortness of breathrapid or pounding heartbeatunusual sweating)

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