

| Dosage | Package | Price per Dose | Price | |
|---|---|---|---|---|
| 0.25mcg | 180 cap | β¬0.88 | β¬157.78 Best Price | |
| 0.25mcg | 120 cap | β¬0.99 | β¬118.03 | |
| 0.25mcg | 90 cap | β¬1.11 | β¬99.97 | |
| 0.25mcg | 60 cap | β¬1.39 | β¬83.10 | |
| 0.25mcg | 30 cap | β¬1.84 | β¬55.40 | |
| 0.5mcg | 180 cap | β¬1.11 | β¬199.94 Popular | |
| 0.5mcg | 120 cap | β¬1.22 | β¬145.74 | |
| 0.5mcg | 90 cap | β¬1.33 | β¬119.24 | |
| 0.5mcg | 60 cap | β¬1.48 | β¬89.12 | |
| 0.5mcg | 30 cap | β¬1.96 | β¬59.01 |
Alfacalcidol was developed in the 1980s as a vitamin D analogue. It is widely used in many countries to treat bone and mineral problems caused by kidney disease and parathyroid disorders. It is a prodrug that is converted in your liver to calcitriol, the bodyβs active vitamin D.
In your body, alfacalcidol helps raise calcium and phosphate levels by boosting their absorption from the gut. It also helps your bones stay strong. Because it is activated in your liver, it does not need kidney activity to work, which can be important if your kidneys are not working well.
You might take alfacalcidol for secondary hyperparathyroidism in chronic kidney disease. This condition means the parathyroid gland makes too much hormone, which can weaken bones and disturb minerals. Your doctor will check your blood to guide treatment and watch for side effects.
It may be used for other bone mineral disorders where calcium balance is low or phosphate balance is off. Your doctor will decide if alfacalcidol is right for you and how it fits with your other treatments. It is usually used under medical supervision with regular tests to keep calcium and phosphate in a healthy range.
Alfacalcidol is taken by mouth. It comes as capsules or a liquid, usually taken once daily as prescribed. Take it with water. Do not chew capsules, and if you have trouble swallowing, talk to your pharmacist or doctor. Taking it with a meal can help with absorption for some people.
Follow your doctor's directions exactly. Do not skip doses or change your dose on your own. If you miss a dose, take it as soon as you remember unless it is almost time for the next dose. Dosing is often adjusted slowly to reach a stable level in your body.
Important safety notes: this medicine can raise calcium levels in your blood. High calcium can cause thirst, nausea, excessive urination, weakness, or confusion. Your doctor will monitor calcium and phosphate levels with blood tests and adjust your treatment as needed.
Tell your doctor about kidney disease, heart disease, liver problems, or current medicines. It can interact with calcium supplements, phosphate binders, and certain diuretics. Pregnancy and breastfeeding require careful discussion with your clinician, because the effects on a developing baby are important to consider.
Common side effects include upset stomach, loss of appetite, constipation, dry mouth, or tired feeling. Some people notice a metallic taste or mild headache. Most side effects are mild and go away with time, especially after your body adjusts to the medicine.
More serious signs to seek medical help right away include confusion, severe weakness, dehydration, severe tummy pain, or symptoms of very high calcium such as excessive thirst and urination, or changes in your heart rhythm. If you notice any new or worsening symptoms, tell your clinician promptly.
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