This information does not assure that this product is safe, effective, or appropriate for you. Vitamin D3 dosage for adults, in particular, can be much higher than the 200 IU of D3 daily recommended for adults under the age of 50 and the 400 IU of D3 daily recommended for adults 50 and older. This document does not contain all possible drug interactions. This recommendation is based on expert opinion and recent clinical trials … Alfacalcidol is usually taken with food. To help you remember, take it at the same time each day if you are taking it once a day. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product. Do not swallow whole wafers. The higher doses (5,000 units, 2,000 units, or 1,000 units) are intended for older children and adults; the lower doses (400 units) are for infants and young children. Vitamin D is also used with other medications to treat low levels of calcium or phosphate caused by certain disorders (such as hypoparathyroidism, pseudohypoparathyroidism, familial hypophosphatemia). Vitamin D is made by the body when skin is exposed to sunlight. Your medication may look different. Infants who are breastfed and children and adolescents who consume less than 1 L of vitamin Dfortified milk per day will likely need supplementation to reach 400 IU of vitamin D per day. If you have any questions, ask your doctor or pharmacist. The AAP recommends 10 mcg (400 IU)/day vitamin D supplements for exclusively and partially breastfed infants starting shortly after birth and lasting until they are weaned and consume at least 1,000 mL/day vitamin D-fortified formula or whole milk [ 58 ]. It may be used in kidney disease to keep calcium levels normal and allow normal bone growth. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Foods rich in vitamin D include: fortified dairy products, eggs, sardines, cod liver oil, chicken livers, and fatty fish. In 2008, the American Academy of Pediatrics increased its recommended daily intake of vitamin D in infants, children, and adolescents to 400 IU. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Keep all medications away from children and pets. Always ask your health care professional for complete information about this product and your specific health needs. Vitamin D deficiency in children can have adverse health consequences, such as growth failure and rickets. Vitamin D (ergocalciferol-D2, cholecalciferol-D3, alfacalcidol) is a fat-soluble vitamin that helps your body absorb calcium and phosphorus. US Recommended Dietary Allowance (RDA) for vitamin D: 0 to 6 months: 10 mcg (400 international units) daily. Adobe Acrobat Reader is required to read PDFs. It may be easiest to take vitamin D at bedtime if you are also taking these other medications. HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. Vitamin D (ergocalciferol-D2, cholecalciferol-D3, alfacalcidol) is a fat-soluble vitamin that helps your body absorb calcium and phosphorus. Take your next dose at the regular time. In Canada - Call your doctor for medical advice about side effects. If you miss a dose, take it as soon as you remember. Do not double the dose to catch up. Vitamin D drops (or other supplements) are given to breast-fed infants because breast milk usually has low levels of vitamin D. Take vitamin D by mouth as directed. Consult your doctor for more details. If you have questions, ask your pharmacist. If you notice other effects not listed above, contact your doctor or pharmacist. It may help to mark your calendar with a reminder. Continue giving your baby vitamin D until he or she drinks at least 32 ounces (about 1 liter) a day. Call your doctor for medical advice about side effects. If your doctor has directed you to take this medication, remember that he or she has judged that the benefit to you is greater than the risk of side effects. If you think you may have a serious medical problem, get medical help right away. Vitamin D with calcium is used to treat or prevent bone loss (osteoporosis). If your doctor has prescribed this medication, take as directed by your doctor. Before taking vitamin D, tell your doctor or pharmacist if you are allergic to it; or to other vitamin D products (such as calcitriol); or if you have any other allergies. If you have any unusual effects, contact your doctor or pharmacist promptly. If you are taking the rapidly-dissolving tablets, dry your hands before handling the medication. Certain medications (bile acid sequestrants such as cholestyramine/colestipol, mineral oil, orlistat) can decrease the absorption of vitamin D. Take your doses of these medications as far as possible from your doses of vitamin D (at least 2 hours apart, longer if possible). Place each dose on the tongue, allow it to dissolve completely, and then swallow it with saliva or water. Ask your doctor or pharmacist how long you should wait between doses and for help finding a dosing schedule that will work with all your medications. Store vitamin D products (except alfacalcidol) at room temperature away from light and moisture. Vitamin D is best absorbed when taken after a meal but may be taken with or without food. Vitamin D is necessary for building and maintaining healthy bones. This product may contain inactive ingredients (such as peanut/soy), which can cause allergic reactions or other problems. This medication passes into breast milk. Not all photos of the drug may be displayed. If you're feeding your baby less than 32 ounces (about 1 liter) a day of vitamin D-fortified formula, give your baby 400 IU of liquid vitamin D a day — starting in the first few days after birth. Symptoms of overdose may include: seizures, confusion, irregular heartbeat. The above information is intended to supplement, not substitute for, the expertise and judgment of your health care professional. Liquid products may also contain alcohol. If it is near the time of the next dose, skip the missed dose. During pregnancy, doses of vitamin D greater than the recommended dietary allowance should be used only when clearly needed. Vitamin D at normal doses usually has no side effects. If you are taking this medication only once a week, remember to take it on the same day each week. Do not store in the bathroom. Not all photos of the drug may be displayed. Do not use a household spoon because you may not get the correct dose. For babies who are receiving infant formula: The amount of infant formula your child drinks per day can depend on your child’s age. Having the right amount of vitamin D, calcium, and phosphorus is important for building and keeping strong bones. US residents can call their local poison control center at 1-800-222-1222. Otherwise, call a poison control center right away. Consult your doctor before breast-feeding. