Friday 27 August 2010

Rocaltrol


Pronunciation: KAL-si-TRYE-ol
Generic Name: Calcitriol
Brand Name: Rocaltrol


Rocaltrol is used for:

Managing certain conditions caused by high or low parathyroid hormone levels. It is used to manage low blood calcium levels in patients who are on chronic kidney dialysis. It may also be used for other conditions as determined by your doctor.


Rocaltrol is a form of vitamin D. It works by promoting proper absorption and use of calcium and phosphate by the body in normal bone development and maintenance.


Do NOT use Rocaltrol if:


  • you are allergic to any ingredient in Rocaltrol

  • you have high levels of vitamin D or calcium in the blood

Contact your doctor or health care provider right away if any of these apply to you.



Before using Rocaltrol:


Some medical conditions may interact with Rocaltrol. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:


  • if you are pregnant, planning to become pregnant, or are breast-feeding

  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

  • if you have allergies to medicines, foods, or other substances

  • if you have heart disease, kidney disease or kidney stones, hardening of the arteries or other blood vessel problems, or a high phosphate level in the blood

  • if you are dehydrated, have recently had surgery, or will be confined to a bed or chair for a long period of time

  • if you take a phosphate-binding medicine (eg, calcium acetate)

Some MEDICINES MAY INTERACT with Rocaltrol. Tell your health care provider if you are taking any other medicines, especially any of the following:


  • Thiazide diuretics (eg, hydrochlorothiazide) because the risk of high blood calcium levels may be increased

  • Digoxin because the risk of irregular heartbeat may be increased

  • Antacids that contain magnesium because high blood magnesium levels may occur

  • Barbiturates (eg, phenobarbital), cholestyramine, corticosteroids (eg, prednisone), hydantoins (eg, phenytoin), or ketoconazole because they may decrease Rocaltrol's effectiveness

This may not be a complete list of all interactions that may occur. Ask your health care provider if Rocaltrol may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.


How to use Rocaltrol:


Use Rocaltrol as directed by your doctor. Check the label on the medicine for exact dosing instructions.


  • Rocaltrol may be taken with or without food.

  • Do not take mineral oil or antacids containing magnesium with Rocaltrol. These can reduce the effects of calcitriol.

  • If you miss a dose of Rocaltrol, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Rocaltrol.



Important safety information:


  • Rocaltrol may cause drowsiness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Rocaltrol. Using Rocaltrol alone, with certain other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks.

  • Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor.

  • Carefully follow the diet plan provided by your doctor.

  • Check with your doctor before taking any vitamins or mineral supplements containing vitamin D or calcium, phosphorus, or antacids containing calcium or magnesium.

  • You will need to take care to not become dehydrated while you take Rocaltrol. If you have normal kidney function, be sure to drink plenty of fluids. If you have kidney problems or are on dialysis, talk with your doctor about how much fluid you should drink each day. Discuss any questions with your doctor.

  • Tell your doctor you take Rocaltrol if you will be having surgery or will be confined to a bed or chair for a long period of time. The risk of high blood calcium levels may be increased.

  • Lab tests, including calcium, phosphorus, magnesium, and alkaline phosphate levels, may be performed while you use Rocaltrol. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.

  • Rocaltrol should be used with extreme caution in CHILDREN younger than 1 year old and in CHILDREN who are on dialysis; safety and effectiveness in these children have not been confirmed.

  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Rocaltrol while you are pregnant. It is not known if Rocaltrol is found in breast milk. Do not breast-feed while taking Rocaltrol.


Possible side effects of Rocaltrol:


All medicines may cause side effects, but many people have no, or minor, side effects. When used in small doses, no COMMON side effects have been reported with this product. Seek medical attention right away if any of these SEVERE side effects occur:



Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bizarre behavior; bone pain; constipation; decreased sex drive; diarrhea; difficult or painful urination; dizziness; drowsiness; dry mouth; eye redness or irritation; fever; flushing; frequent urination; headache; increased body temperature; increased thirst; irregular heartbeat; loss of appetite; mental or mood changes; metallic taste; muscle pain; nausea; runny nose; sensitivity of the eyes to sunlight; stomach pain or cramps; unexplained weight loss; unusual thinking; vomiting; weakness.



This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.


See also: Rocaltrol side effects (in more detail)


If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org ), or emergency room immediately. Symptoms may include dizziness; headache; irregular heartbeat; loss of appetite; mental or mood changes; nausea; stomach pain or cramps; vomiting; weakness.


Proper storage of Rocaltrol:

Store Rocaltrol between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Rocaltrol out of the reach of children and away from pets.


General information:


  • If you have any questions about Rocaltrol, please talk with your doctor, pharmacist, or other health care provider.

  • Rocaltrol is to be used only by the patient for whom it is prescribed. Do not share it with other people.

  • If your symptoms do not improve or if they become worse, check with your doctor.

  • Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Rocaltrol. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Rocaltrol resources


  • Rocaltrol Side Effects (in more detail)
  • Rocaltrol Use in Pregnancy & Breastfeeding
  • Drug Images
  • Rocaltrol Drug Interactions
  • Rocaltrol Support Group
  • 0 Reviews for Rocaltrol - Add your own review/rating


  • Rocaltrol Advanced Consumer (Micromedex) - Includes Dosage Information

  • Rocaltrol Concise Consumer Information (Cerner Multum)

  • Rocaltrol Prescribing Information (FDA)

  • Calcitriol Prescribing Information (FDA)

  • Calcitriol Professional Patient Advice (Wolters Kluwer)

  • Calcitriol Monograph (AHFS DI)

  • Calcijex Prescribing Information (FDA)



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