All diseases accompanied by hypercalcemia; Hypersensitivity to the drug (or drugs of the same class) or its excipients. Atherosclerosis, pulmonary tuberculosis, heart failure, phosphate nephrolithiasis, sarcoidosis and other granulomatosis, old age (may contribute to the development of atherosclerosis).Lactation.
The initial daily dose is 0.25 mg. The optimum daily dosage buy dianabol must be carefully selected for each patient depending on the calcium content in serum. Rokaltrolom Treatment should always begin with the least possible dose and increase it only with careful monitoring of serum calcium.
A prerequisite for optimal efficacy is sufficient, but not excessive intake of calcium with food since the beginning of the treatment (for adults – 800 mg per day). In some cases, the patient may need to take calcium supplements. By improving calcium absorption in the gastrointestinal tract, some patients receiving can be reduced and sufficient calcium intake. Patients with a tendency to hypercalcemia should be administered drugs only in small doses or even cancel it.
The total daily calcium intake (food and if it occurs with medication) should be on average about 800 mg and not exceed 1000 mg.
In the stabilization phase of therapy Rokaltrolom calcium concentration in the serum should be determined at least twice a week. After the selection of the optimal dose serum calcium levels should be checked every month (or as recommended on individual indications, see. Below). Blood for determination of calcium should be taken without the use of the harness.
When hypercalcemia levels of calcium and phosphate in the serum must be determined on a daily basis. After their normalization Rokaltrolom treatment can be continued, reducing the previous dose by 0.25 mg. It will be appreciated daily dietary intake of calcium and, if appropriate, make adjustments in diet.
Special dosage in adults Postmenopausal Osteoporosis: 0.25 mg 2 times a day. The content of calcium and creatinine should be determined after 4 weeks, 3 and 6 months after starting treatment, and then – every 6 months. Renal osteodystrophy (dialysis patients): initial daily dose – 0.25 g. Patients with buy dianabol normal or only slightly reduced serum calcium level sufficient dose of 0.25 mg every other day. If the biochemical parameters and clinical picture does not improve, the daily dose should be increased by 0.25 mcg at intervals of 2-4 weeks. During this period, serum calcium should be determined at least twice a week. In most patients the therapeutic effect occurs on a daily dose of 0.5-1.0 mg. Hypoparathyroidism and rickets: an initial dose – 0.25 mg per day in the morning. If improved biochemical and clinical parameters are not observed, the dose can be increased at intervals of 2-4 weeks. During this period, serum calcium should be determined at least twice a week. In patients with hypoparathyroidism can sometimes occur malabsorption, including calcium, which may require increased doses Rokaltrola. If Rokaltrol administered to a pregnant woman buy dianabol with hypoparathyroidism, in the second half of pregnancy may require increased doses of the drug, and after childbirth and during lactation – its reduction.
Dosing in patients with senile
elderly patients dose adjustment is required. You must adhere to the general guidelines for the control of calcium levels and serum creatinine.
Dosage in infants and young children
, as in adults, the optimal daily dose for children should be determined on the basis of serum calcium. During the first two years of life it is recommended to prescribe a daily dose of from 0.01 to 0.1 mg / kg body weight.
Intermittent (puls-) therapy
Intermittent (pulse, intermittent) therapy buy dianabol (Rokaltrola reception 2-3 times a week) is effective even in patients refractory to continuous therapy. Running low dose t3 clen cycle trying to lose bodyfat isn’t a real hot idea imo.