Pricing
Prices are indicative MRP and may vary by pharmacy. Trend compares against the last recorded price.
সব দামের পরিবর্তন →ইঙ্গিত ও ব্যবহার
Viva-D এর জন্য নির্দেশিত:
ডোজ নির্দেশিকা
শুধুমাত্র নির্দেশিকা তথ্য
প্রদর্শিত ডোজগুলি সরকারি উৎসের সাধারণ নির্দেশিকা। ব্যক্তিগতকৃত ডোজের জন্য সর্বদা আপনার ডাক্তার বা ফার্মাসিস্টের পরামর্শ নিন।
Adults:
Initial dosing for adults starts at 0.25 mcg per day for the first 2 months, unless hypercalcemia develops. If hypercalcemia occurs, the dose should be cut back to 0.25 mcg every other day. If serum calcium stays below the desired range, the dose may instead be increased in steps of 0.25 mcg/day every 2 months. Maintenance doses: most patients are maintained on 0.5 mcg/day, though doses as high as 1 mcg/day may be needed to keep serum calcium within the desired range. Serum calcium and phosphate levels should be checked monthly, or more often if hypercalcemia develops. If hypercalcemia develops at any point during treatment, the alfacalcidol dose should be cut by 50%, and all calcium supplements should be stopped until calcium levels return to normal. Pediatrics: the safety and efficacy of alfacalcidol in children have not been established.
পার্শ্বপ্রতিক্রিয়া
Elevated blood urea nitrogen (BUN), albuminuria, hypercholesterolemia, elevated aspartate aminotransferase (AST or SGOT) and alanine aminotransferase (ALT or SGPT), anorexia, weight loss, polydipsia, hyperthermia, dry mouth, metallic taste Cardiac arrhythmia, hypertension Conjunctivitis, corneal calcification, photophobia Rhinorrhea Overt psychosis Headache, somnolence, vertigo Diarrhoea, vomiting, constipation, nausea, pancreatitis Pruritus Muscle pain, bone pain, ectopic calcification Polyuria, nocturia Decreased libido Fatigue, weakness
সতর্কতা ও নিষেধাজ্ঞা
Warnings & Precautions
Pregnancy, lactation, renal impairment, infants, elderly. Monitor serum levels of calcium in patients with renal failure. Caution in hypercalciuria in those with history of renal calculi. Avoid in patients with hypersensitivity to inj. containing propylene glycol.
নিষেধাজ্ঞা
Alfacalcidol should not be used by anyone who is hypersensitive to the drug, to any ingredient in its formulation (including non-medicinal ingredients), or to any part of the container; the full listing of these can be found under Dosage Forms, Strengths, Composition and Packaging. It is also contraindicated when blood tests show hypercalcemia, hyperphosphatemia, or other evidence of vitamin D overdose.