There is a strong link between dianabol reviews treatment with calcitriol and the occurrence of hypercalcemia. Hypercalcemia may develop with increasing calcium entry into the body by changing the power supply (eg increased consumption of dairy products) or uncontrolled calcium supplementation. Patients and their families should be informed about the obligation of strict compliance with the prescribed diet; they should also be trained to recognize the symptoms of hypercalcaemia.
A particularly high risk of developing hypercalcemia exposed patients are on long-term bed rest, for example, had undergone surgery.
Calcitriol increases the amount of inorganic phosphate in serum. This effect being desirable in patients with hypophosphatemia, requires caution in relation to patients with renal failure because of the danger of ectopic calcification. In such cases, the phosphate content should be maintained in the plasma at a normal level by oral administration of drugs that bind phosphates and nizkofosfatnoy diet.
Patients with dianabol reviews rickets ( familial hypophosphatemia), we need to continue oral phosphates. It should, however, bear in mind stimulating the intestinal absorption of phosphate by the action dianabol reviews because this effect can alter the need for supplemental phosphates. It is necessary to regularly determine calcium, phosphorus, magnesium alkaline phosphatase and serum, as well as calcium and phosphate in the daily urine. During the stabilizing (initial) phase of treatment monitor serum calcium levels should be at least twice a week.
Since calcitriol – the most effective metabolite in existence during treatment Rokaltrolom should not be given other preparations to avoid the developmen .
If a patient is transferred from ergocalciferol to calcitriol, normalization of blood ergocalciferol may take several months (see. “Overdose”).
in patients with normal renal function receiving Rokaltrol should avoid dehydration, ensuring adequate fluid intake .
Be particularly careful when administering the drug to children under 18 years.
Pregnancy and lactation
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In the oral administration of sublethal doses dianabol reviews in pregnant rabbits fetus develops supravalvular aortic stenosis. Data about the teratogenicity of vitamin D, even very large doses of it, not for humans. Assign Rokaltrol pregnant women should only be the case if the expected benefit from the treatment exceeds the potential risk to the fetus.
It seems that exogenous calcitriol passes into breast milk. Given the potential of hypercalcaemia in the mother and adverse reactions in infants, women taking Rokaltrol can continue breast-feeding only if the calcium concentration in the serum monitoring of the mother and child. anabolic steroids online pharmacy
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