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Consult with your doctor before you take any nonprescription medications while taking rocaltrol.

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Patients with normal or only slightly reduced serum calcium levels may respond to Rocaltrolcalcitrioldoses of 0.25 mcg every other dayMost patients undergoing hemodialysis respond to doses between 0.5 and 1 mcg/day.

Calcitriol increases inorganic phosphate levels in serumWhile this is desirable in patients with hypophosphataemiacaution is called for in patients with renal failure because of the danger of ectopic calcificationIn such casesthe plasma phosphate level should be maintained at the normal level2-5 mg/100 ml or 0.65-1.62 mmol/lby the oral administration of appropriate phosphate-binding agents and low phosphate diet.

Since calcitriol is the most potent active metabolite of vitamin D 3pharmacological doses of vitamin D and its derivatives should be withheld during treatment with Rocaltrolcalcitriolto avoid possible additive effects and hypercalcemiasee WARNINGS

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