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. Do not start, stop, or change the dosage of any medicines without your doctor's approval. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: This is not a complete list of possible side effects. 32 ounces of standard infant formula per day contains 400 IU of vitamin D. If your baby is drinking less than this amount per day, he or she may need a vitamin D supplement. Canada residents can call a provincial poison control center. Too much vitamin D can cause harmful high calcium levels. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). If you have questions, ask your pharmacist. If you are using the liquid form of this medication, carefully measure the dose using a special measuring device/spoon. close menu. Take this medication regularly to get the most benefit from it. Caution is advised if you have diabetes, liver disease, phenylketonuria (PKU), or any other condition that requires you to limit/avoid these substances in your diet. Sunscreen, protective clothing, limited exposure to sunlight, dark skin, and age may prevent getting enough vitamin D from the sun. This copyrighted material has been downloaded from a licensed data provider. Navigation Menu - Opens a Simulated Dialog, Button close - press enter or select to Do not use medications containing calcitriol while using vitamin D. This medication may interfere with certain laboratory tests (including cholesterol tests), possibly causing false test results. If you are taking the chewable tablet or wafers, chew the medication thoroughly before swallowing. Many people using this medication do not have serious side effects. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Make sure laboratory personnel and all your doctors know you use this drug. Do not freeze. Your medication may look different. Having the right amount of vitamin D, calcium, and phosphorus is important for building and keeping strong bones. Store alfacalcidol drops in the refrigerator between 36-46 degrees F (2-8 degrees C). Keep all regular medical and laboratory appointments. Vitamin D is very similar to calcitriol. Tell your doctor right away if any of these signs of high vitamin D/calcium levels occur: A very serious allergic reaction to this drug is rare. Some products that may interact with this drug include: Check the labels on all your prescription and nonprescription/herbal products (such as antacids, laxatives, vitamins) because they may contain calcium, magnesium, phosphate, or vitamin D. Ask your pharmacist about using those products safely. This information is not individual medical advice and does not substitute for the advice of your health care professional. Discuss the risks and benefits with your doctor. Vitamin D is used to treat and prevent bone disorders (such as rickets, osteomalacia). Drug interactions may change how your medications work or increase your risk for serious side effects. close popup. Talk to your pharmacist for more details. Do not take other supplements/vitamins unless ordered by your doctor. Vitamin D is used to treat and prevent bone disorders (such as rickets, osteomalacia). The photos shown are samples only Liquid vitamin D comes in different doses and strengths (Figure 1) ranging from 5,000 units per 5 drops to 400 units per drop to 400 units per 1 mL. Tolerable Upper Intake Level (UL): 25 mcg (1000 international units) 7 to 12 months: 10 mcg (400 international units) daily. You should consult your health care professional before taking any drug, changing your diet, or commencing or discontinuing any course of treatment. Ask your doctor or pharmacist about using this product safely. You may report side effects to Health Canada at 1-866-234-2345. Colorado - Denver / Boulder / Northern / Mountain areas, Whoops, something went wrong with access to our non-public page, Search for vitamins and natural medicines, itching/swelling (especially of the face/tongue/throat), high calcium/vitamin D levels (hypercalcemia/hypervitaminosis D), difficulty absorbing nutrition from food (malabsorption syndrome). UL: 38 mcg (1500 international units) If your doctor has recommended that you follow a special diet (such as a diet high in calcium), it is very important to follow the diet to get the most benefit from this medication and to prevent serious side effects. Your dosage is based on your medical condition, amount of sun exposure, diet, age, and response to treatment. Properly discard this product when it is expired or no longer needed. Selected from NATIONAL DRUG DATA FILE (NDDF) data included with permission and copyrighted by First Databank, Inc., 2019. Before using this medication, tell your doctor or pharmacist your medical history, especially of: Liquid products, chewable tablets, or dissolving tablets may contain sugar and/or aspartame. If your doctor has prescribed this medication, laboratory and/or medical tests (such as calcium/magnesium/phosphorus levels) should be performed periodically to monitor your progress or check for side effects. © 2020 Kaiser Foundation Health Plan, Inc. Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii • Kaiser Foundation Health Plan of Colorado • Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 • Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 • Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc., 601 Union St., Suite 3100, Seattle, WA 98101.
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